Evidence map›Paper›PMID 26152248›Full record

Trial reportInternational orthopaedics2015

A comparative study between multiple cannulated screws and dynamic hip screw for fixation of femoral neck fracture in adults.

Babak Siavashi, Arash Aalirezaei, Mersad Moosavi, Mohammad Reza Golbakhsh, Dariush Savadkoohi, Mohammad Javad Zehtab

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 12 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

42 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  8. Internal fixation implants for intracapsular hip fractures in older adults.The Cochrane database of systematic reviews · 2021
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  11. Sliding hip screws versus cancellous screws for femoral neck fractures: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019
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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.

Babak SiavashiDepartment of Orthopedic Surgery, Tehran University of Medical Sciences, Tehran, Iran. siavashi@tums.ac.ir.
Arash AalirezaeiDepartment of Orthopedic Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Mersad MoosaviDepartment of Orthopedic Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Reza GolbakhshDepartment of Orthopedic Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Dariush SavadkoohiDepartment of Orthopedic Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Javad ZehtabDepartment of Orthopedic Surgery, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn younger adults with fractures of the femoral neck, anatomic reduction is compulsory and maintaining the reduction is crucial. Both cannulated screws and dynamic hip screw (DHS) have the capacity of compression in the fracture site but the strength for keeping reduction is not the same. The aim of this study was to compare the results with fixations of the femoral neck fractures with cannulated screws versus dynamic hip screw.

methodsThis is a randomized clinical trial study on 58 cases with a minimum of one year follow-up. Leg length discrepancy, Harris Hip Score, infection, avascular necrosis of femoral head, and union of the fracture site were evaluated.

resultsThere were two failures in the first trimester in the cannulated screw group and three more failures in the second and third trimesters in this group. In the DHS group, there was no reduction and fixation failure in the follow-up period. There was no fixation failure (0 %) in Group B (DHS) but there were five fixation failures (18 %) in Group A (screw), and there is significant difference between the groups (p < 0.001). The rate of avascular necrosis was the same in both groups.

conclusionsIt seems to us that in our practice the fixation of femoral neck fracture in young adults with the DHS is a better option compared with the osteosynthsis with multiple cannulated screws.

Indexed as

Bone ScrewsAdolescentAdultFemaleFemoral Neck FracturesFollow-Up StudiesFracture Fixation, InternalHumansMaleMiddle AgedYoung AdultCannulated screwDynamic hip screwFractureNeck of femur

Identifiers

PMID26152248

What OpenQuestion holds

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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.