{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T14:41:55Z","timestamp":1784040115156,"version":"3.55.0"},"reference-count":68,"publisher":"Public Library of Science (PLoS)","issue":"1","license":[{"start":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T00:00:00Z","timestamp":1673568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100022278","name":"Fondation des Gueules Cass\u00e9es","doi-asserted-by":"publisher","award":["41-2020"],"award-info":[{"award-number":["41-2020"]}],"id":[{"id":"10.13039\/501100022278","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\"><jats:title>Introduction<\/jats:title><jats:p>Large bone defects are challenging for surgeons. Available reimplanted bone substitutes can\u2019t properly restore optimal function along and long term osteointegration of the bone graft. Bone substitute based on the perfusion-decellularization technique seem to be interesting in order to overcome these limitations. We present here an evaluation of the biomechanics of the bones thus obtained.<\/jats:p><\/jats:sec><jats:sec id=\"sec002\"><jats:title>Material and methods<\/jats:title><jats:p>Two decellularization protocols were chosen for this study. One using Sodium Dodecyl Sulfate (SDS) (D1) and one using NaOH and H2O2 (D2). The decellularization was performed on porcine forearms. We then carried out compression, three-point bending, indentation and screw pull-out tests on each sample. Once these tests were completed, we compared the results obtained between the different decellularization protocols and with samples left native.<\/jats:p><\/jats:sec><jats:sec id=\"sec003\"><jats:title>Results<\/jats:title><jats:p>The difference in the means was similar between the tests performed on bones decellularized with the SDS protocol and native bones for pull-out test: +1.4% (CI95% [-10.5%\u2013 12.4%]) of mean differences when comparing Native vs D1, compression -14.9% (CI95% [-42.7%\u2013 12.5%]), 3-point bending -5.7% (CI95% [-22.5%\u2013 11.1%]) and indentation -10.8% (CI95% [-19.5%\u2013 4.6%]). Bones decellularized with the NaOH protocol showed different results from those obtained with the SDS protocol or native bones during the pull-out screw +40.7% (CI95% [24.3%\u2013 57%]) for Native vs D2 protocol and 3-point bending tests +39.2% (CI95% [13.7%\u2013 64.6%]) for Native vs D2 protocol. The other tests, compression and indentation, gave similar results for all our samples.<\/jats:p><\/jats:sec><jats:sec id=\"sec004\"><jats:title>Conclusion<\/jats:title><jats:p>Vascularized decellularized grafts seem to be an interesting means for bone reconstruction. Our study shows that the decellularization method affects the mechanical results of our specimens. Some methods seem to limit these alterations and could be used in the future for bone decellularization.<\/jats:p><\/jats:sec>","DOI":"10.1371\/journal.pone.0280193","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T18:39:17Z","timestamp":1673635157000},"page":"e0280193","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":12,"title":["Decellularized vascularized bone grafts as therapeutic solution for bone reconstruction: A mechanical 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