Evidence map›Paper›PMID 33778404›Full record

ArticleJOR spine2021

Electrospun biodegradable poly(ε-caprolactone) membranes for annulus fibrosus repair: Long-term material stability and mechanical competence.

Dmitriy Alexeev, Melanie Tschopp, Benedikt Helgason, Stephen J Ferguson

Abstract read
In one paragraph

Article in JOR spine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

4 authors.

Dmitriy AlexeevInstitut für Biomechanik ETH Zürich Zürich Switzerland.ORCID https://orcid.org/0000-0002-7378-573X
Melanie TschoppInstitut für Biomechanik ETH Zürich Zürich Switzerland.
Benedikt HelgasonInstitut für Biomechanik ETH Zürich Zürich Switzerland.
Stephen J FergusonInstitut für Biomechanik ETH Zürich Zürich Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectrospun (ES) poly(ɛ-caprolactone) (PCL) is widely used to provide critical mechanical support in tissue engineering and regenerative medicine applications. Therefore, there is a clear need for understanding the change in the mechanical response of the membranes as the material degrades in physiological conditions. STUDY

designES membranes with fiber diameters from 1.6 to 6.7 μm were exposed to in vitro conditions at 37°C in Dulbecco's modified Eagle's medium (DMEM) or dry for up to 6 months.

methodsDuring this period, the mechanical properties were assessed using cyclic mechanical loading, and material properties such as crystallinity and ester bond degradation were measured.

resultsNo significant difference was found for any parameters between samples kept dry and in DMEM. The increase in crystallinity was linear with time, while the ester bond degradation showed an inverse logarithmic correlation with time. All samples showed an increase in modulus with exposure time for the first loading cycle. Modulus changes for the consecutive loading cycles showed a nonlinear relationship to the exposure time that depended on membrane type and maximum strain. In addition, the recovered elastic range showed an expected increase with the maximum strain reached. The mechanical response of ES membranes was compared to experimental tensile properties of the human annulus fibrosus tissue and an in silico model of the intervertebral disk. The modulus of the tested membranes was at the lower range of the values found in literature, while the elastically recoverable strain after preconditioning for all membrane types lies within the desired strain range for this application.

conclusionThe long-term assessment under application-specific conditions allowed to establish the mechanical competence of the electrospun PCL membranes. It can be concluded that with the use of appropriate fixation, the membranes can be used to create a seal on the damaged AF.

Indexed as

degradationelectrospinningintervertebral disklong‐termmechanicspoly(ε‐caprolactone)regenerativerepair

Identifiers

PMID33778404
PMCPMC7984019

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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.