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The metaphyseal bone defect in distal radius fractures and its implication on trabecular remodeling—a histomorphometric study (case series)

Overview of attention for article published in Journal of Orthopaedic Surgery and Research, May 2015
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Title
The metaphyseal bone defect in distal radius fractures and its implication on trabecular remodeling—a histomorphometric study (case series)
Published in
Journal of Orthopaedic Surgery and Research, May 2015
DOI 10.1186/s13018-015-0205-9
Pubmed ID
Authors

Martin Lutz, Roland Steck, Ingrid Sitte, Michael Rieger, Michael Schuetz, Thomas Klestil

Abstract

The invention of the locking plate technology leads to alterations of treatment strategies at metaphyseal fracture sites with the concept of spontaneous remodeling of trabecular bone voids. Whereas trabecular regeneration has been proven in experimental animal studies, no histologic data exist on human fracture healing with special emphasis on bone voids. In order to qualify the trabecular bone remodeling capacity in vivo, bone specimens from the metaphyseal bone void were analyzed 14 months after trauma using quantitative histomorphometry. Twenty-five patients with an unstable dorsally displaced distal radius fracture were fixed with a palmar locking plate without additional bone graft or substitute. At implant removal, specimens from the previous compression void were harvested with a trephine in a volar-dorsal direction. In 16 patients, histomorphometric analysis could be performed, comparing the dorsal trabecular network with the volar, non-compressed ultrastructure. Significant differences for bone volume/total volume (BV/TV), trabecular number (TbN) and trabecular separation (TbSp), but not for trabecular thickness (TbTh) and osteoid volume/total volume (OV/TV), were detected. Neither patient age, defect size nor gender had a significant influence on bone remodeling. The results of this study indicate that trabecular bone remodeling does not lead to pre-trauma bone quality in metaphyseal bone compression voids following reduction and application of a locking plate.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 24 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Australia 1 4%
Unknown 23 96%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 4 17%
Other 3 13%
Student > Ph. D. Student 2 8%
Researcher 2 8%
Student > Master 2 8%
Other 3 13%
Unknown 8 33%
Readers by discipline Count As %
Medicine and Dentistry 8 33%
Nursing and Health Professions 2 8%
Agricultural and Biological Sciences 1 4%
Physics and Astronomy 1 4%
Engineering 1 4%
Other 0 0%
Unknown 11 46%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 May 2015.
All research outputs
#15,331,767
of 22,803,211 outputs
Outputs from Journal of Orthopaedic Surgery and Research
#645
of 1,368 outputs
Outputs of similar age
#156,437
of 263,982 outputs
Outputs of similar age from Journal of Orthopaedic Surgery and Research
#15
of 38 outputs
Altmetric has tracked 22,803,211 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,368 research outputs from this source. They receive a mean Attention Score of 3.6. This one is in the 34th percentile – i.e., 34% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 263,982 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 38 others from the same source and published within six weeks on either side of this one. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.