Evidence map›Paper›PMID 24085380›Full record

Trial reportJournal of orthopaedic science : official journal of the Japanese Orthopaedic Association2013

Percutaneous compression plate versus proximal femoral nail anti-rotation in treating elderly patients with intertrochanteric fractures: a prospective randomized study.

Qingshan Guo, Yue Shen, Zhaowen Zong, Yufeng Zhao, Huayu Liu, Xiang Hua, Hui Chen

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  11. Biomechanical comparison of screw vs. cerclage refixation in orthogeriatric lesser trochanteric fractures: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
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  18. Long-term results after treatment of pertrochanteric femoral fractures with percutaneous compression plate (PCCP).European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016
    Observational
  19. Intertrochanteric fractures: a review of fixation methods.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016
    Review
  20. Orthogeriatric care: improving patient outcomes.Clinical interventions in aging · 2016
    Review
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.

Qingshan GuoTrauma Center, Institute of Surgery Research, Daping Hospital, Third Military Medical University, No. 10 Yangtze River Road, Yuzhong District, Chongqing, 400042, People's Republic of China.
Yue Shen
Zhaowen Zong
Yufeng Zhao
Huayu Liu
Xiang Hua
Hui Chen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe treatment and management of hip fracture poses a great challenge for clinicians in osteology and surgery. The aim of this study is to compare the clinical effectiveness of the percutaneous compression plate (PCCP) versus proximal femoral nail anti-rotation (PFNA) in the treatment of intertrochanteric fractures in elderly patients.

methodsA prospective randomized study was carried out from January 2008 to October 2011 involving 90 elderly patients with intertrochanteric fractures (90 hips) who underwent minimally invasive surgery using the PCCP or PFNA. Evaluation variables, including operation time, intra- and perioperative blood loss, duration of hospital stay, incidence of postoperative complications, and final clinical outcomes by the end of follow-up, were used to compare the benefits of these two implants.

resultsAmong 90 subjects, 45 received PCCPs and 45 received PFNAs. The baseline characteristics of the two groups were comparable. The median follow-up time was 16.9 months (12-24 months). In the PCCP group, the mean operative time was 53 min (40-75 min), and the mean intra- and perioperative blood losses were 100.7 ml (60-150 ml) and 916 ml (433-1339 ml), respectively, which were significantly lower than those in the PFNA group. Nevertheless, there was no statistical difference in the incidence of postoperative complications and final clinical outcomes including pain complaints, range of motion of the hip, postoperative hip function at 12 months, and the recovery of walking ability to pre-injury status between these two implants.

conclusionsOverall, the PCCP and PFNA appear to have similar clinical effects in treating elderly patients with intertrochanteric fractures, although the PCCP provided shorter operation times and less blood loss than PFNA. Both implants discussed were demonstrated to be ideal for the treatment of femoral intertrochanteric fractures in elderly patients.

Indexed as

Bone NailsBone PlatesAgedAged, 80 and overFemaleFollow-Up StudiesFracture Fixation, InternalFracture Fixation, IntramedullaryGeriatric AssessmentHip FracturesHumansInjury Severity ScoreMaleMiddle AgedMinimally Invasive Surgical ProceduresPain Measurement

Identifiers

PMID24085380
PMCPMC3838589

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Registered trials

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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.