Evidence map›Paper›PMID 35855729›Full record

ArticleJournal of orthopaedics

Determination of E-modulus of cancellous bone derived from human humeri and validation of plotted single trabeculae: Development of a standardized humerus bone model.

Florian Kuhn, Rasmus Johannes Clausing, Alexander Stiller, Carlos Alfonso Fonseca Ulloa, Christian Foelsch, Markus Rickert, Alexander Jahnke

Open access · greenAbstract read
In one paragraph

Article in Journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Florian KuhnLaboratory of Biomechanics, Department of Orthopaedics and Orthopaedic Surgery, Justus-Liebig-University Giessen, Klinikstrasse 29, 35392, Giessen, Germany.
Rasmus Johannes ClausingLaboratory of Biomechanics, Department of Orthopaedics and Orthopaedic Surgery, Justus-Liebig-University Giessen, Klinikstrasse 29, 35392, Giessen, Germany.
Alexander StillerLaboratory of Biomechanics, Department of Orthopaedics and Orthopaedic Surgery, Justus-Liebig-University Giessen, Klinikstrasse 29, 35392, Giessen, Germany.
Carlos Alfonso Fonseca UlloaLaboratory of Biomechanics, Department of Orthopaedics and Orthopaedic Surgery, Justus-Liebig-University Giessen, Klinikstrasse 29, 35392, Giessen, Germany.
Christian FoelschDepartment of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg (UKGM), Klinikstraße 33, 35392, Giessen, Germany.
Markus RickertDepartment of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg (UKGM), Klinikstraße 33, 35392, Giessen, Germany.
Alexander JahnkeLaboratory of Biomechanics, Department of Orthopaedics and Orthopaedic Surgery, Justus-Liebig-University Giessen, Klinikstrasse 29, 35392, Giessen, Germany.
Justus-Liebig-Universität Gießen · DEUniversitätsklinikum Gießen und Marburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Evaluation of the mechanical behavior of the microstructure of cancellous bone seems important for the understanding of the mechanical behavior of bone. Prevention and treatment of fragility fractures due to osteoporosis is a major challenge according to ageing population. A bone model might help to assess fracture risk. Measurement of single trabeculae of bone should give further information compared with bone densitometry alone. This study measures the mechanical properties of single cancellous trabeculae derived from human proximal humerus. Methods: 34 single trabeculae dissected from human humeral heads were measured and evaluated mechanically. Trabeculae were fixed on microscope slides and geometrical data were reported during axial rotation of the specimens to measure the transverse section using computer aided design (CAD). The samples were subjected to a two-point bending test and were loaded with a measure-stamp at a defined distance. Force and deflection were measured by high-resolution sensors. The E-modulus was then calculated in combination with finite elements method simulation (FEM), using the previously obtained CAD-Data. Results: The average E-modulus from 34 valid measurements of human humeral trabeculae was 1678 MPa with a range from 829 to 3396 MPa, which is consistent with existing literature. The planned additional validation of the measurement method using manufactured three-dimensional synthetic trabeculae with known mechanical properties showed an average elastic modulus of single trabeculae of 51.5 MPa, being two dimensions lower than the value reported in the datasheet of the plastic. Conclusion: This newly developed, time and cost-efficient procedure allows the measurement of E-modulus in single trabeculae. Measurement of mechanic parameters of single trabeculae might give insights on mechanic behavior of bone and be relevant for the research of systemic bone diseases, complementing the existing data on bone-mineral-density. Further examination of single trabeculae of human cancellous bone should give an insight on the mechanical behavior of bone also considering systemic bone diseases.

Indexed as

E-modulusFractureMechanic propertiesOsteoporosisSingle bone trabeculaSynthetic cancellous bone

Identifiers

PMID35855729
PMCPMC9287625
OpenAlexW4285004765

What OpenQuestion holds

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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.