Evidence map›Paper›PMID 36638107›Full record

ArticlePloS one2023

Decellularized vascularized bone grafts as therapeutic solution for bone reconstruction: A mechanical evaluation.

Ugo Heller, Robin Evrard, Benoit Lengelé, Thomas Schubert, Natacha Kadlub, Jean Boisson

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

3 citing papers in PubMed, 10 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

6 authors at 3 institutions in 2 countries.

Ugo HellerAPHP, Necker Enfant Malades, Unit of Maxillofacial Surgery and Plastic Surgery, Paris, France.ORCID 0000-0001-6113-2531
Robin EvrardSecteur des Sciences de la Santé, Institut de Recherche Expérimentale et Clinique, Neuro Musculo Skeletal Lab (NMSK), Université catholique de Louvain, Brussels, Belgium.
Benoit LengeléSecteur des Sciences de la Santé, Institut de Recherche Expérimentale et Clinique, Pole de morphologie (MORF), Université catholique de Louvain, Brussels, Belgium.ORCID 0000-0002-0545-7347
Thomas SchubertSecteur des Sciences de la Santé, Institut de Recherche Expérimentale et Clinique, Neuro Musculo Skeletal Lab (NMSK), Université catholique de Louvain, Brussels, Belgium.ORCID 0000-0001-6670-886X
Natacha KadlubAPHP, Necker Enfant Malades, Unit of Maxillofacial Surgery and Plastic Surgery, Paris, France.
Jean BoissonIMSIA, ENSTA Paris, Department of Mechanical Engineering, Palaiseau, France.
Cliniques Universitaires Saint-Luc · BEÉcole Nationale Supérieure de Techniques Avancées · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLarge bone defects are challenging for surgeons. Available reimplanted bone substitutes can't properly restore optimal function along and long term osteointegration of the bone graft. Bone substitute based on the perfusion-decellularization technique seem to be interesting in order to overcome these limitations. We present here an evaluation of the biomechanics of the bones thus obtained. MATERIAL AND

methodsTwo decellularization protocols were chosen for this study. One using Sodium Dodecyl Sulfate (SDS) (D1) and one using NaOH and H2O2 (D2). The decellularization was performed on porcine forearms. We then carried out compression, three-point bending, indentation and screw pull-out tests on each sample. Once these tests were completed, we compared the results obtained between the different decellularization protocols and with samples left native.

resultsThe difference in the means was similar between the tests performed on bones decellularized with the SDS protocol and native bones for pull-out test: +1.4% (CI95% [-10.5%- 12.4%]) of mean differences when comparing Native vs D1, compression -14.9% (CI95% [-42.7%- 12.5%]), 3-point bending -5.7% (CI95% [-22.5%- 11.1%]) and indentation -10.8% (CI95% [-19.5%- 4.6%]). Bones decellularized with the NaOH protocol showed different results from those obtained with the SDS protocol or native bones during the pull-out screw +40.7% (CI95% [24.3%- 57%]) for Native vs D2 protocol and 3-point bending tests +39.2% (CI95% [13.7%- 64.6%]) for Native vs D2 protocol. The other tests, compression and indentation, gave similar results for all our samples.

conclusionVascularized decellularized grafts seem to be an interesting means for bone reconstruction. Our study shows that the decellularization method affects the mechanical results of our specimens. Some methods seem to limit these alterations and could be used in the future for bone decellularization.

Indexed as

ForearmHydrogen PeroxideAnimalsArthrodesisBiomechanical PhenomenaExtracellular MatrixSodium HydroxideSwineTissue EngineeringTissue ScaffoldsHydrogen PeroxideSodium Hydroxide

Identifiers

PMID36638107
PMCPMC9838862
OpenAlexW4315928012

What OpenQuestion holds

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LicenceCC BY
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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.