Evidence map›Paper›PMID 26719682›Full record

ArticleClinical interventions in aging2015

Mechanical failures after fixation with proximal femoral nail and risk factors.

Şemmi Koyuncu, Taşkın Altay, Cemil Kayalı, Fırat Ozan, Kamil Yamak

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
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  11. Long-term outcomes of distal locking in extracapsular fractures treated with trochanteric Gamma3 nails.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021
    Article
  12. Article
  13. TFNA Implant Failure with Helical Blade Cut-out.Journal of orthopaedic case reports · 2020
    Article
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  15. Review
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  18. Intertrochanteric fractures: a review of fixation methods.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016
    Review
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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

5 authors at 3 institutions in 1 country.

Şemmi KoyuncuDepartment of Orthopedics and Traumatology, Bayburt State Hospital, Bayburt, Turkey.
Taşkın AltayDepartment of Orthopedics and Traumatology, İzmir Bozyaka Training and Research Hospital, Izmir, Turkey.
Cemil KayalıDepartment of Orthopedics and Traumatology, İzmir Bozyaka Training and Research Hospital, Izmir, Turkey.
Fırat OzanDepartment of Orthopedics and Traumatology, Kayseri Training and Research Hospital, Kayseri, Turkey.
Kamil YamakDepartment of Orthopedics and Traumatology, İzmir Bozyaka Training and Research Hospital, Izmir, Turkey.
Izmir Bozyaka Eğitim ve Araştırma Hastanesi · TRBayburt State Hospital · TRKayseri Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims at assessing the clinical results, radiographic findings, and associated complications after osteosynthesis of trochanteric hip fractures with proximal femoral nail (PFN).

methodsA total of 152 patients with hip fractures who underwent osteosynthesis with PFN were included. The hip fracture types in the patients included in the study were classified according to the American Orthopedic/Orthopedic Trauma Association (AO/OTA). AO/OTA A1, A2, and A3 type fractures were found in 24 (15.8%), 107 (70.4%), and 21 (13.8%) patients, respectively. The Baumgaertner scale was used to assess the degree of postoperative reduction. The Salvati-Wilson hip function (SWS) scoring system was used to evaluate functional results. After a follow-up period, clinical and radiographic results were evaluated and complications were assessed. The relationship between the complications and SWS score, age, sex, fracture type, reduction quality, and time from the fracture to surgery was evaluated.

resultsEighty-five (55.9%) female patients and 67 (44.1%) male patients were enrolled in the study. Seventy-nine (51.9%) patients had left hip fractures, and 73 (48.1%) had right hip fractures. The mean age was 76 (range 21-93) years, and the mean follow-up duration was 23.6 (range 7-49) months. Postoperatively, one patient (0.6%) had a poor reduction, 16 patients (10.5%) had an acceptable reduction, and 135 patients (88.9%) had a good reduction according to the above criteria. The SWS scores were excellent, good, moderate, and poor in 91 (59.8%), 45 (29.6%), 15 (9.8%), and one (0.6%) patients, respectively. Late postoperative complications were seen in 27 patients (17.7%). A total of 14 patients (9.2%) underwent a revision procedure for mechanical complications.

conclusionThe study results suggest that the quality of fracture reduction is an important factor that affects the revision rate and SWS score in patients with mechanical complications after osteosynthesis with PFN for trochanteric fractures.

Indexed as

AdultAgedAged, 80 and overBone NailsFemaleFollow-Up StudiesFracture Fixation, IntramedullaryHip FracturesHumansMaleMiddle AgedProsthesis FailureRadiographyReoperationRisk FactorsTreatment Outcomecomplicationsfracture reductionintramedullary nailproximal femoral nailrisk factorstrochanteric hip fracture

Identifiers

PMID26719682
PMCPMC4687611
OpenAlexW2210854752

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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.