Evidence map›Paper›PMID 33748280›Full record

Trial reportBioMed research international2021

Custom-Made Antibiotic Cement-Coated Nail for the Treatment of Infected Bone Defect.

Guoliang Wang, Wen Luo, Yong Zhou, Zhenfeng Zhu, Zihou Zhao, Shiyu Liu, Jing Li, Xuebin Feng, Yao Zheng, Jiahe Liang and 3 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in BioMed research international, 2021. 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
2.9field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Rising role of 3D-printing in delivery of therapeutics for infectious disease.Journal of controlled release : official journal of the Controlled Release Society · 2024
    Review
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  7. Article
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  11. Review
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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

13 authors at 4 institutions in 1 country.

Guoliang WangDepartment of Orthopaedics, Second Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710038, China.
Wen LuoDepartment of Ultrasound, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi 710032, China.
Yong ZhouDepartment of Orthopaedics, Second Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710038, China.
Zhenfeng ZhuDepartment of Orthopaedics, Second Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710038, China.
Zihou ZhaoDepartment of Orthopaedics, Second Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710038, China.
Shiyu LiuInstitute of Oral Tissue Engineering, Air Force Medical University, Xi'an, Shaanxi 710032, China.
Jing LiDepartment of Plastic, Second Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710038, China.
Xuebin FengShaanxi Dongwang Technology Co. Ltd., Xi'an, Shaanxi 710075, China.
Yao ZhengDepartment of Pharmacy, Second Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710038, China.
Jiahe LiangInstitute of 3D Printing, Second Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710038, China.
Jiangpu YiInstitute of 3D Printing, Second Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710038, China.
Yong ZhangDepartment of Orthopaedics, Second Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710038, China.ORCID https://orcid.org/0000-0002-5826-0070
Yunfei ZhangDepartment of Orthopaedics, Second Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710038, China.ORCID https://orcid.org/0000-0001-7930-5189
People 's Liberation Army 451 Hospital · CNAir Force Engineering University · CNShaanxi Science and Technology Department · CNXijing Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLongbone infected bone defect remains a great challenge due to multiple surgeries, long-term treatment duration, and uncertain prognosis. Treatment principles include eradication/debridement, stabilization, and antibiotic administration. An antibiotic cement-coated nail has shown great prospects due to both local antibiotic elution and stabilization of bone defects. However, the current fabrication technique remains to be improved.

methodsFor the first time, we described a new method for custom-made cement-coated nail fabrication based on a 3D printing technique. A retrospective study of 19 consecutive patients with long bone infected bone defects from one medical center was conducted who met the inclusion and exclusion criteria from November 2016 to May 2020. The treatment involved thorough debridement, custom-made antibiotic cement-coated nail filling, and culture-specific systemic antibiotic treatment guided by a multidisciplinary team. Clinical and radiographic examinations (X-ray and CT scans) were used to evaluate bony union. Clinical and laboratory examinations were used to evaluate the infection control. The SF-36 score was used to evaluate patients' quality of life pre- and postoperatively.

resultsThe mean follow-up was 98.8 weeks (ranging from 40 to 192). All cases achieved infection control, 3 cases achieved bone healing after one-stage operation, and 12 cases achieved bone healing after a two-stage bone graft procedure. At the last follow-up, none of the 19 patients had infection recurrence or 1 case had failure of the protective plate. The pre- and postoperative SF-36 score showed that there were statistical differences in all the 9 aspects.

conclusionsThe precise custom-made antibiotic cement-coated intramedullary nail through the 3D printing technique used in this study is an effective strategy for the treatment of infected bone defects of long bone. This technique may help to increase the infection control rate and promote bone healing.

Indexed as

Bone NailsBone PlatesBone TransplantationFracture Fixation, IntramedullaryAdultAgedAnti-Bacterial AgentsBone CementsFemaleFractures, UnunitedHumansMaleMiddle AgedOsteomyelitisPrinting, Three-DimensionalQuality of LifeAnti-Bacterial AgentsBone Cements

Identifiers

PMID33748280
PMCPMC7954627
OpenAlexW3133674761

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.