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Updated: Jun 14, 2026

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Multimodal Approach to Assess Bone Regeneration and Scaffold Performance
Published on: February 13, 2026
Bone maceration: A systematic review of techniques, efficiency and structural outcomes
Elisabeth M Mandler1, Johannes M Mittendorfer1, Lena Hirtler1
1Medical University of Vienna, Vienna, Austria.
Summary
Choosing the right bone maceration technique is crucial for preserving bone structure and DNA. This systematic review guides selection based on application, resources, and desired outcomes for cleaner skeletal elements.
Area of Science:
- Forensic Science
- Osteology
- Bioarchaeology
- Museum Studies
Background:
- Bone maceration is essential for preparing skeletal elements across various scientific and educational disciplines.
- Technique selection critically impacts outcomes like DNA preservation and bone surface integrity.
- A tailored approach is necessary due to the diverse applications and potential consequences of maceration.
Purpose of the Study:
- To systematically review and guide bone maceration techniques.
- To outline common approaches, their benefits, drawbacks, and suitability.
- To inform optimal method selection for specific applications.
Main Methods:
- A systematic literature search was conducted across PubMed, SCOPUS, and EMBASE.
- Keywords included "maceration", "defleshing", "skeletonization", and "osteotechnics" combined with "bone".
- Thirty-eight articles were included following PRISMA 2020 guidelines and defined criteria.
Main Results:
- Chemical/enzymatic additives and water maceration were most frequently described.
- Combined methods were also commonly utilized.
- Forensic applications were most prevalent, focusing on microscopic bone structure and DNA preservation.
Conclusions:
- No single maceration method is universally optimal.
- Enzymatic and insect methods offer superior preservation but are resource-intensive and slower.
- Hot-water and chemical methods are faster but risk bone surface damage and biomolecular loss.
- Method selection must align with specimen type, resources, and analytical goals.
- Careful preprocedural planning is vital due to the irreversible effects of maceration.
