Evidence map›Paper›PMID 31242906›Full record

ArticleJournal of orthopaedic surgery and research2019

Reconstruction of large segmental bone defects in rabbit using the Masquelet technique with α-calcium sulfate hemihydrate.

Zhu Long Meng, Zi Quan Wu, Bi Xin Shen, Hong Bo Li, Yang Yang Bian, De Lu Zeng, Jian Fu, Lei Peng

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Mechanisms of the Masquelet technique to promote bone defect repair and its influencing factors.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. The induced membrane technique in animal models: a systematic review.OTA international : the open access journal of orthopaedic trauma · 2022
    Article
  10. Article
  11. Article
  12. Article
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

8 authors.

Zhu Long MengMunicipal Hospital Affiliated to Medical School of Taizhou University, Taizhou, China.ORCID http://orcid.org/0000-0002-1678-065X
Zi Quan WuDepartment of Trauma Center, The First Affiliated Hospital of Hainan Medical University, Haikou, China.
Bi Xin ShenSchool of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China.
Hong Bo LiDepartment of Trauma Center, The First Affiliated Hospital of Hainan Medical University, Haikou, China.
Yang Yang BianDepartment of Trauma Center, The First Affiliated Hospital of Hainan Medical University, Haikou, China.
De Lu ZengDepartment of Trauma Center, The First Affiliated Hospital of Hainan Medical University, Haikou, China.
Jian FuDepartment of Trauma Center, The First Affiliated Hospital of Hainan Medical University, Haikou, China.
Lei PengDepartment of Trauma Center, The First Affiliated Hospital of Hainan Medical University, Haikou, China. xiaobo197518@163.com.

Funding

First Affiliated Hospital Cultivation Fund of Hainan Medical College HYFYPY201805Key Scientific Research Projects of Hainan Higher Education Institutions Hnky2019ZD-28National Natural Science Foundation of China 81460339, 81760291Scientific Research Project of Hainan Provincial Health and Family Planning Commission 18A200151University Student Innovation and Entrepreneurship Project 201711810002
6 · The paper itself

Abstract

backgroundLarge segmental bone defects can be repaired using the Masquelet technique in conjunction with autologous cancellous bone (ACB). However, ACB harvesting is severely restricted. α-calcium sulfate hemihydrate (α-CSH) is an outstanding bone substitute due to its easy availability, excellent biocompatibility, biodegradability, and osteoconductivity. However, the resorption rate of α-CSH is too fast to match the rate of new bone formation. The objective of this study was to investigate the bone repair capacity of the Masquelet technique in conjunction with isolated α-CSH or an α-CSH/ACB mix in a rabbit critical-sized defect model.

methodsThe rabbits (n = 28) were randomized into four groups: sham, isolated α-CSH, α-CSH/ACB mix, and isolated ACB group. A 15-mm critical-sized defect was established in the left radius, followed by filling with polymethyl methacrylate spacer. Six weeks after the first operation, the spacers were removed and the membranous tubes were grafted with isolated α-CSH, isolated ACB, α-CSH/ACB mix, or none. Twelve weeks later, the outcomes were evaluated by manual assessment, radiography, and spiral-CT. The histopathological and morphological changes were examined by H&E staining. The levels of alkaline phosphatase and osteocalcin were analyzed by immunohistochemistry and immunofluorescence staining.

resultsOur results suggest that the bone repair capacity of the α-CSH/ACB mix group was similar to the isolated ACB group, while the isolated α-CSH group was significantly decreased compared to the isolated ACB group.

conclusionThese results highlighted a promising strategy in the healing of large segmental bone defect with the Masquelet technique in conjunction with an α-CSH/ACB mix (1:1, w/w) as they possessed the combined effects of sufficient supply and low resorption.

Indexed as

AnimalsBone SubstitutesCalcium SulfateMalePlastic Surgery ProceduresRabbitsRadiusBone SubstitutesCalcium SulfateBone defectThe Masquelet techniqueα-calcium sulfate hemihydrate

Identifiers

PMID31242906
PMCPMC6595676

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.