Evidence map›Paper›PMID 34260393›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

A self-powered implantable and bioresorbable electrostimulation device for biofeedback bone fracture healing.

Guang Yao, Lei Kang, Cuicui Li, Sihong Chen, Qian Wang, Junzhe Yang, Yin Long, Jun Li, Kangning Zhao, Weina Xu and 3 more

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
8.9field-weighted citation impact, top 1% 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

55 citing papers in PubMed, 147 citations in OpenAlex.

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  13. Implantable Self-Powered Systems for Electrical Stimulation Medical Devices.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  14. Accelerated Bone Healing via Electrical Stimulation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    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 3 institutions in 2 countries.

Guang YaoDepartment of Materials Science and Engineering, University of Wisconsin-Madison, Madison, WI 53706; xudong.wang@wisc.edu gyao@uestc.edu.cn linyuan@uestc.edu.cn wcai@uwhealth.org.
Lei KangDepartment of Nuclear Medicine, Peking University First Hospital, Beijing 100034, China.ORCID 0000-0001-8729-4547
Cuicui LiDepartment of Nuclear Medicine, Peking University First Hospital, Beijing 100034, China.ORCID 0000-0002-0077-727X
Sihong ChenSchool of Materials and Energy, State Key Laboratory of Electronic Thin Films and Integrated Devices, University of Electronic Science and Technology of China, Chengdu, Sichuan 610054, China.
Qian WangSchool of Materials and Energy, State Key Laboratory of Electronic Thin Films and Integrated Devices, University of Electronic Science and Technology of China, Chengdu, Sichuan 610054, China.
Junzhe YangDepartment of Nuclear Medicine, Peking University First Hospital, Beijing 100034, China.
Yin LongDepartment of Materials Science and Engineering, University of Wisconsin-Madison, Madison, WI 53706.
Jun LiDepartment of Materials Science and Engineering, University of Wisconsin-Madison, Madison, WI 53706.
Kangning ZhaoDepartment of Materials Science and Engineering, University of Wisconsin-Madison, Madison, WI 53706.
Weina XuDepartment of Materials Science and Engineering, University of Wisconsin-Madison, Madison, WI 53706.
Weibo CaiDepartment of Radiology and Medical Physics, University of Wisconsin-Madison, Madison, WI 53705 xudong.wang@wisc.edu gyao@uestc.edu.cn linyuan@uestc.edu.cn wcai@uwhealth.org.ORCID 0000-0003-4641-0833
Yuan LinSchool of Materials and Energy, State Key Laboratory of Electronic Thin Films and Integrated Devices, University of Electronic Science and Technology of China, Chengdu, Sichuan 610054, China; xudong.wang@wisc.edu gyao@uestc.edu.cn linyuan@uestc.edu.cn wcai@uwhealth.org.
Xudong WangDepartment of Materials Science and Engineering, University of Wisconsin-Madison, Madison, WI 53706; xudong.wang@wisc.edu gyao@uestc.edu.cn linyuan@uestc.edu.cn wcai@uwhealth.org.ORCID 0000-0002-9762-6792
University of Wisconsin–Madison · USUniversity of Electronic Science and Technology of China · CNPeking University · CN

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Christian Capitini · 1985 to 2026
$142.6M
Membranous Nanogenerators for in vivo Bio-mechanical Energy HarvestingR01EB021336 · NIBIB · UNIVERSITY OF WISCONSIN-MADISON · PI WANG, XUDONG · 2016 to 2020
$1.7M
NCI NIH HHS P30 CA014520NIBIB NIH HHS R01 EB021336
6 · The paper itself

Abstract

Electrostimulation has been recognized as a promising nonpharmacological treatment in orthopedics to promote bone fracture healing. However, clinical applications have been largely limited by the complexity of equipment operation and stimulation implementation. Here, we present a self-powered implantable and bioresorbable bone fracture electrostimulation device, which consists of a triboelectric nanogenerator for electricity generation and a pair of dressing electrodes for applying electrostimulations directly toward the fracture. The device can be attached to irregular tissue surfaces and provide biphasic electric pulses in response to nearby body movements. We demonstrated the operation of this device on rats and achieved effective bone fracture healing in as short as 6 wk versus the controls for more than 10 wk to reach the same healing result. The optimized electrical field could activate relevant growth factors to regulate bone microenvironment for promoting bone formation and bone remodeling to accelerate bone regeneration and maturation, with statistically significant 27% and 83% improvement over the control groups in mineral density and flexural strength, respectively. This work provided an effective implantable fracture therapy device that is self-responsive, battery free, and requires no surgical removal after fulfilling the biomedical intervention.

Indexed as

Absorbable ImplantsBiofeedback, PsychologyElectric Power SuppliesFracture HealingAnimalsElectricityElectric Stimulation TherapyEquipment DesignFractures, BoneRatsReference Standardsbiofeedback therapeuticsbioresorbable electronicsbone fracture healingclosed-loop electrostimulationnanogenerator

Identifiers

PMID34260393
PMCPMC8285966
OpenAlexW3181342498

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.