Evidence map›Paper›PMID 26768591›Full record

ArticleInternational orthopaedics2016

Minimally invasive plate osteosynthesis of acetabular anterior column fractures using the two-incision minimally invasive approach and a preshaped three dimension plate.

Yan Zhuang, Shenglu Cao, Yanbin Lin, Renbin Li, Gang Wang, Yiran Wang

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Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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  7. Optimal plate position in minimally invasive plate osteosynthesis for mid-shaft clavicle fractures: simulation using 3D-printed models of actual clinical cases.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
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  9. [Research progress of different surgical approaches in treatment of acetabular both-column fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
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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 at 3 institutions in 1 country.

Yan ZhuangDepartment of Orthopaedic, Southern Hospital of Southern Medical University, Guangzhou, 510280, Guangdong Province, China.
Shenglu CaoDepartment of Orthopaedic, Southern Hospital of Southern Medical University, Guangzhou, 510280, Guangdong Province, China.
Yanbin LinAffiliated Fuzhou Second Hospital, Xiamen University, Fuzhou, China.
Renbin LiAffiliated Fuzhou Second Hospital, Xiamen University, Fuzhou, China.
Gang WangDepartment of Orthopaedic, Southern Hospital of Southern Medical University, Guangzhou, 510280, Guangdong Province, China. ENZO458@163.com.
Yiran WangDepartment of Orthopaedic, Southern Hospital of Southern Medical University, Guangzhou, 510280, Guangdong Province, China.
Southern Medical University · CNFuzhou Second Hospital · CNXiamen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the treatment of acetabular anterior column fractures using a two-incision minimally invasive (TIMI) approach and minimally invasive plate osteosynthesis (MIPO) technique using a preshaped 3D plate.

methodsA group of 12 consecutive cases of acetabular fractures from March 2013 to July 2014 were treated with the TIMI approach. 3D mirror models of the uninjured side of the hemipelvis were printed preoperatively; the plates used in surgery were preshaped according to these models. MIPO surgical techniques were applied. All patients had a minimum one year radiographic and clinical follow-up.

resultsSeven fractures involved the anterior column, four were anterior column with posterior hemitransverse, and one was anterior column with the pubic symphysis. The average surgery time was 200 minutes, and mean blood loss was 1004 ml. The fracture reduction results as assessed by Matta radiographic outcome scores were good in eight, satisfactory in three, and poor in one patient. Functional outcomes according to the Harris hip scores were excellent for seven, good for three, and fair for two. Post-operative complications included incomplete femoral nerve damage and abdominal cavity injury.

conclusionsThe TIMI approach is an alternative to the ilioinguinal approach for anterior column acetabular fracture treatment, especially for fractures involving the dome and quadrilateral plate that are feasible for application of MIPO techniques. The technique of preshaping the 3D plate makes the plate better accommodated to the fracture surface and easier to apply in MIPO procedures. All dissection was between the anatomical interval, which allowed less soft tissue injury and related complications, and caused less bleeding. The fracture types in our case series were relatively simple, and follow-up time was short; more clinical trials are necessary for evaluation of middle- and late-term results.

Indexed as

AcetabulumAdultAgedBone PlatesDissectionFemaleFracture Fixation, InternalFractures, BoneHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresPrinting, Three-DimensionalPubic Symphysis3D-printAcetabular fracturesMIPOTIMI

Identifiers

PMID26768591
OpenAlexW2317997759

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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.