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The induced membrane technique in animal models: a systematic review.


ABSTRACT:

Objectives

The induced membrane technique (IMT) is a 2-stage surgical approach that has become increasingly popular to manage bone defects. Preclinical investigations have been conducted to better understand and define several aspects of this technique. This review summarizes the literature regarding the IMT performed in animal models and identifies potential future directions.

Data sources

Biosis Citation Index, Ovid Embase, and Ovid MEDLINE databases were searched from inception up to June 23, 2021 for articles related to the IMT.

Study selection

Animal studies involving the use of the IMT for segmental defects in long bones were selected. Only full-length original research articles published in English or French were included.

Data extraction

Two authors extracted the data from the selected studies and a third author verified the accuracy of the information.

Data synthesis

Information concerning the animal model, the surgical procedures, and the outcome measures were recorded for each study and compiled.

Conclusions

Forty-seven studies were included in this review. Twenty-nine studies (62%) performed both stages of the technique, but only 8 (17%) reported on radiographic union rates explicitly and 5 (11%) included biomechanical testing. A large proportion of the preclinical literature on the IMT has failed to report on radiographic union as an outcome. While studies reporting membrane properties are valuable, they may not provide information that translates into clinical practice or further clinical research if the ultimate outcome of bony healing is not considered. Future animal studies of the IMT should consider this in their study design.

SUBMITTER: Sun H 

PROVIDER: S-EPMC8900461 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

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Publications

The induced membrane technique in animal models: a systematic review.

Sun Hening H   Godbout Charles C   Hali Kalter K   Momic Jovana J   Schemitsch Emil H EH   Nauth Aaron A  

OTA international : the open access journal of orthopaedic trauma 20220310 1 Suppl


<h4>Objectives</h4>The induced membrane technique (IMT) is a 2-stage surgical approach that has become increasingly popular to manage bone defects. Preclinical investigations have been conducted to better understand and define several aspects of this technique. This review summarizes the literature regarding the IMT performed in animal models and identifies potential future directions.<h4>Data sources</h4>Biosis Citation Index, Ovid Embase, and Ovid MEDLINE databases were searched from inception  ...[more]

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