Evidence map›Paper›PMID 42007123›Full record

ArticleAmerican journal of translational research2026

Evaluation of continuous axial stress on tibial fracture healing in canine models using custom external fixator.

Yizhe Fan, Xiao Zhang, Zhongyuan Shen, Zhen Han, Chengjian Wei

Abstract read
In one paragraph

Article in American journal of translational research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yizhe FanDepartment of Orthopedics, The Affiliated Hospital of Nanjing University of Chinese Medicine Nanjing 210029, Jiangsu, China.
Xiao ZhangDepartment of Orthopedics, The Affiliated Hospital of Nanjing University of Chinese Medicine Nanjing 210029, Jiangsu, China.
Zhongyuan ShenDepartment of Orthopedics, The Affiliated Hospital of Nanjing University of Chinese Medicine Nanjing 210029, Jiangsu, China.
Zhen HanDepartment of Orthopedics, The Affiliated Hospital of Nanjing University of Chinese Medicine Nanjing 210029, Jiangsu, China.
Chengjian WeiDepartment of Orthopedics, The Affiliated Hospital of Nanjing University of Chinese Medicine Nanjing 210029, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the effects of physiologically relevant continuous axial stress on tibial fracture healing in canines using a custom external fixator.

methodsA custom external fixator was developed to apply quantifiable stress. First, maximum axial stress derived from muscle contraction was measured using a film sensor. Subsequently, canine tibial fracture models were established and assigned to non-stress, half-maximum stress, or maximum stress groups. Healing was evaluated via radiography, micro-computed tomography (Micro-CT), biomechanical testing, Western Blot, and Real-time Polymerase Chain Reaction (PCR).

resultsThe maximum physiological axial stress was measured at 460 g. Compared with maximum stress and non-stress groups, the half-maximum stress group exhibited superior fracture healing, evidenced by increased callus formation and bone volume ratio (BV/TV) in X-ray and micro-CT analyses. Biomechanical testing demonstrated significantly higher ultimate strength in the half-maximum group. Molecular analyses further supported these observations, showing sustained upregulation of Runt-related transcription factor 2 (RUNX2) and Type I Collagen (COL-1) expression in the half-maximum group.

conclusionsMuscle contraction generates a maximum axial stress of approximately 460 g at canine tibial fracture sites. Continuous application of half the maximum axial stress significantly enhances fracture healing compared to both maximum stress and non-stress conditions.

Indexed as

canineContinuous axial stressexternal fixatorhealingtibial fracture

Identifiers

PMID42007123
PMCPMC13090862

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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.