Evidence map›Paper›PMID 40315244›Full record

ArticlePloS one2025

Risk of fragility fracture is aggravated during bone regeneration processes in osteoporotic sheep.

Juan J Toscano-Angulo, Juan Mora-Macías, Pablo Blázquez-Carmona, Juan Morgaz, Rocío Navarrete-Calvo, Jaime Domínguez, Esther Reina-Romo

Abstract read
In one paragraph

Article in PloS one, 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. Bone regeneration during osteoporosis: a translationalFrontiers in bioengineering and biotechnology · 2025
    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

7 authors.

Juan J Toscano-AnguloDepartment of Mechanical and Manufacturing Engineering, Escuela Técnica Superior de Ingeniería, Universidad de Sevilla, Sevilla, Spain.ORCID https://orcid.org/0000-0001-7946-2408
Juan Mora-MacíasDepartment of Mining, Mechanical, Energy and Building Engineering, Escuela Técnica Superior de Ingeniería, Universidad de Huelva, Huelva, Spain.
Pablo Blázquez-CarmonaDepartment of Mechanical Engineering and Industrial Design, Escuela Superior de Ingeniería, Universidad de Cádiz, Puerto Real, Spain.ORCID https://orcid.org/0000-0002-7605-5812
Juan MorgazDepartment of Animal Medicine and Surgery, Facultad de Veterinaria, Universidad de Córdoba, Córdoba, Spain.
Rocío Navarrete-CalvoDepartment of Animal Medicine and Surgery, Facultad de Veterinaria, Universidad de Córdoba, Córdoba, Spain.
Jaime DomínguezDepartment of Mechanical and Manufacturing Engineering, Escuela Técnica Superior de Ingeniería, Universidad de Sevilla, Sevilla, Spain.
Esther Reina-RomoDepartment of Mechanical and Manufacturing Engineering, Escuela Técnica Superior de Ingeniería, Universidad de Sevilla, Sevilla, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBone regeneration processes are associated with a systemic skeletal change in bone quality, increasing the risk of fragility fractures. This condition may be aggravated in osteoporotic patients due to their limited osteogenic capacity. This work evaluates the impairment of the bone quality in osteoporotic sheep during a bone regeneration process. It provides a deeper understanding about the complex multiscale dynamics of bone mineral density, microstructure and chemical composition across different bone tissues, locations and time points. MATERIALS AND

methodsOsteoporosis was induced in fifteen Merino sheep. A critical-size defect was then created in the sheep's right hind metatarsus and subsequently regenerated using distraction osteogenesis. The animals were randomly sacrificed during bone regeneration, either on days 40 or 100 after surgery. Computed tomography, micro-computed tomography and chemical composition analyses were conducted on different bone tissues (cortical, trabecular and woven) at several skeletal locations (the operated metatarsus, the contralateral one and the iliac crest) to assess the individual bone quality changes relative to the non-osteoporotic time point.

resultsAfter osteoporosis induction, the trabecular tissue experienced a 6.4% reduction in the bone mineral density, while no significant changes were reported in cortical tissue quality. During bone regeneration, the operated bone increased significantly the woven ossification whilst the cortical mineral density decreased by 18.7%. Simultaneously, an early deterioration in the microstructure and chemical composition of the trabecular bone was observed in the iliac crest, persisting over time in non-operated trabecular regions.

conclusionsOsteoporosis causes uneven degradation to trabecular tissue quality across different bone locations. Furthermore, the bone regeneration process via bone transport in osteoporotic subjects leads to a systemic skeletal disorder that further impairs the bone quality, surpassing the damage caused by osteoporosis alone. This impairment appears to be intensified by the pre-existing osteoporotic condition.

Indexed as

Bone RegenerationOsteoporosisOsteoporotic FracturesAnimalsBone DensityDisease Models, AnimalFemaleSheepX-Ray Microtomography

Identifiers

PMID40315244
PMCPMC12047778

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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.