Evidence map›Paper›PMID 34634923›Full record

ArticleBone & joint research2021

The role of intermittent PTH administration in conjunction with allogenic stem cell treatment to stimulate fracture healing.

Liza Osagie-Clouard, Richard Meeson, Anita Sanghani-Kerai, Mathias Bostrom, Timothy Briggs, Gorden Blunn

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Article in Bone & joint research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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

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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

6 authors.

Liza Osagie-ClouardRoyal National Orthopaedic Hospital, London, UK.ORCID 0000-0002-3158-6425
Richard MeesonRoyal National Orthopaedic Hospital, London, UK.ORCID 0000-0002-8972-7067
Anita Sanghani-KeraiRoyal National Orthopaedic Hospital, London, UK.ORCID 0000-0003-0737-7794
Mathias BostromHospital for Special Surgery, New York, New York, USA.
Timothy BriggsRoyal National Orthopaedic Hospital, London, UK.
Gorden BlunnSchool of Pharmacy and Biomedical Sciences, University of Portsmouth, Portsmouth, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsA growing number of fractures progress to delayed or nonunion, causing significant morbidity and socioeconomic impact. Localized delivery of stem cells and subcutaneous parathyroid hormone (PTH) has been shown individually to accelerate bony regeneration. This study aimed to combine the therapies with the aim of upregulating fracture healing.

methodsA 1.5 mm femoral osteotomy (delayed union model) was created in 48 female juvenile Wistar rats, aged six to nine months, and stabilized using an external fixator. At day 0, animals were treated with intrafracture injections of 1 × 10

resultsCombination therapy treatment led to increased callus formation compared to controls. In the high-dose combination group there was significantly greater mineralized tissue volume and trabecular parameters compared to controls (p = 0.039). This translated to significantly improved stiffness (and ultimate load to failure (p = 0.049). The high-dose combination therapy group had the most significant improvement in mean modified Radiographic Union Score for Tibia fractures (RUST) compared to controls (13.8 (SD 1.3) vs 5.8 (SD 0.5)). All groups demonstrated significant increases in the radiological scores - RUST and Allen score - histologically compared to controls.

conclusionWe demonstrate the beneficial effect of localized MSC injections on fracture healing combined with low- or high-dose teriparatide, with efficacy dependent on PTH dose. Cite this article:

Indexed as

combination therapiesdelayed union fracturefemorafracture healingFracture healingmesenchymal stem cells (MSCs)nonunionsparathyroid hormoneratsStem cellsstem cells in the treatmentstiffnessTeriparatide

Identifiers

PMID34634923
PMCPMC8559967

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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.