Evidence map›Paper›PMID 38449025›Full record

ArticleEuropean journal of medical research2024

Tibial cortex transverse transport promotes ischemic diabetic foot ulcer healing via enhanced angiogenesis and inflammation modulation in a novel rat model.

Wencong Qin, Kaibin Liu, Hongjie Su, Jun Hou, Shenghui Yang, Kaixiang Pan, Sijie Yang, Jie Liu, Peilin Zhou, Zhanming Lin and 7 more

Open access · goldAbstract read
In one paragraph

Article in European journal of medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
12.2field-weighted citation impact, top 1% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. [Research advances in limb salvage treatment of diabetic foot using tibial transverse transport].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
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  12. [Study on effectiveness and changes in immunoglobulin levels of transverse tibial transport in treatment of Wagner grade 3-4 type 2 diabetic foot ulcer].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
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  19. Skin Stretching Techniques: A Review of Clinical Application in Wound Repair.Plastic and reconstructive surgery. Global open · 2024
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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

17 authors at 3 institutions in 1 country.

Wencong Qin *Department of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Kaibin Liu *Department of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Hongjie SuDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Jun HouDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Shenghui YangDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Kaixiang PanDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Sijie YangDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Jie LiuDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Peilin ZhouDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Zhanming LinDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Puxiang ZhenDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Yongjun MoDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Binguang FanDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Zhenghui LiDepartment of Neurosurgery, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, Henan, 450052, People's Republic of China.
Xiaocong KuangCollaborative Innovation Centre of Regenerative Medicine and Medical Bio-Resource Development and Application Co-constructed by the Province and Ministry, Guangxi Medical University, Nanning, 530021, Guangxi, China.
Xinyu NieDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China. xnie1@bwh.harvard.edu.
Qikai HuaDepartment of Bone and Joint Surgery, (Guangxi Diabetic Foot Salvage Engineering Research Center), The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China. hqk100@sr.gxmu.edu.cn.
Guangxi Medical University · CNFirst Affiliated Hospital of GuangXi Medical University · CNThird Affiliated Hospital of Zhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTibial Cortex Transverse Transport (TTT) represents an innovative surgical method for treating lower extremity diabetic foot ulcers (DFUs), yet its underlying mechanisms remain elusive. Establishing an animal model that closely mirrors clinical scenarios is both critical and novel for elucidating the mechanisms of TTT.

methodsWe established a diabetic rat model with induced hindlimb ischemia to mimic the clinical manifestation of DFUs. TTT was applied using an external fixator for regulated bone movement. Treatment efficacy was evaluated through wound healing assessments, histological analyses, and immunohistochemical techniques to elucidate biological processes.

resultsThe TTT group demonstrated expedited wound healing, improved skin tissue regeneration, and diminished inflammation relative to controls. Marked neovascularization and upregulation of angiogenic factors were observed, with the HIF-1α/SDF-1/CXCR4 pathway and an increase in EPCs being pivotal in these processes. A transition toward anti-inflammatory M2 macrophages indicated TTT's immunomodulatory capacity.

conclusionOur innovative rat model effectively demonstrates the therapeutic potential of TTT in treating DFUs. We identified TTT's roles in promoting angiogenesis and modulating the immune system. This paves the way for further in-depth research and potential clinical applications to improve DFU management strategies.

Indexed as

Diabetes MellitusDiabetic FootAngiogenesisAnimalsFootInflammationRatsTibia

Identifiers

PMID38449025
PMCPMC10918950
OpenAlexW4392504542

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.