SynthesisInternational orthopaedics2010
A meta-analysis of the Gamma nail and dynamic hip screw in treating peritrochanteric fractures.
Synthesis in International orthopaedics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis 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, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.
- Steps in the undertaking of a systematic review in orthopaedic surgery.International orthopaedics · 2012Pooled 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
- [Biaxial reconstruction nail for pertrochanteric femoral fractures. Osteosynthesis].Der Unfallchirurg · 2015Trial
- Prospective randomised controlled trial of an intramedullary nail versus a sliding hip screw for intertrochanteric fractures of the femur.International orthopaedics · 2014Trial
- Risk factors in cutout of sliding hip screw in intertrochanteric fractures: an evaluation of 937 patients.International orthopaedics · 2010Trial
- Prospective Analysis of Asian Type 2 Integrated Lag Screws (Hip Fracture Nail) in Patients with Intertrochanteric Fractures.Clinics in orthopedic surgery · 2025Article
- Perioperative Outcomes of Intramedullary Nail vs Hemiarthroplasty vs Total Hip Arthroplasty for Intertrochanteric Fracture: An Analysis of 31,519 Cases.Arthroplasty today · 2024Article
- Experimental Analysis of a Failed Gamma Nail: A Case Report and Literature Review.Healthcare (Basel, Switzerland) · 2024Article
- Augmented versus non-augmented Trochanteric Fixation Nail-Advanced (TFNA) nails for treating trochanteric fractures in patients over sixty-five years of age.International orthopaedics · 2024Article
- Comparison of postoperative pain between InterTan and proximal femoral nail anti-rotation in femoral intertrochanteric fractures: a retrospective study.American journal of translational research · 2024Article
- Complication Rates in Intertrochanteric Fractures: A Database Analysis Comparing Sliding Hip Screw and Cephalomedullary Nail.The archives of bone and joint surgery · 2024Article
- Correlation between Inflammatory Systemic Biomarkers and Surgical Trauma in Elderly Patients with Hip Fractures.Journal of clinical medicine · 2023Article
- Subsequent ipsi- and contralateral femoral fractures after intramedullary nailing of a trochanteric or subtrochanteric fracture: a cohort study on 2012 patients.BMC musculoskeletal disorders · 2022Article
- In Silico Finite Element Modeling of Stress Distribution in Osteosynthesis after Pertrochanteric Fractures.Journal of clinical medicine · 2022Article
- Use of a Trochanteric Fixation Nail-Advanced (TFNA) with cement augmentation for treatment of trochanteric fractures in patients greater than sixty five years of age.International orthopaedics · 2022Article
- Peri-implant femoral fractures in hip fracture patients treated with osteosynthesis: a retrospective cohort study of 1965 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- A new perspective towards failure of gamma nail systems.Experimental and therapeutic medicine · 2020Article
- Similar function and complications for patients with short versus long hip nailing for unstable pertrochanteric fractures.SICOT-J · 2018Article
- Implant-Related Complications and Mortality After Use of Short or Long Gamma Nail for Intertrochanteric and Subtrochanteric Fractures: A Prospective Study with Minimum 13-Year Follow-up.JB & JS open access · 2017Article
- Combined bilateral femoral head necrosis and pertrochanteric fracture: a case report.Journal of medical case reports · 2015Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this meta-analysis was to compare the fixation outcome of the Gamma nail and dynamic hip screw (DHS) in treating peritrochanteric fractures. Relevant randomised controlled studies were included, and the search strategy followed the requirements of the Cochrane Library Handbook. Methodological quality was assessed and data were extracted independently. Seven studies involving 1,257 fractures were included which compared the effect of the Gamma nail and DHS. The results showed a higher rate of postoperative femoral shaft fracture with the Gamma nail compared to the DHS [relative risk (RR): 7.27, 95% confidence interval (CI): 2.83-18.70, P < 0.0001] but no statistical differences in wound infection (RR: 1.02, 95% CI: 0.56-1.86), mortality (RR: 1.00, 95% CI: 0.81-1.24), re-operation (RR: 1.64, 95% CI: 0.91-2.95) and walking independently after rehabilitation (RR: 0.89, 95% CI: 0.60-1.33). It seemed that there were no obvious advantages of the Gamma nail over the DHS in treating peritrochanteric fractures.
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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.