SynthesisInternational orthopaedics2003
Implant-related complications in the treatment of unstable intertrochanteric fractures: meta-analysis of dynamic screw-plate versus dynamic screw-intramedullary nail devices.
Synthesis in International orthopaedics, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
35 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- [Proximal femoral nails antirotation and dynamic hip screws for fixation of unstable intertrochanteric fractures of femur: A meta-analysis].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2019Pooled it
- Internal fixation treatments for intertrochanteric fracture: a systematic review and meta-analysis of randomized evidence.Scientific reports · 2015Pooled it
- Hip fracture.BMJ clinical evidence · 2010Pooled it
- Are short femoral nails superior to the sliding hip screw? A meta-analysis of 24 studies involving 3,279 fractures.International orthopaedics · 2006Pooled it
- [Treatment results after cemented hemiprosthesis for care of unstable pertrochanteric femoral fractures in the elderly].Der Unfallchirurg · 2012Trial
- Appropriate treatment for nail breakage following femur intertrochanteric fractures without additional reduction: case series and literature review.BMC musculoskeletal disorders · 2025Review
- Surgical fixation of hip fractures- a novel technique for pre-operative planning.Journal of orthopaedic surgery and research · 2025Article
- Comparing Intramedullary Nails versus Dynamic Hip Screws in the Treatment of Intertrochanteric Hip Fractures on Post-operative Rehabilitation Outcomes - A Systematic Review and Meta-Analysis.Geriatric orthopaedic surgery & rehabilitation · 2025Review
- Is it advantageous to use the intraoperative compression option of proximal femoral nail antirotation in the treatment of osteoporotic intertrochanteric fractures? A retrospective comparative study.Acta orthopaedica et traumatologica turcica · 2021Article
- Article
- Proximal femur lag screw placement based on bone mineral density determined by quantitative computed tomography.Experimental and therapeutic medicine · 2020Article
- Greater rate of cephalic screw mobilisation following proximal femoral nailing in hip fractures with a tip-apex distance (TAD) and a calcar referenced TAD greater than 25 mm.Journal of orthopaedic surgery and research · 2018Article
- Best one hundred papers of International Orthopaedics: a bibliometric analysis.International orthopaedics · 2017Article
- Anchorage strategies in geriatric hip fracture management.Innovative surgical sciences · 2016Review
- Load distribution between cephalic screws in a dual lag screw trochanteric nail.Journal of orthopaedic surgery and research · 2016Article
- Comparison of Short vs Long Anti-rotation in Treating Trochanteric Fractures.Malaysian orthopaedic journal · 2016Article
- Unstable intertrochanteric femur fractures: is there a consensus on definition and treatment in Germany?Clinical orthopaedics and related research · 2013Article
- Critical factors in cut-out complication after Gamma Nail treatment of proximal femoral fractures.BMC musculoskeletal disorders · 2013Article
- Use of the Gamma3™ nail in a teaching hospital for trochanteric fractures: mechanical complications, functional outcomes, and quality of life.BMC research notes · 2012Article
- A biomechanical evaluation of proximal femoral nail antirotation with respect to helical blade position in femoral head: A cadaveric study.Indian journal of orthopaedics · 2012Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The choice between dynamic screw-intramedullary nail (DSIN) devices and dynamic screw-plate (DSP) devices for the fixation of unstable trochanteric fractures remains controversial. This study presents a meta-analysis of fixation failures in unstable trochanteric femoral fractures using DSP devices or DSIN devices. Two independent assessors selected randomised controlled trials using a range of electronic databases, as well as reference lists of selected articles. A study quality checklist was used. The occurrence of fixation failure, in particular cut-out, was the primary subject of analysis using descriptive statistics and random-effect meta-analyses. Seventeen trials were identified. Meta-analyses showed no significant difference in the frequency of implant-related complications between the two types of devices. Iatrogenic femoral fractures associated with the use of DSIN devices represent a rare, but persistent, risk. There was a tendency for less frequent cut-out with intramedullary devices compared with DSP devices.
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Registered trials
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 OpenQuestion graph.