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ArticleInternational orthopaedics2016

Part 2: outcome of acetabular fractures and associated prognostic factors-a ten-year retrospective study of one hundred and fifty six operated cases with open reduction and internal fixation.

Mehdi Boudissa, Sébastien Ruatti, Gael Kerschbaumer, Michel Milaire, Philippe Merloz, Jérôme Tonetti

Registry-linked trialAbstract read
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In one paragraph

Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06338228 (A New Decisional Tree for the Management of Acetabular Fractures), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

NCT06338228 completednot on this mapstarted 2024, after this paper: background citation

A New Decisional Tree for the Management of Acetabular Fractures : Monocentric Observational Study

Typeobservational_patient_registrySponsorUniversity Hospital, GrenobleRan2024 to 2025Enrolled250ConditionsManagement of Acetabular Fractures
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  5. Comparison of the functional and radiological results of the conservatively and surgically treated displaced acetabulum fractured patients.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
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  8. [Application of self-made spring plate for treatment of acetabular posterior wall fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020
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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.

Mehdi BoudissaOrthopaedic and Traumatology Surgery Department, Grenoble University Hospitals, Boulevard de la Chantourne, 38700, La Tronche, France. mboudissa@chu-grenoble.fr.
Sébastien RuattiOrthopaedic and Traumatology Surgery Department, Grenoble University Hospitals, Boulevard de la Chantourne, 38700, La Tronche, France.
Gael KerschbaumerOrthopaedic and Traumatology Surgery Department, Grenoble University Hospitals, Boulevard de la Chantourne, 38700, La Tronche, France.
Michel MilaireOrthopaedic and Traumatology Surgery Department, Grenoble University Hospitals, Boulevard de la Chantourne, 38700, La Tronche, France.
Philippe MerlozOrthopaedic and Traumatology Surgery Department, Grenoble University Hospitals, Boulevard de la Chantourne, 38700, La Tronche, France.
Jérôme TonettiOrthopaedic and Traumatology Surgery Department, Grenoble University Hospitals, Boulevard de la Chantourne, 38700, La Tronche, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

questions/purposesThe aim of this study was to identify prognostic factors associated with a poor quality of reduction and their relationships.

methodsData from medical charts for all patients admitted with acetabular fractures operated by open reduction and internal fixation (ORIF) from 2005 to 2014 were extracted. A total of 156 patients with a mean age of 40.3 years were included. All patients were reviewed at six months of follow-up. The prognostic factors analyzed were clinical and radiological factors. A new radiological parameter was also studied: the scanographic roof-arc angle. Specific statistical analysis was performed using a logistic regression model.

resultsUsing a multivariate analysis logistic regression model: roof impaction (p = 0.001; OR = 6.59; CI 95% [2.01-20.97]), transverse + posterior wall (p = 0.03, OR = 2.52; CI 95% [1.46-13.65]) and surgeons in training (p = 0.02; OR = 1.24; CI 95% [1.07-3.32]) were three independent prognostic factors. Lower values of medial and posterior scanographic roof-arc angle were associated with unsatisfactory reduction. A significant association between unsatisfactory reduction and posterior roof arc angle < 61° was found.

conclusionsThree independent prognostic factors associated with a risk of unsatisfactory reduction in ORIF for acetabular fractures were identified: roof impaction, transverse + posterior wall fracture and surgeons in training. Scanographic roof-arc angle seems to be a new prognostic factor. Level of Evidence Level 4 retrospective study.

Indexed as

AcetabulumFollow-Up StudiesFracture Fixation, InternalFractures, BoneHumansPrognosisRetrospective StudiesTreatment OutcomeAcetabular fractureORIFPrognosis factorReduction qualityRoof arc angle

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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.