Evidence map›Paper›PMID 33937649›Full record

ArticleOTA international : the open access journal of orthopaedic trauma2019

Bone marrow aspirate concentrate with cancellous allograft versus iliac crest bone graft in the treatment of long bone nonunions.

Kenneth Lin, James VandenBerg, Sara M Putnam, Christopher D Parks, Amanda Spraggs-Hughes, Christopher M McAndrew, William M Ricci, Michael J Gardner

Abstract read
In one paragraph

Article in OTA international : the open access journal of orthopaedic trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
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  5. Article
  6. Article
  7. Review
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  9. Article
  10. Current Modalities for Fracture Healing Enhancement.Tissue engineering and regenerative medicine · 2022
    Review
  11. Article
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  13. The top three unanswered questions in the management of open fractures.OTA international : the open access journal of orthopaedic trauma · 2020
    Article
  14. Review
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.

Kenneth LinWashington University, St Louis Department of Orthopaedic Surgery.
James VandenBergWashington University, St Louis Department of Orthopaedic Surgery.
Sara M PutnamWashington University, St Louis Department of Orthopaedic Surgery.
Christopher D ParksWashington University, St Louis Department of Orthopaedic Surgery.
Amanda Spraggs-HughesWashington University, St Louis Department of Orthopaedic Surgery.
Christopher M McAndrewWashington University, St Louis Department of Orthopaedic Surgery.
William M RicciThe Hospital for Special Surgery, Weill College of Medicine, New York, NY.
Michael J GardnerStanford University, Department of Orthopaedic Surgery, Broadway, Redwood City, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this study was to compare bone marrow aspirate concentrate (BMAC) with cancellous allograft to iliac crest bone graft (ICBG) in the treatment of long bone nonunions.

designRetrospective cohort study.

settingA single level I trauma center. PATIENTS: 26 patients with long bone diaphyseal or metaphyseal nonunions with defects >2 mm and treated with open repair and BMAC, compared to 25 patients with long bone diaphyseal or metaphyseal nonunions with defects >2 mm and treated with open repair and ICBG.

interventionOpen repair of long bone nonunion using either autologous ICBG or BMAC with cancellous allograft.

main outcome measureNonunion healing, radiographically measured by the modified Radiographic Union Score for Tibia (mRUST) score. Secondary outcomes included risk factors associated with failed repair.

resultsThe union rates for the BMAC and ICBG cohorts were 75% and 78%, respectively (

conclusionIn this study, we found no significant difference in union rate for long bone nonunions treated with ICBG or BMAC with allograft. BMAC and allograft led to 75% successful healing in this series. Given the heterogeneity of the control group and loss to follow-up, further prospective investigation should be conducted to more rigorously compare BMAC to ICBG for nonunion treatment. LEVEL OF EVIDENCE: III, retrospective cohort.

Indexed as

allograftautograftbone marrow aspiratenonunion

Identifiers

PMID33937649
PMCPMC7953544

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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.