Evidence map›Paper›PMID 42294830›Full record

ArticleBone & joint research2026

The evaluation of osteoconductive WE43 magnesium as a therapeutic approach for nonunion treatment : a mouse model.

Alina Marie Schmitz, Judith Hahnemann, Katharina Schmidt-Bleek, Jakob Fenske, Agnes Ellinghaus, Denise Jahn, Heilwig Fischer, Georg Duda, Max Heiland, Carsten Rendenbach

Abstract read
In one paragraph

Article in Bone & joint 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Alina Marie SchmitzDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin, Berlin, Germany.ORCID 0009-0001-9303-4976
Judith HahnemannBerlin Institute of Health at Charité - Universitätsmedizin Berlin, Julius Wolff Institut for Biomechanics and Musculoskeletal Regeneration, Berlin, Germany.
Katharina Schmidt-BleekBerlin Institute of Health at Charité - Universitätsmedizin Berlin, Julius Wolff Institut for Biomechanics and Musculoskeletal Regeneration, Berlin, Germany.ORCID 0000-0002-5719-0867
Jakob FenskeDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin, Berlin, Germany.ORCID 0009-0000-3453-3903
Agnes EllinghausBerlin Institute of Health at Charité - Universitätsmedizin Berlin, Julius Wolff Institut for Biomechanics and Musculoskeletal Regeneration, Berlin, Germany.ORCID 0000-0002-8849-2227
Denise JahnDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin, Berlin, Germany.ORCID 0000-0001-8912-5851
Heilwig FischerDepartment of Anesthesiology and Intensive Care Medicine, Havelland Kliniken GmbH, Nauen, Germany.ORCID 0000-0002-3738-1607
Georg DudaBerlin Institute of Health at Charité - Universitätsmedizin Berlin, Julius Wolff Institut for Biomechanics and Musculoskeletal Regeneration, Berlin, Germany.ORCID 0000-0001-7605-3908
Max HeilandDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin, Berlin, Germany.ORCID 0000-0002-4987-2913
Carsten RendenbachDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin, Berlin, Germany.ORCID 0000-0002-9565-7640

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Nonunion is a challenging condition marked by impaired bone healing and vascularization. While magnesium-based biomaterials show osteogenic and angiogenic potential, their role in nonunion remains controversial. Controlled modification of magnesium-based implants may enable regenerative osteogenesis. Methods: Here, WE43, a magnesium alloy, was investigated in a standardized femoral nonunion model in C57Bl/6 mice. Three groups were compared: WE43 alone, WE43 with cancellous bone (WE43+), and cancellous bone alone (control, CTR). Bone healing was assessed at eight and 12 weeks using micro-CT, histology, and immunohistochemistry. Key outcomes included defect bridging, bone volume, mineralization, trabecular metrics, osteoclast/osteoblast activity, and vascularization. Results: WE43+ significantly reduced defect size and improved bone formation and microvascular density, nearing control levels. In contrast, WE43 alone showed high osteoclast activity, poor mineralization, and fibrotic healing. Magnesium's regenerative performance depended strongly on degradation rate and osteoconductive support. Combining WE43 with cancellous bone improved osseointegration and angiogenesis. Conclusion: WE43 requires interaction with cancellous bone to support regeneration. Future studies should clarify which properties of cancellous bone enhance magnesium-based healing.

Identifiers

PMID42294830
PMCPMC13267517

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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.