Evidence map›Paper›PMID 26074676›Full record

ArticleMediators of inflammation2015

A Study of Inflammatory/Necrosis Biomarkers in the Fracture of the Femur Treated with Proximal Femoral Nail Antirotation.

Mariapaola Marino, Giuseppe Palmieri, Marco Peruzzi, Flavia Scuderi, Emanuela Bartoccioni

Open access · goldAbstract read
In one paragraph

Article in Mediators of inflammation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
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  6. A comparison of two fixation methods for femoral trochanteric fractures: a new generation intramedullary systemClinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases
    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

5 authors at 2 institutions in 2 countries.

Mariapaola MarinoInstitute of General Pathology, Catholic University, 00168 Rome, Italy.
Giuseppe PalmieriDepartment of Orthopaedic Sciences and Traumatology, University Hospital Agostino Gemelli, Catholic University, 00168 Rome, Italy.
Marco PeruzziDepartment of Orthopaedic Sciences and Traumatology, University Hospital Agostino Gemelli, Catholic University, 00168 Rome, Italy.
Flavia ScuderiDepartment of Laboratory Medicine, University Hospital Agostino Gemelli, Catholic University, 00168 Rome, Italy.
Emanuela BartoccioniInstitute of General Pathology, Catholic University, 00168 Rome, Italy ; Department of Orthopaedic Sciences and Traumatology, University Hospital Agostino Gemelli, Catholic University, 00168 Rome, Italy ; Department of Laboratory Medicine, University Hospital Agostino Gemelli, Catholic University, 00168 Rome, Italy.
Agostino Gemelli University Polyclinic · ITCatholic University of America · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pertrochanteric fractures are common injuries in adults and source of morbidity and mortality among the elderly. Different surgical techniques were recommended for their treatment but undoubtedly they add an additional inflammatory trauma along the fracture itself. Many attempts to quantify the degree of approach-related trauma are carried out through measurements of systemic inflammatory parameters. In this study we prospectively analyzed laboratory data of 20 patients over eighty with pertrochanteric fracture of the femur treated with proximal femoral nail antirotation (PFNA). This is an excellent device for osteosynthesis because it can be easily and quickly inserted by a mini-incision providing stable fixation and early full mobilization. Serum tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), C-reactive protein (CRP), and plasma creatin kinase (CK) were evaluated 1 hour preoperatively and 24 hours postoperatively. Our results show that PFNA did not induce significant increments in serum levels of inflammatory cytokines TNF-α and IL-6; CRP was elevated preoperatively in correlation with waiting time for surgery; CRP and CK showed a significant increment in the first postoperatory day; CK increment was correlated with surgical time length. We conclude that, for the markers we analyzed, PFNA shows a low biomechanical-inflammatory profile that represents an advantage over other techniques.

Indexed as

Fracture Fixation, InternalAgedAged, 80 and overBiomarkersC-Reactive ProteinFemaleFemoral FracturesHumansInflammationInterleukin-6MaleNecrosisTumor Necrosis Factor-alphaBiomarkersC-Reactive ProteinIL6 protein, humanInterleukin-6TNF protein, humanTumor Necrosis Factor-alpha

Identifiers

PMID26074676
PMCPMC4446479
OpenAlexW1556537095

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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.