Evidence map›Paper›PMID 40607317›Full record

ReviewJournal of orthopaedics2025

Bioabsorbable implants are a viable alternative to traditional metallic implants in orthopaedic surgery: a systematic review and meta-analysis.

Benjamin Blackman, Stefan Okunbor, Aubrie M Sowa, Jake M McDonnell, Tayler D Ross, Brian Rigney, Stacey Darwish, Joseph S Butler

Abstract readReview
In one paragraph

Review in Journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. [Progress in surgical fixation methods for patellar osteochondral fractures following acute patellar dislocation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

8 authors.

Benjamin BlackmanSchool of Medicine, University of Limerick, Limerick, Ireland.
Stefan OkunborNational Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland.
Aubrie M SowaNational Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland.
Jake M McDonnellNational Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland.
Tayler D RossNational Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland.
Brian RigneyNational Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland.
Stacey DarwishNational Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland.
Joseph S ButlerNational Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This systematic review and meta-analysis of randomized controlled trials (RCTs) aims to compare clinical outcomes and complication profiles of bioabsorbable versus metallic implants in orthopaedic surgery. Methods: Four databases (PubMed, MEDLINE, EMBASE, CINAHL) were searched from inception to April 8, 2025, for RCTs comparing bioabsorbable and metal implants in orthopaedic procedures. Data were extracted on demographics, implant type, complications, and outcomes. Meta-analyses using random-effects models were performed for pooled comparisons, and heterogeneity was quantified using the Results: Twenty-seven RCTs involving 1437 patients (738 bioabsorbable, 699 metallic) were included. Overall complication rates were similar between groups (RR: 1.05, 95 % CI: 0.62-1.77, Conclusion: Bioabsorbable implants provide comparable complication rates and clinical outcomes to metallic implants across orthopaedic subspecialties. Outcomes may vary by anatomical site and implant generation, with newer bioabsorbable materials demonstrating promising safety profiles. Further long-term studies are warranted to evaluate their performance in high-stress applications and guide clinical decision-making. Level of evidence: Level I - Systematic Review of Randomized Controlled Trials.

Indexed as

BioabsorbableBiodegradableImplantsMetalOrthopaedic

Identifiers

PMID40607317
PMCPMC12210006

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.