Evidence map›Paper›PMID 27114814›Full record

ArticleOrthopedic reviews2016

Bone Transport for Limb Reconstruction Following Severe Tibial Fractures.

Julian Fürmetz, Chris Soo, Wolf Behrendt, Peter H Thaller, Holger Siekmann, Jörg Böhme, Christoph Josten

Open access · goldAbstract read
In one paragraph

Article in Orthopedic reviews, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Regenerative Approaches for the Treatment of Large Bone Defects.Tissue engineering. Part B, Reviews · 2021
    Review
  5. Article
  6. Article
  7. Can NaEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021
    Article
  8. Article
  9. Article
  10. Article
  11. Ilizarov bone transport and treatment of critical-sized tibial bone defects: a narrative review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2019
    Review
  12. Article
  13. 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

7 authors at 3 institutions in 3 countries.

Julian Fürmetz3D-Surgery, Department of Trauma Surgery, Munich University Hospital LMU , Munich, Germany.
Chris Soo3D-Surgery, Department of Trauma Surgery, Munich University Hospital LMU , Munich, Germany.
Wolf BehrendtDepartment of Trauma, Reconstructive and Plastic Surgery, University Hospital Leipzig , Halle-Wittenberg, Germany.
Peter H Thaller3D-Surgery, Department of Trauma Surgery, Munich University Hospital LMU , Munich, Germany.
Holger SiekmannDepartment of Trauma and Reconstructive Surgery, Martin Luther University , Halle-Wittenberg, Germany.
Jörg BöhmeDepartment of Trauma, Reconstructive and Plastic Surgery, University Hospital Leipzig , Halle-Wittenberg, Germany.
Christoph JostenDepartment of Trauma, Reconstructive and Plastic Surgery, University Hospital Leipzig , Halle-Wittenberg, Germany.
LMU Klinikum · DEWittenberg University · USLuther University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A common treatment of tibial defects especially after infections is bone transport via external fixation. We compare complications and outcomes of 25 patients treated with a typical Ilizarov frame or a hybrid system for bone reconstruction of the tibia. Average follow up was 5.1 years. Particular interest was paid to the following criteria: injury type, comorbidities, development of osteitis and outcome of the different therapies. The reason for segmental resection was a second or third grade open tibia fractures in 24 cases and in one case an infection after plate osteosynthesis. Average age of the patients was 41 years (range 19 to 65 years) and average defect size 6.6 cm (range 3.0 to 13.4 cm). After a mean time of 113 days 23 tibial defects were reconstructed, so we calculated an average healing index of 44.2 days/cm. Two patients with major comorbidities needed a below knee amputation. The presence of osteitis led to a more complicated course of therapy. In the follow up patients with an Ilizarov frame had better results than patients with hybrid systems. Bone transport using external fixation is suitable for larger defect reconstruction. With significant comorbidities, however, a primary amputation or other methods must be considered.

Indexed as

Bone transportdistraction osteogenesisfractureIlizarovtibia

Identifiers

PMID27114814
PMCPMC4821232
OpenAlexW2316211200

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.