Evidence map›Paper›PMID 37907937›Full record

ArticleBMC musculoskeletal disorders2023

A longitudinal rat model for assessing postoperative recovery and bone healing following tibial osteotomy and plate fixation.

Yingfang Fan, Charlotte P Leape, Shannon Hugard, Madeline McCanne, Andrew Thomson, Gregory R Wojtkiewicz, Michael J Weaver, Jamie E Collins, Mark Randolph, Ebru Oral

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2023. 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
0.9field-weighted citation impact, top 24% 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, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
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 at 3 institutions in 1 country.

Yingfang FanHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, USA.
Charlotte P LeapeHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, USA.
Shannon HugardHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, USA.
Madeline McCanneHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, USA.
Andrew ThomsonHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, USA.
Gregory R WojtkiewiczCenter for Systems Biology, Massachusetts General Hospital, Boston, MA, USA.
Michael J WeaverDepartment of Orthopaedic Surgery, Harvard Medical School, 55 Fruit St. GRJ 1231, Boston, MA, 02114, USA.
Jamie E CollinsDepartment of Orthopaedic Surgery, Harvard Medical School, 55 Fruit St. GRJ 1231, Boston, MA, 02114, USA.
Mark RandolphHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, USA.
Ebru OralHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, USA. eoral@mgh.harvard.edu.
Harvard University · USMassachusetts General Hospital · USCenter for Systems Biology · US

Funding

This work was supported in part by laboratory funds and in part by the Office of the Assistant Secretary of Defense for Health Affairs, through the Peer Reviewed Medical Research Program Award No. W81XWH-17-1-0614.
6 · The paper itself

Abstract

backgroundRodent models are commonly employed to validate preclinical disease models through the evaluation of postoperative behavior and allodynia. Our study investigates the dynamic interplay between pain and functional recovery in the context of traumatic osteotomy and surgical repair. Specifically, we established a rat model of tibial osteotomy, followed by internal fixation using a 5-hole Y-plate with 4 screws, to explore the hypothesis that histological bone healing is closely associated with functional recovery.

objectiveOur primary objective was to assess the correlation between bone healing and functional outcomes in a rat model of tibial osteotomy and plate fixation.

methodsSeventeen male Sprague-Dawley rats underwent a metaphyseal transverse osteotomy of the proximal tibia, simulating a fracture-like injury. The resultant bone defect was meticulously repaired by realigning and stabilizing the bone surfaces with the Y-plate. To comprehensively assess recovery and healing, we performed quantitative and qualitative evaluations at 2, 4, 6, and 8 weeks post-surgery. Evaluation methods included micro-CT imaging, X-ray analysis, and histological examination to monitor bone defect healing. Concurrently, we employed video recording and gait analysis to evaluate functional recovery, encompassing parameters such as temporal symmetry, hindlimb duty factor imbalance, phase dispersion, and toe spread.

resultsOur findings revealed complete healing of the bone defect at 8 weeks, as confirmed by micro-CT and histological assessments. Specifically, micro-CT data showed a decline in fracture volume over time, indicating progressive healing. Histological examination demonstrated the formation of new trabecular bone and the resolution of inflammation. Importantly, specific gait analysis parameters exhibited longitudinal changes consistent with bone healing. Hindlimb duty factor imbalance, hindlimb temporal symmetry, and phase dispersion correlated strongly with the healing process, emphasizing the direct link between bone healing and functional outcomes.

conclusionsThe establishment of this tibia osteotomy model underscores the association between bone healing and functional outcomes, emphasizing the feasibility of monitoring postoperative recovery using endpoint measurements. Our overarching objective is to employ this model for assessing the local efficacy of drug delivery devices in ameliorating post-surgical pain and enhancing functional recovery.

Indexed as

Fracture HealingTibial FracturesAnimalsBone PlatesMaleOsteotomyRatsRats, Sprague-DawleyTibiaX-Ray MicrotomographyBone healingFractureFunctionGait analysisOsteotomyTrauma

Identifiers

PMID37907937
PMCPMC10617055
OpenAlexW4388046315

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.