Evidence map›Paper›PMID 34103567›Full record

ArticleScientific reports2021

Local and systemic inflammation after implantation of a novel iron based porous degradable bone replacement material in sheep model.

Bernd Wegener, Maik Behnke, Stefan Milz, Volkmar Jansson, Christian Redlich, Walter Hermanns, Christof Birkenmaier, Korbinian Pieper, Thomas Weißgärber, Peter Quadbeck

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Biodegradable Medical Implants: Reshaping Future Medical Practice.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. 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

10 authors at 3 institutions in 2 countries.

Bernd WegenerDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, Ludwig-Maximilians-University Munich, Marchioninistraße 15, 81377, Munich, Germany. bernd.wegener@med.uni-muenchen.de.
Maik BehnkeDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, Ludwig-Maximilians-University Munich, Marchioninistraße 15, 81377, Munich, Germany.
Stefan MilzDepartment of Anatomy, Ludwig-Maximilians-University of Munich, Munich, Germany.
Volkmar JanssonDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, Ludwig-Maximilians-University Munich, Marchioninistraße 15, 81377, Munich, Germany.
Christian RedlichFraunhofer Institute for Manufacturing and Advanced Materials (IFAM), Dresden, Germany.
Walter HermannsDepartment of Veterinary Pathology, Ludwig-Maximilians-University of Munich, Munich, Germany.
Christof BirkenmaierDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, Ludwig-Maximilians-University Munich, Marchioninistraße 15, 81377, Munich, Germany.
Korbinian PieperDepartment of Surgery and Genecology of Animals, Ludwig-Maximilians-University Munich, Munich, Germany.
Thomas WeißgärberFraunhofer Institute for Manufacturing and Advanced Materials (IFAM), Dresden, Germany.
Peter QuadbeckFraunhofer Institute for Manufacturing and Advanced Materials (IFAM), Dresden, Germany.
Ludwig-Maximilians-Universität München · DEFraunhofer Institute for Manufacturing Technology and Advanced Materials · DEAO Foundation · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the high potential of healthy bone to regenerate, the reconstruction of large bone defects remains a challenge. Due to the lack of mechanical stability of existing bone substitutes, recently developed degradable metallic alloys are an interesting alternative providing higher load-bearing capabilities. Degradable iron-based alloys therefore might be an attractive innovation. To test the suitability of a newly-designed iron-based alloy for such applications, an animal experiment was performed. Porous iron-based degradable implants with two different densities and a control group were tested. The implants were positioned in the proximal tibia of Merino sheep. Over a period of 6 and 12 months, blood and histological parameters were monitored for signs of inflammation and degradation. In the histological evaluation of the implants` environment we found degraded alloy particles, but no inflammatory reaction. Iron particles were also found within the popliteal lymph nodes on both sides. The serum blood levels of phosphorus, iron and ferritin in the long term groups were elevated. Other parameters did not show any changes. Iron-based degradable porous bone replacement implants showed a good biocompatibility in this experiment. For a clinical application, however, the rate of degradation would have to be significantly increased. Biocompatibility would then have to be re-evaluated.

Indexed as

InflammationPorosityAlloysAnimalsBiocompatible MaterialsBone SubstitutesFerritinsIronMagnesiumMaterials TestingPhosphorusProstheses and ImplantsSheepTibiaTissue EngineeringWeight-BearingAlloysBiocompatible MaterialsBone SubstitutesFerritinsIronMagnesiumPhosphorus

Identifiers

PMID34103567
PMCPMC8187418
OpenAlexW3125645105

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.