Evidence map›Paper›PMID 34147125›Full record

Trial reportStem cell research & therapy2021

Combining autologous bone marrow buffy coat and angioconductive bioceramic rod grafting with advanced core decompression improves short-term outcomes in early avascular necrosis of the femoral head: a prospective, randomized, comparative study.

Qingtian Li, Weihong Liao, Guangtao Fu, Junxing Liao, Ruiying Zhang, Mengyuan Li, Yuhui Yang, Yuanchen Ma, Minghao Zheng, Qiujian Zheng

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Stem cell research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
4.4field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  13. Cellular therapies for bone repair: current insights.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024
    Review
  14. Article
  15. Interaction of Ceramic Implant Materials with Immune System.International journal of molecular sciences · 2023
    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

10 authors at 4 institutions in 2 countries.

Qingtian Li *Department of Orthopedics, Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, People's Republic of China.
Weihong Liao *The Second School of Clinical Medicine, Southern Medical University, Guangzhou, People's Republic of China.
Guangtao Fu *Department of Orthopedics, Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, People's Republic of China.
Junxing LiaoDepartment of Orthopedics, Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, People's Republic of China.
Ruiying ZhangDepartment of Orthopedics, Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, People's Republic of China.
Mengyuan LiDepartment of Orthopedics, Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, People's Republic of China.
Yuhui YangDepartment of Orthopedics, Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, People's Republic of China.
Yuanchen MaDepartment of Orthopedics, Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, People's Republic of China. myc998@qq.com.
Minghao ZhengCentre for Orthopaedic Translational Research, School of Surgery, The University of Western Australia, M Block, QE2 Medical Centre, Monash Ave, Nedlands, WA, 6009, Australia. Minghao.zheng@uwa.edu.au.
Qiujian ZhengDepartment of Orthopedics, Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, People's Republic of China. zhengqiujian@gdph.org.cn.
Guangdong Academy of Medical Sciences · CNGuangdong Provincial People's Hospital · CNSouthern Medical University · CNUniversity of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of avascular necrosis of the femoral head (ANFH) in young patients remains a clinical challenge. A current controversy is whether hip-preserving surgery results in better outcomes. The adverse effects of hip-preserving surgery are associated with the fill material for the necrotic areas. This study aims to evaluate the early effects of autologous bone marrow buffy coat (BBC) and angioconductive bioceramic rod (ABR) grafting with advanced core decompression (ACD) on early ANFH.

methodsForty-four (57 hips) patients with early ANFH from 2015 to 2020 were recruited for this study. They were randomized into two groups: group A received ACD, BBC, and ABR grafting; group B received treatment of ACD with β-tricalcium phosphate (β-TCP) granules and ABR grafting. The outcomes were assessed using the Harris Hip Scores (HHS) and survival rate analysis. The follow-up endpoint was defined as conversion to total hip arthroplasty (THA).

resultsForty patients (51 hips) were ultimately included in this study for analysis. Compared with group B, patients in group A had higher postoperative function score (P = 0.032) and postoperative Harris Hip Scores (HHS) (P = 0.041). Kaplan-Meier analysis showed a trend that the survivorship of the femoral head was higher in group A than in group B.

conclusionThe short-term follow-up results showed that the autologous bone marrow buffy coat and angioconductive bioceramic rod grafting with advanced core decompression is effective in the treatment of early ANFH.

trial registrationChictr.org.cn , ChiCTR2000039595. Retrospectively registered on 11 February 2015.

Indexed as

Femur Head NecrosisBone MarrowBone TransplantationDecompression, SurgicalFemur HeadFollow-Up StudiesHumansProspective StudiesTreatment OutcomeAdvanced core decompressionAngioconductive bioceramic rodAutologous bone marrow buffy coatAvascular necrosis of the femoral head

Identifiers

PMID34147125
PMCPMC8214252
OpenAlexW3175350903

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.