Evidence map›Paper›PMID 35960475›Full record

ReviewCurrent osteoporosis reports2022

Diabetes and Impaired Fracture Healing: A Narrative Review of Recent Literature.

Mina Tanios, Bradley Brickman, Emily Cage, Kassem Abbas, Cody Smith, Marina Atallah, Sudipta Baroi, Beata Lecka-Czernik

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current osteoporosis reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
9.0field-weighted citation impact, top 1% of its field
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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  9. The role of bone in whole-body energy metabolism.Nature reviews. Endocrinology · 2025
    Review
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  19. Higher charlson comorbidity index score correlates with higher rate of pseudoarthrosis following short-segment lumbar fusion surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  20. Global Publication Trends and Research Hotspots of Diabetes and Osteoporosis.Endocrine, metabolic & immune disorders drug targets · 2025
    Review
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 at 1 institution in 1 country.

Mina TaniosDepartment of Orthopedic Surgery, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA. Mina.tanios@utoledo.edu.
Bradley BrickmanThe University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Emily CageDepartment of Orthopedic Surgery, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Kassem AbbasThe University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Cody SmithDepartment of Orthopedic Surgery, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Marina AtallahThe University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Sudipta BaroiDepartment of Orthopedic Surgery, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Beata Lecka-CzernikDepartment of Orthopedic Surgery, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA. Beata.leckaczernik@utoledo.edu.ORCID 0000-0002-1216-9634
University of Toledo · US

Funding

PPARG regulates osteocyte bioenergetics and function during agingR01AG071332 · NIA · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI GRIFFIN, PATRICK ROBERT, LECKA-CZERNIK, BEATA ANNA · 2021 to 2025
$3.4M
NIA NIH HHS R01 AG071332
6 · The paper itself

Abstract

purpose of the reviewDiabetes mellitus is a chronic metabolic disorder commonly encountered in orthopedic patients. Both type 1 and type 2 diabetes mellitus increase fracture risk and impair fracture healing. This review examines complex etiology of impaired fracture healing in diabetes. RECENT

findingsRecent findings point to several mechanisms leading to orthopedic complications in diabetes. Hyperglycemia and chronic inflammation lead to increased formation of advanced glycation end products and generation of reactive oxygen species, which in turn contribute to the disruption in osteoblast and osteoclast balance leading to decreased bone formation and heightening the risk of nonunion or delayed union as well as impaired fracture healing. The mechanisms attributing to this imbalance is secondary to an increase in pro-inflammatory mediators leading to premature resorption of callus cartilage and impaired bone formation due to compromised osteoblast differentiation and their apoptosis. Other mechanisms include disruption in the bone's microenvironment supporting different stages of healing process including hematoma and callus formation, and their resolution during bone remodeling phase. Complications of diabetes including peripheral neuropathy and peripheral vascular disease also contribute to the impairment of fracture healing. Certain diabetic drugs may have adverse effects on fracture healing. The pathophysiology of impaired fracture healing in diabetic patients is complex. This review provides an update of the most recent findings on how key mediators of bone healing are affected in diabetes.

Indexed as

Diabetes Mellitus, Type 2Fracture HealingGlycation End Products, AdvancedHumansInflammation MediatorsReactive Oxygen SpeciesGlycation End Products, AdvancedInflammation MediatorsReactive Oxygen SpeciesAdvanced glycation end productsBone fracturesDiabetes mellitusFracture healingOsteoblastOsteoclast

Identifiers

PMID35960475
OpenAlexW4297272183

What Socratic holds

Textmetadata
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 Socratic graph.