SynthesisTheScientificWorldJournal2013
Proximal femoral nail versus dynamic hip screw fixation for trochanteric fractures: a meta-analysis of randomized controlled trials.
Synthesis in TheScientificWorldJournal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Comparative outcome of PFNA, Gamma nails, PCCP, Medoff plate, LISS and dynamic hip screws for fixation in elderly trochanteric fractures: a systematic review and network meta-analysis of randomized controlled trials.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2017Pooled it
- Pooled it
- Internal fixation treatments for intertrochanteric fracture: a systematic review and meta-analysis of randomized evidence.Scientific reports · 2015Pooled it
- Proximal femoral nail antirotation against dynamic hip screw for unstable trochanteric fractures; a prospective randomized comparison.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2015Trial
- Perioperative Anemia and Transfusion Management in Older Adults with Osteoporotic Hip Fractures: A Narrative Review of Current Evidence and Emerging Strategies.Clinical interventions in aging · 2026Review
- Determinants of Outcome and Complications in Femoral Neck Fractures Treated with Dynamic Hip Screw: The Role of Age, Gender, Fracture Type, and Reduction Quality.The Eurasian journal of medicine · 2025Article
- [Comparison of Intramedullary Nails with Cephalic Screws and Dynamic Hip Screw in the Treatment of Unstable Intertrochanteric Fractures in Adults - A Systematic Review and Meta-Analysis].Revista brasileira de ortopedia · 2025Article
- Comparison of Intramedullary Nails with Cephalic Screws and Dynamic Hip Screw in the Treatment of Unstable Intertrochanteric Fractures in Adults - A Systematic Review and Meta-Analysis.Revista brasileira de ortopedia · 2025Article
- Article
- 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
- Complication Rates in Intertrochanteric Fractures: A Database Analysis Comparing Sliding Hip Screw and Cephalomedullary Nail.The archives of bone and joint surgery · 2024Article
- Morbidity and Mortality Analysis in the Treatment of Intertrochanteric Hip Fracture with Two Fixation Systems: Dynamic Hip Screw (DHS) or Trochanteric Fixation Nail Advance (TFNA).Geriatrics (Basel, Switzerland) · 2023Article
- Dynamic hip screws versus cephalocondylic intramedullary nails for unstable extracapsular hip fractures in 2021: A systematic review and meta-analysis of randomised trials.Journal of orthopaedics · 2023Review
- 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
- Comparison of Dynamic Hip Screw and Proximal Femoral Nailing Techniques in Stable Intertrochanteric Fractures.Cureus · 2023Article
- What Is the Best Treatment Choice for Concomitant Ipsilateral Femoral Neck and Intertrochanteric Fracture? A Retrospective Comparative Analysis of 115 Consecutive Patients.Journal of personalized medicine · 2022Article
- Article
- Fixation of Intertrochanteric Fractures with Dynamic Hip Screws: Randomized Controlled Trial Comparing Hardinge and Minimally Invasive Approaches.Revista brasileira de ortopedia · 2022Article
- Article
- Modified Short Proximal Femoral Nail for Intertrochanteric Fractures of Femur in Indian Patients - our Experience.Malaysian orthopaedic journal · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this meta-analysis was to find out whether the proximal femoral nail was better than the dynamic hip screw in the treatment of trochanteric fractures with respect to operation time, blood transfusion, hospital stay, wound complications, number of reoperation, and mortality rate.
methodsAll randomized controlled trials comparing proximal femoral nail and dynamic hip screw in the treatment of trochanteric fractures were included. Articles and conference data were extracted by two authors independently. Data was analyzed using RevMan 5.1 version. Eight trials involving 1348 fractures were retrieved.
resultsCompared with DHS fixation, PFN fixation had similar operation time (95% CI: -15.28-2.40, P = 0.15). Blood loss and transfusion during perioperative time were also comparable between the two fixations (95% CI: -301.39-28.11, P = 0.10; 95% CI: -356.02-107.20, P = 0.29, resp.). Outcomes of hospital stay (95% CI: -0.62-1.01, P = 0.64), wound complication (95% CI: 0.66-1.67, P = 0.82), mortality (95% CI: 0.83-1.30, P = 0.72), and reoperation (95% CI: 0.61-1.54, P = 0.90) were all similar between the two groups.
conclusionPFN fixation shows the same effectiveness as DHS fixation in the parameters measured.
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.