Evidence map›Paper›PMID 40235411›Full record

ArticleJoint diseases and related surgery2025

Irisin and its role in fracture healing: A comparative study with hyaluronic acid and platelet-rich plasma in a rat model.

Ahmet Emrah Açan, Mert Emre Aydın, Özgür Bulmuş, Emrah Özcan, Aslı Karakılıç, Gülay Turan, Reşit Buğra Hüsemoğlu

Abstract readComparative Study
In one paragraph

Article in Joint diseases and related surgery, 2025. 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
–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

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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.

  1. Review
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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

7 authors.

Ahmet Emrah AçanBalıkesir Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, 10185 Altıeylül, Balıkesir, Türkiye. dremrahacan@hotmail.com.
Mert Emre Aydın
Özgür Bulmuş
Emrah Özcan
Aslı Karakılıç
Gülay Turan
Reşit Buğra Hüsemoğlu

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to investigate the effects of local irisin (IR) injections on closed femoral fractures in rats and to compare its efficacy to platelet-rich plasma (PRP) and hyaluronic acid (HA). MATERIALS AND

methodsA total of 64 male Wistar albino rats were divided into four equal groups: a control group that received no treatment and three experimental groups that received local injections of HA, PRP, or recombinant IR at the fracture site. All rats underwent a standard bilateral closed femoral shaft fracture and intramedullary fixation. Each group was further divided into two subgroups, sacrificed at Week 2 and Week 4. The right femurs were used for radiological examination with micro-computed tomography (micro-CT) and subsequent histological analysis, while the left femurs were reserved for biomechanical testing.

resultsBy Week 2, the IR and PRP groups showed statistically significantly higher scores for the transformation of fibrous cartilage into bone tissue compared to the control group (7.88±0.6, p=0.0001, and 6±0.8, p=0.036, respectively). By Week 4, transformation scores in the IR group increased to 9.25±0.7, statistically significantly exceeding the control group (p=0.0001). Bone volume was also statistically significantly greater in the IR group (5.21±0.5 mm

conclusionThe present study is one of the first to demonstrate the potential of administering local IR via injection into the fracture hematoma to accelerate fracture healing. The superior efficacy of IR over HA and PRP may be explained by its ability to enhance osteoblast activity, promote vascularization, and reduce inflammation, creating an optimal environment for bone regeneration. Unlike PRP, which primarily delivers growth factors, and HA, which supports cell migration and proliferation, IR appears to directly influence the bone microenvironment, expediting callus transformation. These findings suggest that IR may play a significant role in improving outcomes for patients at risk of delayed union. However, further clinical trials in humans are necessary to confirm its efficacy and safety for clinical applications.

Indexed as

Femoral FracturesFibronectinsFracture HealingHyaluronic AcidPlatelet-Rich PlasmaAnimalsBiomechanical PhenomenaDisease Models, AnimalFemurFracture Fixation, IntramedullaryMaleRatsRats, WistarX-Ray MicrotomographyFibronectinsFNDC5 protein, ratHyaluronic Acid

Identifiers

PMID40235411
PMCPMC12086494

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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.