SynthesisDer Orthopade2014
[Hip fractures in the elderly : Osteosynthesis versus joint replacement].
Synthesis in Der Orthopade, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 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.
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.
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Who cites it
20 citing papers in PubMed, 33 citations in OpenAlex.
- Relative lateral wall thickness is an improved predictor for postoperative lateral wall fracture after trochanteric femoral fracture osteosynthesis.Scientific reports · 2023Article
- Clinical Effectiveness of Home-Based Telerehabilitation Program for Geriatric Hip Fracture Following Total Hip Replacement.Orthopaedic surgery · 2023Article
- High Percentage of Complications and Re-Operations Following Dynamic Locking Plate Fixation with the TargonMedicina (Kaunas, Lithuania) · 2022Article
- Biomechanical analysis of recently released cephalomedullary nails for trochanteric femoral fracture fixation in a human cadaveric model.Archives of orthopaedic and trauma surgery · 2022Article
- Impact of Anterior Malposition and Bone Cement Augmentation on the Fixation Strength of Cephalic Intramedullary Nail Head Elements.Medicina (Kaunas, Lithuania) · 2022Article
- Differences of hemiarthroplasty and total hip replacement in orthogeriatric treated elderly patients: a retrospective analysis of the Registry for Geriatric Trauma DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Trochanteric Femur Fractures: Application of Skeletal Traction during Surgery Does Not Alter Soft-Tissue Microcirculation.Medicina (Kaunas, Lithuania) · 2021Article
- Femoral neck fractures in old age treated with hemiarthroplasty : Effects of preoperative waiting time and timing of surgery on the risk of periprosthetic infections.Der Orthopade · 2019Article
- [Geriatric Trauma Center DGU®: Evaluation of clinical and economic parameters : A pilot study in a german university hospital].Der Unfallchirurg · 2019Article
- Microcirculation After Trochanteric Femur Fractures: A Prospective Cohort Study Using Non-invasive Laser-Doppler Spectrophotometry.Frontiers in physiology · 2019Article
- [Evaluation of a simple screening tool for ambulant fall prevention].Der Unfallchirurg · 2018Article
- Response to "Comments on mortality and cardiorespiratory complications in trochanteric femoral fractures: a ten year retrospective analysis".International orthopaedics · 2018Article
- Satisfying Product Features of a Fall Prevention Smartphone App and Potential Users' Willingness to Pay: Web-Based Survey Among Older Adults.JMIR mHealth and uHealth · 2018Article
- [The rotationally stable screw-anchor with trochanteric stabilizing plate (RoSA/TSP) : First results in unstable trochanteric femur fractures].Der Unfallchirurg · 2017Article
- [Fractures of the ankle joint in elderly patients].Der Unfallchirurg · 2017Article
- [Results of the pilot phase of the Age Trauma Registry DGU®].Der Unfallchirurg · 2017Article
- Anchorage strategies in geriatric hip fracture management.Innovative surgical sciences · 2016Review
- Co-management in geriatric hip fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Article
- [Anesthesiological management of elderly trauma patients].Der Anaesthesist · 2016Review
- The 'Aachen Falls Prevention Scale' - development of a tool for self-assessment of elderly patients at risk for ground level falls.Patient safety in surgery · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteoporotic fractures of the femoral neck and trochanteric region pose an ever-expanding existential problem both for the individual and for society. Despite numerous innovations and advances regarding implant design, mortality and the systemic and mechanical complication rates remain high.
objectivesDepiction of treatment options for femoral neck fractures and trochanteric femur fractures in the elderly comparing joint replacement and osteosynthesis.
methodsA search of the Medline, Embase and Cochrane databases was carried out focusing on hip fracture treatment. Randomized or quasi-randomized controlled trials, meta-analyses and reviews comparing joint replacement or fixation implants in the elderly were included.
resultsDisplaced fractures of the femoral neck often require total joint arthroplasty whereas trochanteric fractures are amenable to internal fixation. Cemented total hip replacement as opposed to cementless techniques is recommended in the elderly and yields good functional results in active patients. Hemiarthroplasty is the treatment of choice in infirm patients with multiple comorbidities and cognitive impairment. Trochanteric fractures (AO/OTA types A1 and A2) can be successfully treated with intramedullary or extramedullary fixation. Adequate reduction and stable fixation are prerequisites for uneventful healing. A meticulous operative technique can prevent iatrogenic complications.
conclusionIn summary, there are many parameters affecting the outcome in the treatment of fragility and hip fractures. Technical features as well as surgeon characteristics play an important role and the ultimate solution has yet to be developed. Even though fracture morphology may indicate a specific treatment option, patient characteristics play an important role in decision-making. The development of centers of fragility fracture care in Germany could help to lower the complication rate and increase quality of life in hip fracture patients in the future.
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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.