Evidence map›Paper›PMID 31652704›Full record

ArticleMaterials (Basel, Switzerland)2019

Calcium Phosphate Bone Graft Substitutes with High Mechanical Load Capacity and High Degree of Interconnecting Porosity.

Georg Hettich, Ronja A Schierjott, Matthias Epple, Uwe Gbureck, Sascha Heinemann, Hadi Mozaffari-Jovein, Thomas M Grupp

Abstract read
In one paragraph

Article in Materials (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

7 authors.

Georg HettichAesculap AG, Research & Development, Am Aesculap-Platz, 78532 Tuttlingen, Germany. Georg.hettich@aesculap.de.
Ronja A SchierjottAesculap AG, Research & Development, Am Aesculap-Platz, 78532 Tuttlingen, Germany. ronja_alissa.schierjott@aesculap.de.
Matthias EppleInorganic Chemistry and Center for Nanointegration Duisburg-Essen (CeNIDE), University of Duisburg-Essen, Universitaetsstr. 5-7, 45117 Essen, Germany. matthias.epple@uni-due.de.
Uwe GbureckDepartment for Functional Materials in Medicine and Dentistry, University of Wuerzburg, Pleicherwall 2, 97070 Wuerzburg, Germany. uwe.gbureck@fmz.uni-wuerzburg.de.
Sascha HeinemannINNOTERE biomaterial, Meissner Str. 191, 01445 Radebeul, Germany. sascha.heinemann@innotere.de.
Hadi Mozaffari-JoveinInstitute of Materials Science and Engineering Tuttlingen (IWAT), Furtwangen University, Kronenstraße 16, 78532 Tuttlingen, Germany. Hadi.MozaffariJovein@hs-furtwangen.de.
Thomas M GruppAesculap AG, Research & Development, Am Aesculap-Platz, 78532 Tuttlingen, Germany. thomas.grupp@aesculap.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone graft substitutes in orthopedic applications have to fulfill various demanding requirements. Most calcium phosphate (CaP) bone graft substitutes are highly porous to achieve bone regeneration, but typically lack mechanical stability. This study presents a novel approach, in which a scaffold structure with appropriate properties for bone regeneration emerges from the space between specifically shaped granules. The granule types were tetrapods (TEPO) and pyramids (PYRA), which were compared to porous CaP granules (CALC) and morselized bone chips (BC). Bulk materials of the granules were mechanically loaded with a peak pressure of 4 MP; i.e., comparable to the load occurring behind an acetabular cup. Mechanical loading reduced the volume of CALC and BC considerably (89% and 85%, respectively), indicating a collapse of the macroporous structure. Volumes of TEPO and PYRA remained almost constant (94% and 98%, respectively). After loading, the porosity was highest for BC (46%), lowest for CALC (25%) and comparable for TEPO and PYRA (37%). The pore spaces of TEPO and PYRA were highly interconnected in a way that a virtual object with a diameter of 150 µm could access 34% of the TEPO volume and 36% of the PYRA volume. This study shows that a bulk of dense CaP granules in form of tetrapods and pyramids can create a scaffold structure with load capacities suitable for the regeneration of an acetabular bone defect.

Indexed as

biomechanicsbone graft substitutescalcium phosphategranules

Identifiers

PMID31652704
PMCPMC6862383

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.