Review Article

Plant Extracts in the Bone Repair Process: A Systematic Review

Table 1

Description of the main characteristics of the animal model in studies demonstrating the action of plant extracts in the bone repair process.

TitleStudy IDCountryAnimal modelSex (M/F)Age (d, w, and m)Weight

The effect of Davallina orientalis on bone healing-a preliminary reportChow et al., 1982 [20]ChinaMice?11-12 w28-33 g
The effects of Lepidium sativum seeds on fracture-induced healing in rabbitsJuma Ab, 2007 [21]Saudi ArabiaNew Zealand white rabbits?6 m4-5 kg
Influence of homeopathic treatment with comfrey on bone density around titanium implants. A digital subtraction radiography study in ratsSakakura et al., 2007 [22]BrazilWistar ratsM2 m180–220 g
The effects of phytoestrogens on fracture healing: experimental research in New Zealand white rabbitsOztürk et al., 2008 [23]TurkeyNew Zealand white rabbits??
Formononetin promotes early fracture healing through stimulating angiogenesis by up-regulating VEGFR-2/Flk-1 in a rat fracture modelHuh et al., 2009 [24]KoreaSprague-Dawley ratsM2 m280-300 g
Equol but not genistein improves early metaphyseal fracture healing in osteoporotic ratsKolios et al., 2009 [25]GermanySprague-Dawley ratsF3 m?
Bone regeneration potential of a soybean-based filler: experimental study in a rabbit cancellous bone defectsGiavaresi et al., 2010 [26]ItalyNew Zealand white rabbitsMAdult
Absence of positive effect of black cohosh (Cimicifuga racemosa) on fracture healing in osteopenic rodent modelKolios et al., 2010 [27]GermanySprague-Dawley ratsF3 m?
Bone quality associated with daily intake of coffee: a biochemical, radiographic and histometric studyLacerda et al., 2010 [28]BrazilWistar rats??250-300 g
Piper sarmentosum enhances fracture healing in ovariectomized osteoporotic rats: a radiological studyEstai et al., 2011 [29]MalaysiaSprague-Dawley ratsF?200-250 g
A novel quercetin analogue from a medicinal plant promotes peak bone mass achievement and bone healing after injury and exerts an anabolic effect on osteoporotic bone: the role of aryl hydrocarbon receptor as a mediator of osteogenic actionSharan et al., 2011 [30]IndiaSprague-Dawley ratsF?
Evaluation of Cameroonian plants towards experimental bone regenerationNgueguim et al., 2012 [31]CameroonSprague-Dawley ratsF4 m
The bone fracture-healing potential of Ormocarpum cochinchinense, methanolic extract on albino Wistar ratsKumar et al., 2013 [32]IndiaWistar albino ratsF3 m150-200 g
Ethanol extract of Peperomia pellucida (Piperaceae) promotes fracture healing by an anabolic effect on osteoblastsNgueguim et al., 2013 [33]CameroonSprague-Dawley ratsF4 m
Salvianolic acid B promotes bone formation by increasing activity of alkaline phosphatase in a rat tibia fracture model: a pilot studyHe and Shen, 2014 [34]ChinaSprague-Dawley ratsM7 w225 g
Chenopodium ambroisioides in the repair of fractures in rabbitsNeto et al., 2015 [35]BrazilNew Zealand white rabbitsMAdult
Repair of critical calvarias defects with systemic Epimedium sagittatum extractBurim et al., 2016 [36]BrazilWistar albino ratsM?
The effects of Nigella sativa seed extract on bone healing in an experimental modelEzirganli et al., 2016 [37]TurkeyWistar albino ratsF3 m280-310 g
Excavating the role of Aloe Vera wrapped mesoporous hydroxyapatite frame ornamentation in newly architecture polyurethane scaffolds for osteogenesis and guided bone regeneration with microbial protectionSelvakumar et al., 2016 [38]IndiaNew Zealand white rabbitsM?2 kg
Root bark of Sambucus williamsii Hance promotes rat femoral fracture healing by the BMP-2/Runx2 signaling pathwayYang et al., 2016 [39]ChinaSprague-Dawley ratsM/F3 m
Ulmus davidiana extract improves lumbar vertebral parameters in ovariectomized osteopenic ratsZhuang et al., 2016 [40]ChinaRatsF?250-270 g
Dried and free flowing granules of Spinacia oleracea accelerate bone regeneration and alleviate postmenopausal osteoporosisAdhikary et al., 2017 [41]IndiaSprague-Dawley ratsF3 m180-200 g
Tanshinol alleviates osteoporosis and myopathy in glucocorticoid-treated ratsChen et al., 2017 [42]ChinaSprague-Dawley ratsF4-5 m250-275 g
Aqueous extract of Peperomia pellucida (L.) HBK accelerates fracture healing in Wistar ratsFlorence et al., 2017 [43]CameroonWistar ratsF3 m150-200 g
Heartwood extract from Dalbergia sissoo promotes fracture healing and its application in ovariectomy-induced osteoporotic ratsKarvande et al., 2017 [44]IndiaSprague-Dawley ratsF?
Ethanolic extract of Dalbergia sissoo promotes rapid regeneration of cortical bone in drill-hole defect model of ratKhedgikar et al., 2017 [45]IndiaSprague-Dawley ratsF?
Chenopodium ambrosioides as a bone graft substitute in rabbits radius fractureNeto et al., 2017 [46]BrazilNew Zealand white rabbitsMAdult
Guava fruit extract and its triterpene constituents have osteoanabolic effect: stimulation of osteoblast differentiation by activation of mitochondrial respiration via the Wnt/β-catenin signalingPorwal et al., 2017 [47]IndiaSprague-Dawley ratsF?
Marantodes pumilum leaves promote repair of osteoporotic fracture in postmenopausal Sprague-Dawley ratsGiaze et al., 2018 [48]MalaysiaSprague-Dawley ratsF4 m250-300 g
Grape seed extract supplement increases bone callus formation and mechanical strength: an animal studyGurger et al., 2019 [49]TurkeyWistar-AlbinoM2-3 m
Extract and fraction of Cassia occidentalis L. (a synonym of Senna occidentalis) have osteogenic effect and prevent glucocorticoid-induced osteopeniaPal et al., 2019 [50]IndiaSprague-Dawley ratsM2-3 m

M: male; F: female; d: day; w: week; m: month; ?: not related.