ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2009
The importance of surgical education in the accuracy of implant placement during hip fracture fixation.
Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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Who cites it
4 citing papers in PubMed, 18 citations in OpenAlex.
- Intraoperative fluoroscopic safety assessment of femoral head implants with 3-dimensional risk parameters to minimize cut-out.Acta orthopaedica et traumatologica turcica · 2023Article
- A review of tip apex distance in dynamic hip screw fixation of osteoporotic hip fractures.Nigerian medical journal : journal of the Nigeria Medical Association · 2012Article
- Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2011Article
- A comparison of two fixation methods for femoral trochanteric fractures: a new generation intramedullary systemClinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal DiseasesArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies have found that tip apex distance (TAD) is the strongest independent predictor of lag screw cut-out following hip fracture fixation. The objective of this study was to understand the importance of introducing the concept of TAD to surgeons. The null hypothesis was that there were no differences between fractures fixed before awareness of TAD compared with fractures fixed after awareness of TAD. MATERIALS AND
methodsThis study involved assessing 75 consecutive radiographs retrospectively (before introduction of "tip apex distance" to surgeons) and 83 consecutive radiographs prospectively (after introduction of "tip apex distance" to surgeons). Radiographs were measured using a radiograph digitizer and software.
resultsAverage TAD in radiographs measured retrospectively was 22.6 mm compared with 9.7 mm in radiographs analysed prospectively (P </= 0.001). The power of this study was 97%.
conclusionThis study demonstrates that introducing the concept of "TAD" to surgeons, will improve the accuracy of lag screw placement during fixation of an extracapsular fracture. The improvements in lag screw placement will undoubted reduce cut-out of the implant post-surgery.
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Registered trials
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