Evidence map›Paper›PMID 25415673›Full record

Trial reportMedicine2014

Implant augmentation: adding bone cement to improve the treatment of osteoporotic distal femur fractures: a biomechanical study using human cadaver bones.

Dirk Wähnert, Ladina Hofmann-Fliri, R Geoff Richards, Boyko Gueorguiev, Michael J Raschke, Markus Windolf

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
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  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. The Antiosteoporosis Effects of Zhuanggu Guanjie PillBioMed research international · 2018
    Article
  12. [Traumatology in the elderly : Multimodal prevention of delirium and use of augmentation techniques].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017
    Review
  13. Article
  14. Article
  15. Article
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

6 authors at 2 institutions in 2 countries.

Dirk WähnertDepartment of Trauma, Hand, and Reconstructive Surgery (DW, MJR), University Hospital Münster, Münster, Germany; and Biomedical Services (LH-F, RGR, BG, MW), AO Research Institute Davos, Davos, Switzerland.
Ladina Hofmann-Fliri
R Geoff Richards
Boyko Gueorguiev
Michael J Raschke
Markus Windolf
Creative Commons · USUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increasing problems in the field of osteoporotic fracture fixation results in specialized implants as well as new operation methods, for example, implant augmentation with bone cement. The aim of this study was to determine the biomechanical impact of augmentation in the treatment of osteoporotic distal femur fractures.Seven pairs of osteoporotic fresh frozen distal femora were randomly assigned to either an augmented or nonaugmented group. In both groups, an Orthopaedic Trauma Association 33 A3 fractures was fixed using the locking compression plate distal femur and cannulated and perforated screws. In the augmented group, additionally, 1 mL of polymethylmethacrylate cement was injected through the screw. Prior to mechanical testing, bone mineral density (BMD) and local bone strength were determined. Mechanical testing was performed by cyclic axial loading (100 N to 750 N + 0.05N/cycle) using a servo-hydraulic testing machine.As a result, the BMD as well as the axial stiffness did not significantly differ between the groups. The number of cycles to failure was significantly higher in the augmented group with the BMD as a significant covariate.In conclusion, cement augmentation can significantly improve implant anchorage in plating of osteoporotic distal femur fractures.

Indexed as

Fracture Fixation, InternalAged, 80 and overBiomechanical PhenomenaBone CementsBone PlatesBone ScrewsCadaverEquipment DesignFemaleFemoral FracturesHumansOsteoporotic FracturesBone Cements

Identifiers

PMID25415673
PMCPMC4616336
OpenAlexW2409078512

What OpenQuestion holds

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LicenceCC BY-ND
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.