Evidence map›Paper›PMID 39806104›Full record

ReviewZeitschrift fur Rheumatologie2025

[Influencing fracture healing by specific osteoporosis medications].

Ulla Stumpf, Ralf Schmidmaier, Hanna Taipaleenmäki, Wolfgang Böcker, Andreas Kurth, Eric Hesse

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Zeitschrift fur Rheumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Ulla StumpfKlinik für Orthopädie und Unfallchirurgie, LMU Klinikum, LMU München, München, Deutschland.
Ralf SchmidmaierMedizinische Klinik und Poliklinik IV, LMU Klinikum, LMU München, München, Deutschland.
Hanna TaipaleenmäkiInstitut für Muskuloskelettale Medizin, LMU Klinikum, LMU München, München, Deutschland.
Wolfgang BöckerKlinik für Orthopädie und Unfallchirurgie, LMU Klinikum, LMU München, München, Deutschland.
Andreas KurthOrthopädische Privatpraxis Dres. Baron & Kollegen, Frankfurt am Main, Deutschland.
Eric HesseInstitut für Muskuloskelettale Medizin, LMU Klinikum, LMU München, München, Deutschland. eric.hesse@med.uni-muenchen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoporosis is a widespread disease defined by a reduction in bone mass and structure, thereby increasing the risk of fragility fractures. Treatment typically involves specific medications, which either inhibit bone resorption (antiresorptive) or stimulate bone formation (anabolic) and may potentially influence the healing of osteoporotic fractures. On the other hand, metabolic disorders, immune system dysfunctions or circulatory problems can impair fracture healing. Therefore, the targeted use of osteoporosis medications could be a strategy to promote the healing of impaired fractures.

objectiveThe aim of this study is to provide a current overview of the effects of osteoporosis medications approved in Germany on fracture healing. The focus is on the potential influence of these medications in the context of osteoporosis treatment. Additionally, the current state of research is examined to explore to what extent the targeted use of these medications could improve fracture healing. MATERIAL AND

methodsA literature search was conducted in the PubMed database using topic-specific keywords. Preclinical studies, clinical trials, review articles and meta-analyses were considered to present the current scientific knowledge with clinical relevance.

resultsPreclinical and clinical studies suggest that specific osteoporosis medications do not have a clinically relevant negative impact on the healing of fragility fractures. Osteoanabolic substances even tend to have a positive effect on fracture healing in both normal and impaired healing processes; however, the available studies are limited and none of the medications have been approved for this specific use. DISCUSSION: Osteoporosis medications with antiresorptive or osteoanabolic effects are primarily used to treat osteoporosis, especially after fragility fractures, to reduce the risk of further fractures. There is no clinically relevant impairment of fracture healing due to these medications. Further studies would be required to obtain approval for these medications specifically to improve fracture healing.

Indexed as

Bone Density Conservation AgentsFracture HealingOsteoporosisOsteoporotic FracturesEvidence-Based MedicineHumansTreatment OutcomeBone Density Conservation AgentsAntiresorptive medicationsBone metabolismFracture riskFragility fractureOsteoanabolic medications

Identifiers

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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.