Evidence map›Paper›PMID 32156664›Full record

ArticleBone2020

Wireless sensor enables longitudinal monitoring of regenerative niche mechanics during rehabilitation that enhance bone repair.

Brett S Klosterhoff, Jarred Kaiser, Bradley D Nelson, Salil S Karipott, Marissa A Ruehle, Scott J Hollister, Jeffrey A Weiss, Keat Ghee Ong, Nick J Willett, Robert E Guldberg

Abstract read
In one paragraph

Article in Bone, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Review
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  11. Article
  12. The application of impantable sensors in the musculoskeletal system: a review.Frontiers in bioengineering and biotechnology · 2024
    Review
  13. Article
  14. Review
  15. Article
  16. Implantable biosensors for musculoskeletal health.Connective tissue research · 2022
    Review
  17. Article
  18. Article
  19. Article
  20. 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

10 authors.

Brett S KlosterhoffGeorge W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, United States of America; Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, United States of America.
Jarred KaiserResearch Service, Atlanta VA Medical Center, Decatur, GA, United States of America; Department of Orthopaedics, Emory University, Atlanta, GA, United States of America.
Bradley D NelsonDepartment of Biomedical Engineering, Michigan Technological University, Houghton, MI, United States of America.
Salil S KaripottDepartment of Biomedical Engineering, Michigan Technological University, Houghton, MI, United States of America.
Marissa A RuehleWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA.
Scott J HollisterParker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, United States of America; Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA.
Jeffrey A WeissDepartment of Biomedical Engineering, University of Utah, Salt Lake City, UT, United States of America; Scientific Computing and Imaging Institute, University of Utah, Salt Lake City, UT, United States of America; Department of Orthopedics, University of Utah, Salt Lake City, UT, United States of America.
Keat Ghee OngDepartment of Biomedical Engineering, Michigan Technological University, Houghton, MI, United States of America.
Nick J WillettParker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, United States of America; Research Service, Atlanta VA Medical Center, Decatur, GA, United States of America; Department of Orthopaedics, Emory University, Atlanta, GA, United States of America; Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA.
Robert E GuldbergKnight Campus, University of Oregon, Eugene, OR, United States of America. Electronic address: guldberg@uoregon.edu.

Funding

Research Training Program Plan on Cell and Tissue Engineering (CTEng)T32GM008433 · NIGMS · GEORGIA INSTITUTE OF TECHNOLOGY · PI GARCIA, ANDRES J · 1991 to 2021
$7.1M
Regenerative Rehabilitation of Complex Musculoskeletal InjuriesR01AR069297 · NIAMS · UNIVERSITY OF OREGON · PI ROBERT E Guldberg · 2016 to 2026
$5.6M
In Vivo Monitoring of Strain and Oxygen in TE Constructs Using MEMS-Based SensorsR21AR066322 · NIAMS · GEORGIA INSTITUTE OF TECHNOLOGY · PI GULDBERG, ROBERT E · 2015 to 2016
$368k
Combined Regenerative and Rehabilitation Therapies for Extremity TraumaI01RX001985 · VA · VETERANS HEALTH ADMINISTRATION · PI WILLETT, NICK J · 2019 to 2024
–
NIAMS NIH HHS R01 AR069297NIAMS NIH HHS R21 AR066322NIGMS NIH HHS T32 GM008433RRD VA I01 RX001985
6 · The paper itself

Abstract

Mechanical loads exerted on the skeleton during activities such as walking are important regulators of bone repair, but dynamic biomechanical signals are difficult to measure inside the body. The inability to measure the mechanical environment in injured tissues is a significant barrier to developing integrative regenerative and rehabilitative strategies that can accelerate recovery from fracture, segmental bone loss, and spinal fusion. Here we engineered an implantable strain sensor platform and longitudinally measured strain across a bone defect in real-time throughout rehabilitation. The results showed that load-sharing permitted by a load-sharing fixator initially delivered a two-fold increase in deformation magnitude, subsequently increased mineralized bridging by nearly three-fold, and increased bone formation by over 60%. These data implicate a critical role for early mechanical cues on the long term healing response as strain cycle magnitude at 1 week (before appreciable healing occurred) had a significant positive correlation with the long-term bone regeneration outcomes. Furthermore, we found that sensor readings correlated with the status of healing, suggesting a role for strain sensing as an X-ray-free healing assessment platform. Therefore, non-invasive strain measurements may possess diagnostic potential to evaluate bone repair and reduce clinical reliance on current radiation-emitting imaging methods. Together, this study demonstrates a promising framework to quantitatively develop and exploit mechanical rehabilitation strategies that enhance bone repair.

Indexed as

Fractures, BoneBone RegenerationFracture HealingHumansProstheses and ImplantsWound HealingBiomechanicsBone defect fixationImplantable sensorMechanobiologyRegenerative rehabilitation

Identifiers

PMID32156664
PMCPMC7585453

What OpenQuestion holds

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LicenceTDM
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.