Evidence map›Paper›PMID 40955781›Full record

ReviewImmunity, inflammation and disease2025

The Role of Persistent Inflammation in the Pathogenesis of Infected Nonunion: A Narrative Review.

Tao Liu, Fengjiang Li, Yuanbin Yan, Silong Gao, Daqian Zhou, Xuanang Jiang, Chao Song, Zhijiang Fu, Zongchao Liu

Abstract readReview
In one paragraph

Review in Immunity, inflammation and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Case report:JSES reviews, reports, and techniques · 2026
    Article
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  3. Article
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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

9 authors.

Tao LiuLuzhou Longmatan District People's Hospital, Luzhou, Sichuan Province, China.
Fengjiang LiLuzhou Longmatan District People's Hospital, Luzhou, Sichuan Province, China.
Yuanbin YanSchool of Integrated Traditional Chinese and Western Medicine, Southwest Medical University, Luzhou, Sichuan Province.
Silong GaoLuzhou Longmatan District People's Hospital, Luzhou, Sichuan Province, China.
Daqian ZhouLuzhou Longmatan District People's Hospital, Luzhou, Sichuan Province, China.
Xuanang JiangMianyang City College, Mianyang, Sichuan Province, China.
Chao SongLuzhou Longmatan District People's Hospital, Luzhou, Sichuan Province, China.
Zhijiang FuLuzhou Longmatan District People's Hospital, Luzhou, Sichuan Province, China.
Zongchao LiuLuzhou Longmatan District People's Hospital, Luzhou, Sichuan Province, China.ORCID https://orcid.org/0000-0002-7101-1765

Funding

This study was supported by the Postdoctoral Science Foundation of China (No. 2017M623304XB), 2023 Southwest Medical University Undergraduate Innovation and Entrepreneurship Training Program (S202310632283), the Construction Plan for Specialized Disease and Specialty Peak Projects Document No. 99 of Southwest Medical University Ho, and Venous Thromboembolism Prevention and Treatment (Hengrui) Specialized Research Project. Sichuan Provincial Administration of Traditional Chinese Medicine Science and Technology Research Special Project (NO. 2021MS477).
6 · The paper itself

Abstract

introductionInfected Nonunion is a challenging condition that arises from infections at the fracture site, causing persistent inflammation and preventing proper healing of the fracture ends. This condition not only causes significant physical suffering but also imposes a heavy economic burden on patients. Despite the recognized link between Infected Nonunion and infection, the mechanisms underlying its occurrence and development remain incompletely understood. Recent studies have highlighted the close association between inflammatory factors and Infected Nonunion, suggesting that inflammation plays a pivotal role in its pathogenesis. However, a narrative review and summary of relevant literature are lacking. Therefore, this study aims to clarify the inflammatory mechanisms of Infected Nonunion and identify potential therapeutic targets.

methodsA comprehensive literature search was conducted to identify relevant domestic and international studies on the inflammatory mechanisms of Infected Nonunion. The search included databases such as PubMed using keywords related to Infected Nonunion, inflammation, and mechanisms. The selected studies were critically reviewed and summarized to extract key information on the inflammatory pathways, cytokines, and other relevant factors involved in Infected Nonunion.

resultsThe review identified several key inflammatory mechanisms that contribute to the development of Infected Nonunion. These include the activation of inflammatory cells, the release of inflammatory cytokines and chemokines, and the disruption of normal fracture healing processes.

conclusionsThis narrative review elucidates novel perspectives on the inflammatory mechanisms in infected nonunion, with persistent inflammatory response triggered by pathogenic infection representing the core pathological process. The findings provide theoretical foundations for future research and therapeutic strategies, potentially facilitating the development of more effective treatments for infected nonunion. Targeted modulation of these inflammatory pathways may optimize fracture healing outcomes and alleviate the clinical burden of this condition.

Indexed as

Fractures, UnunitedInflammationAnimalsCytokinesFracture HealingHumansCytokinesfracture healinginfectious bone diseaseinflammationosteogenesis

Identifiers

PMID40955781
PMCPMC12439192

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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.