Evidence map›Paper›PMID 23104674›Full record

ArticleInternational orthopaedics2012

Intertrochanteric fractures: comparison between two different locking nails.

Carmelo D'Arrigo, Alessandro Carcangiu, Dario Perugia, Simone Scapellato, Raffaella Alonzo, Silvia Frontini, Andrea Ferretti

Open access · greenAbstract readComparative Study
In one paragraph

Article in International orthopaedics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  11. Outcome of unstable pertrochanteric fractures in high-risk geriatric treated with external fixators.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
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  18. Intertrochanteric fractures: a review of fixation methods.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016
    Review
  19. Intramedullary nailing in pertrochanteric fractures of the proximal femur.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Carmelo D'ArrigoOrthopaedic and Traumatology Department, S. Andrea Hospital, University of Rome La Sapienza, Via di Grottarossa 1035-1039, Rome, 00189, Italy.
Alessandro Carcangiu
Dario Perugia
Simone Scapellato
Raffaella Alonzo
Silvia Frontini
Andrea Ferretti
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to compare two intramedullary devices used in the treatment of intertrochanteric fractures.

methodDuring the period 2006-2007 46 TGN and 51 PFNA were used for the treatment of intertrochanteric fractures in our hospital. Clinical and radiological follow-up were available. Surgical time, blood loss and complications have been considered.

resultsThe mean operative time for the TGN group was significantly higher than in the PFNA group (62 min and 45 min, respectively) with a p = 0.04. The mean blood loss was significantly higher in the TGN group (285 ml; SD 145) in relation to the PFNA group (226 ml; SD 136) with p = 0.03. Also, rate of complications was higher in the TGN group (p = 0.01). Clinical outcomes were good for both groups. Intra-operative and post-operative complications in the TGN group were associated with a longer operative time and a higher blood loss, probably due to the reaming needed in TGN that can increase blood loss and risk of comminution or fracture propagation. Moreover, all but one of the procedure-related complications were observed in very elderly patients.

conclusionsBased on our results in the intertrochanteric fracture, use of PFNA should be recommended in cases of elderly and osteoporotic patients, while TGN should be used in more severely displaced fractures in patients with a slightly better bone mineral density.

Indexed as

AgedAged, 80 and overBlood Loss, SurgicalBone NailsFracture Fixation, InternalHip FracturesHumansIncidenceMiddle AgedOperative TimeOsteoporotic FracturesPostoperative ComplicationsRadiographyRetrospective StudiesTreatment Outcome

Identifiers

PMID23104674
PMCPMC3508047
OpenAlexW2025388911

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.