Evidence map›Paper›PMID 27245659›Full record

Trial reportOperative Orthopadie und Traumatologie2016

Trochanteric fragility fractures : Treatment using the cement-augmented proximal femoral nail antirotation.

C Neuerburg, S Mehaffey, M Gosch, W Böcker, M Blauth, C Kammerlander

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Operative Orthopadie und Traumatologie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. [Pertrochanteric fractures].Unfallchirurgie (Heidelberg, Germany) · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Does augmentation increase the pull-out force of symphyseal screws? A biomechanical cadaver study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  9. Review
  10. Article
  11. 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

6 authors at 4 institutions in 2 countries.

C NeuerburgDepartment of Trauma Surgery, Munich University, Nußbaumstr. 20, 80336, Munich, Germany. carl.neuerburg@med.uni-muenchen.de.
S MehaffeyDepartment of Trauma Surgery, Munich University, Nußbaumstr. 20, 80336, Munich, Germany.
M GoschDepartment of Medicine 2/Geriatrics, Paracellsus Medical University, General Hospital Nuremberg, 90419, Nuremberg, Germany.
W BöckerDepartment of Trauma Surgery, Munich University, Nußbaumstr. 20, 80336, Munich, Germany.
M BlauthDepartment of Trauma Surgery and Sportsmedicine, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
C KammerlanderDepartment of Trauma Surgery, Munich University, Nußbaumstr. 20, 80336, Munich, Germany.
Baum Consult · DEInnsbruck Medical University · ATNuremberg Hospital · DEUniversität Innsbruck · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUse of standardized cement augmentation of the proximal femur nail antirotation (PFNA) for the treatment of trochanteric fragility fractures, which are associated with high morbidity and mortality, to achieve safer conditions for immediate full weight-bearing and mobilization, thus, improving preservation of function and independency of orthogeriatric patients. INDICATIONS: Trochanteric fragility fractures (type 31-A1-3). CONTRAINDICATIONS: Ipsilateral arthritis of the hip, leakage of contrast agent into the hip joint, femoral neck fractures. SURGICAL TECHNIQUE: Reduction of the fracture on a fracture table if possible, or minimally invasive open reduction of the proximal femur, i. e., using collinear forceps if necessary. Positioning of guidewires for adjustment of the PFNA and the spiral blade, respectively. Exclusion of leakage of contrast agent and subsequent injection of TRAUMACEM™ V(+) into the femoral head-neck fragment via a trauma needle kit introduced into the spiral blade. Dynamic or static locking of the PFNA at the diaphyseal level. POSTOPERATIVE MANAGEMENT: Immediate mobilization of the patients with full weight-bearing and secondary prevention, such as osteoporosis management is necessary to avoid further fractures in the treatment of these patients.

resultsA total of 110 patients older than 65 years underwent the procedure. Of the 72 patients available for follow-up (average age 85.3 years), all fractures healed after an average of 15.3 months. No complications related with cement augmentation were observed. Approximately 60 % of patients achieved the mobility level prior to trauma.

Indexed as

Bone NailsAgedAged, 80 and overBone CementsCombined Modality TherapyFemaleFracture Fixation, IntramedullaryHip FracturesHumansMaleOsteoporotic FracturesPlastic Surgery ProceduresPolymethyl MethacrylateRange of Motion, ArticularTreatment OutcomeBone CementsPolymethyl MethacrylateBone fracturesElderlyHip fractureOsteoporosisWeight-bearing

Identifiers

PMID27245659
OpenAlexW2414796364

What OpenQuestion holds

Textmetadata
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.