Evidence map›Paper›PMID 37719590›Full record

ArticleCureus2023

Efficacy and Safety of Beta-Tricalcium Phosphate/Polylactic-Co-Glycolic Acid for Implantation of Bone Defects.

Soichiro Tokeshi, Taisuke Fukawa, Eichi Itadera, Tsutomu Akazawa, Takayuki Fujiyoshi, Masashi Takaso, Koichi Nakagawa, Tomonori Yamauchi, Naoki Osada, Seiji Ohtori

Abstract read
In one paragraph

Article in Cureus, 2023. 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.

  1. Review
  2. Article
  3. Article
  4. Bone Grafts: Everything You Need to Know.Journal of periodontal research · 2026
    Review
  5. Review
  6. Article
  7. Review
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.

Soichiro TokeshiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, JPN.
Taisuke FukawaOrthopaedics, Narita Red Cross Hospital, Chiba, JPN.
Eichi ItaderaOrthopaedics, Narita Red Cross Hospital, Chiba, JPN.
Tsutomu AkazawaDepartment of Orthopaedic Surgery, St. Marianna University, Kawasaki-City, JPN.
Takayuki FujiyoshiOrthopaedics, Kimitsu Chuo Hospital, Kisasrazu, JPN.
Masashi TakasoOrthopaedic Surgery, Kitasato University, Sagamihara, JPN.
Koichi NakagawaDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Sakura, JPN.
Tomonori YamauchiOrthodontics, Asahi General Hospital, Asahi, JPN.
Naoki OsadaOrthopaedics, ORTHOReBIRTH Co., Yokohama, JPN.
Seiji OhtoriOrthopaedics, Chiba University Hospital, Chiba, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBone defects are often observed after surgery for fractures and bone tumors. Their treatment is technically difficult and sometimes results in negative clinical and economic outcomes. To repair bone defects, a bone graft is implanted by selecting a transplant material from an autologous or artificial bone. Each method has its advantages and disadvantages. Compared to the gold standard of autologous bone graft, bone graft substitutes are not limited by the amount of harvested graft and avoid complications at the donor site. ORB-03 is a new cotton-like bone graft substitute composed of beta-tricalcium phosphate (β-TCP) and a bioabsorbable polymer, polylactic-co-glycolic acid (PLGA). ORB-03 is easy to mold and can fill various bone defect shapes, and its three-dimensional microfiber scaffold can enhance the differentiation of osteoblasts and promote osteogenesis. We investigated the efficacy, ease of handling, and safety of ORB-03 as a bone graft substitute. A multicenter, open-label, single-group study was conducted at six institutions.

methodsBetween July 2018 and August 2019, 60 patients with bone defects caused by fracture, benign tumors, or an iliac donor site from bone harvesting were enrolled in this study; 54 patients were finally included for the safety analysis and 48 patients for the image analysis. During surgery, ORB-03 was mixed with the patient's blood and molded into a bone defect. To evaluate the efficacy of ORB-03, radiography and computed tomography (CT) were performed at intervals until 24 weeks after surgery.

resultsThe effective rate and its accurate bilateral 95% confidence interval (CI) were calculated based on the efficacy criteria at 24 weeks postoperatively. The ease with which ORB-03 could be handled in surgery was evaluated. Adverse events that occurred after surgery were evaluated, and those associated with ORB-03 were examined. Bone fusion was good in all cases, and the radiography and CT effective rates were 100.0% and 91.5%, respectively. Handling was easy in all cases. There were four adverse events, none of which were clinically problematic.

conclusionsORB-03 was found to be easy to handle, safe, and effective as a bone graft substitute for bone defects.

Indexed as

absorbable implantsbeta-tricalcium phosphatebone graft substitutesglycolic acidosteoblastsosteogenesis

Identifiers

PMID37719590
PMCPMC10504055

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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.