Evidence map›Paper›PMID 31028428›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020

Do antiosteoporotic drugs improve bone regeneration in vivo?

Maximilian Leiblein, Dirk Henrich, Florian Fervers, Kerstin Kontradowitz, Ingo Marzi, Caroline Seebach

Abstract read
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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 22 citations in OpenAlex.

  1. The effect of intermittent parathyroid hormone on bone lengthening: current evidence to inform future effective interventions.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
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  7. Timing of osteoporosis therapies following fracture: the current status.Therapeutic advances in endocrinology and metabolism · 2022
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  10. Imaging Modalities to Assess Fracture Healing.Current osteoporosis reports · 2020
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  11. Focus on bone healing: new strategies for improvement of bone healing.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Maximilian LeibleinDepartment of Trauma Surgery, Johann-Wolfgang-Goethe University Frankfurt/Main, Theodor Stern Kai 7, 60590, Frankfurt, Germany. Maximilian.leiblein@kgu.de.ORCID http://orcid.org/0000-0001-8265-1840
Dirk HenrichDepartment of Trauma Surgery, Johann-Wolfgang-Goethe University Frankfurt/Main, Theodor Stern Kai 7, 60590, Frankfurt, Germany.
Florian FerversDepartment of Trauma Surgery, Johann-Wolfgang-Goethe University Frankfurt/Main, Theodor Stern Kai 7, 60590, Frankfurt, Germany.
Kerstin KontradowitzDepartment of Trauma Surgery, Johann-Wolfgang-Goethe University Frankfurt/Main, Theodor Stern Kai 7, 60590, Frankfurt, Germany.
Ingo MarziDepartment of Trauma Surgery, Johann-Wolfgang-Goethe University Frankfurt/Main, Theodor Stern Kai 7, 60590, Frankfurt, Germany.
Caroline SeebachDepartment of Trauma Surgery, Johann-Wolfgang-Goethe University Frankfurt/Main, Theodor Stern Kai 7, 60590, Frankfurt, Germany.
Goethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTreatment of complex fractures in the elderly is a challenge for operative reconstruction due to degraded bone structure. Early peri-operative bone anabolic treatment could improve new bone formation, avoid implant loosening and accelerate fracture healing.

methodsTo compare the osteoanabolic potential of different drugs after distraction osteogenesis, 168 female Sprague-Dawley rats underwent lengthening of the right femur using a monolateral external fixator. Animals were randomly divided into six groups: vehicle-injected group, PTH(1-34), raloxifen, strontium ranelate, alendronate and simvastatin. Histomorphometry, CT-scanning, DEXA- and biomechanical analysis were performed to evaluate new bone formation, callus volume, mineralisation and biomechanical strength. Expression of bone metabolic mediators and differentiation indicators of distracted and intact bone were examined by RT-PCR and western blot.

resultsHistological analysis showed significant increase of the bone mass after treatment with PTH(1-34), raloxifen and strontium ranelate (p = 0.02). Raloxifen increased bone mineral content (BMC) of the whole distracted femur significantly (p = 0.007). Callus volume was significantly larger in the PTH(1-34), raloxifen and simvastatin groups (p = 0.001) compared to control. Ultimate load of distracted new formed bone was increased in PTH(1-34) and raloxifen groups. It seems that PTH(1-34) and raloxifen have a stronger effect on bone where a repair response is activated. Strontium ranelate demonstrates similar effects to PTH regarding new bone formation but shows low values for mineralisation and biomechanical strength.

conclusionThis study suggests that peri-operative treatment of complex and/or osteoporotic fractures with PTH(1-34) and raloxifen might be useful as a stimulator of bone formation and mineralisation to shorten the consolidation time in humans.

Indexed as

Absorptiometry, PhotonAlendronateAlkaline PhosphataseAnimalsBiomechanical PhenomenaBlotting, WesternBone DensityBone Density Conservation AgentsBone Morphogenetic Protein 2Bone RegenerationBony CallusCalcium-Regulating Hormones and AgentsCollagen Type IFemaleFemurHydroxymethylglutaryl-CoA Reductase InhibitorsAlendronateAlkaline PhosphataseBmp2 protein, ratBone Density Conservation AgentsBone Morphogenetic Protein 2Calcium-Regulating Hormones and AgentsCollagen Type IHydroxymethylglutaryl-CoA Reductase InhibitorsIl6 protein, ratInterleukin-6Macrophage Colony-Stimulating FactorOsteocalcinParathyroid HormoneRaloxifene HydrochlorideRANK LigandSimvastatinstrontium ranelateThiophenesAlendronateFemur defectOsteoporosisParathormoneRaloxifenSimvastatinStrontium ranelate

Identifiers

PMID31028428
OpenAlexW2940903651

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.