Evidence map›Paper›PMID 25983451›Full record

ReviewJournal of clinical orthopaedics and trauma2012

Proximal femoral fractures: Principles of management and review of literature.

Ravi Mittal, Sumit Banerjee

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of clinical orthopaedics and trauma, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05133648 (Association of Anesthesia Technique With Morbidity and Mortality in Patients With COVID-19 and Surgery for Hip Fracture), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 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.

NCT05133648 unknown statusnot on this mapstarted 2023, after this paper: background citation

Association of Anesthesia Technique With Morbidity and Mortality in Patients With COVID-19 and Surgery for Hip Fracture: a Retrospective Population Cohort Study

TypeobservationalSponsorUniversity of British ColumbiaRan2023 to 2023Enrolled1,000ConditionsHip Fractures, COVID-19, General Anesthesia, Spinal AnesthesiaArmsHip Fracture Surgery, COVID-19 infection
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Age-stratified mortality after hip fracture surgery: A retrospective cohort study comparing hemiarthroplasty and osteosynthesis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  7. Mechanical validation of 3D-printed orthopaedic surrogate models for screw insertion training.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  8. Article
  9. [Pertrochanteric fractures].Unfallchirurgie (Heidelberg, Germany) · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Therapy aspects of peri-implant femoral fractures-a retrospective analysis of 64 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  18. Ultra-early versus early surgery for hip fracture.The Cochrane database of systematic reviews · 2024
    Article
  19. Article
  20. 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

2 authors.

Ravi MittalAdditional Professor, Dept. of Orthopedics, All India Institute of Medical Sciences (A.I.I.M.S.), New Delhi, India.
Sumit BanerjeeSenior Resident, Dept. of Orthopedics, All India Institute of Medical Sciences (A.I.I.M.S.), New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledThe purpose of this study was to review the principles involved in the management of proximal femoral fractures as reported in the literature.

methodsA medical literature search in the MEDLINE (PubMed) and Cochrane database was undertaken to review strategies and principles in proximal femoral fracture treatment. Randomized control trials and meta analysis were given preference while case reports/small series were rejected. RESULTS AND

conclusionsEarly anatomical reduction and surgical fixation remains the best option to reduce the risk of complications like non-union and avascular necrosis in treating fracture neck femurs. Cancellous screws continue to be the preferred treatment for fixation of neck femur fractures in younger population until the benefit of using sliding hip screws is validated by large multicentric studies. In the geriatric age group, early prosthetic replacement brings down the mortality and morbidity associated with neck femur fractures. Sliding hip screw (DHS) is the best available option for stable inter trochanteric fractures. The use of intramedullary nails e.g. PFN is beneficial in treating inter trochanteric fractures with comminution and loss of lateral buttress. Intramedullary implants have been proven to have increased success rates in subtrochanteric fractures and should be preferred over extramedullary plate fixation systems.

Indexed as

HemiarthroplastyIntramedullary devicesManagementProximal femoral fracturesSurgical fixation

Identifiers

PMID25983451
PMCPMC3872791

What OpenQuestion holds

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Read underepoch 390

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.