SynthesisInternational orthopaedics2006
Are short femoral nails superior to the sliding hip screw? A meta-analysis of 24 studies involving 3,279 fractures.
Synthesis in International orthopaedics, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03911180 (Pertrochanteric Fracture Fixation In Elderly Adults Using Proximal Femoral Nail Anti-rotation), which is not on this map. Cited by 59 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Pertrochanteric Fracture Fixation In Elderly Adults Using Proximal Femoral Nail Anti-rotation (HERACLES) With a T-shaped Parallel Blade: A New Design
Who cites it
59 citing papers in PubMed, 8 syntheses or guidelines pooled it, 191 citations in OpenAlex.
- Extramedullary versus intramedullary fixation of unstable trochanteric femoral fractures (AO type 31-A2): a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Extramedullary versus intramedullary fixation of stable trochanteric femoral fractures: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2023Pooled it
- A meta-analysis comparing intramedullary with extramedullary fixations for unstable femoral intertrochanteric fractures.Medicine · 2019Pooled it
- Comparing the Intramedullary Nail and Extramedullary Fixation in Treatment of Unstable Intertrochanteric Fractures.Scientific reports · 2018Pooled it
- Multiple cannulated screws vs. dynamic hip screws for femoral neck fractures : A meta-analysis.Der Orthopade · 2017Pooled it
- Proximal femoral nail versus dynamic hip screw fixation for trochanteric fractures: a meta-analysis of randomized controlled trials.TheScientificWorldJournal · 2013Pooled it
- Hip fracture.BMJ clinical evidence · 2010Pooled it
- A meta-analysis of the Gamma nail and dynamic hip screw in treating peritrochanteric fractures.International orthopaedics · 2010Pooled it
- Single-centre results of a randomised controlled trial comparing the Gamma3 nail and a sliding hip screw to treat AO type 31-A1 and 31-A2 trochanteric fractures.Langenbeck's archives of surgery · 2024Trial
- Fixation using alternative implants for the treatment of hip fractures (FAITH): design and rationale for a multi-centre randomized trial comparing sliding hip screws and cancellous screws on revision surgery rates and quality of life in the treatment of femoral neck fractures.BMC musculoskeletal disorders · 2014Trial
- Does Position Affect Reduction? Comparison of the Effects of Three Different Positions on Reduction in Intertrochanteric Femur Fracture Nailing.Medicina (Kaunas, Lithuania) · 2025Article
- A Prospective, Randomised Controlled Trial Comparing the use of the Proximal Femoral Nail - Antirotation and Dynamic Hip Screw for Stable Intertrochanteric Femur Fractures-Stable Trochanteric Fractures Intramedullary versus Extramedullary (STRIVE) Study.Malaysian orthopaedic journal · 2025Article
- CT-Based Evaluation of Bone Mineral Density Distribution of Proximal Femur in Patients With Femoral Trochanteric Fracture.Geriatric orthopaedic surgery & rehabilitation · 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
- An overview of patients with intertrochanteric femoral fractures treated with proximal femoral nail fixation using important criteria.BMC musculoskeletal disorders · 2024Article
- Article
- Forces required to dynamize sliding screws in gamma nail and selfdynamizable internal fixator.BMC musculoskeletal disorders · 2024Article
- Failure after intramedullary nailing for geriatric trochanteric fracture: does quality of fracture reduction on the AP and lateral planes show the same results?Archives of orthopaedic and trauma surgery · 2024Article
- Surgical Residents´ Results Seem to be Non-Inferior Comparing to More Experienced Surgeons in Femoral Neck Fracture Osteosynthesis.Indian journal of orthopaedics · 2023Article
- Cephalomedullary Nailing has a Higher Reoperation Rate Compared to Sliding Hip Screw Fixation in the Treatment of Intertrochanteric Femur Fractures: A Systematic Literature Review and Meta-analysis.The archives of bone and joint surgery · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The purpose of this meta-analysis was to compare the fixation outcome between the sliding hip screw (SHS) and intramedullary nails (IMN) in stable and unstable extracapsular proximal femoral fractures. All randomised controlled studies comparing IMNs with a SHS were considered for inclusion. Data was independently extracted and trial methodology assessed. Twenty-four randomised trials involving 3,202 patients with 3,279 fractures were included. Pooled results gave no statistically significant difference in the cut-out rate between the IMN and SHS (41/1,556 vs 37/1,626; relative risk 1.19; 95% confidence interval 0.78-1.82). Total failure rate (1,03/1,495 and 58/1,565, relative risk 1.83; 95% confidence interval 1.35-2.50) and re-operation rate (57/1,357 and 35/1,415, relative risk 1.63; 95% confidence interval 1.11-2.40) were greater with the IMN compared with the SHS. There was no evidence for a reduced failure rate with IMN in unstable trochanteric fractures.
Indexed as
Identifiers
What OpenQuestion holds
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.