Evidence map›Paper›PMID 28258285›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2017

The challenge of non-union in subtrochanteric fractures with breakage of intramedullary nail: evaluation of outcomes in surgery revision with angled blade plate and allograft bone strut.

G Rollo, N Tartaglia, G Falzarano, P Pichierri, A Stasi, A Medici, L Meccariello

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 39 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

G RolloU.O.C. Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.
N TartagliaU.O.C. Orthopedics and Traumatology, Hospital Miulli, Acqua Viva delle Fonti, Italy.
G FalzaranoU.O.C. Orthopedics and Traumatology, Department of Emergency, Azienda Ospedaliera Gaetano Rummo, Via dell'Angelo 1, Benevento, Italy.
P PichierriU.O.C. Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.
A StasiU.O.C. Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.
A MediciU.O.C. Orthopedics and Traumatology, Department of Emergency, Azienda Ospedaliera Gaetano Rummo, Via dell'Angelo 1, Benevento, Italy.
L MeccarielloU.O.C. Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy. drlordmec@gmail.com.
Ospedale Vito Fazzi · ITAzienda Ospedaliera G.Rummo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSubtrochanteric fractures have a bimodal age distribution. They usually require open reduction and internal fixation. Closed reduction and intramedullary nail fixation rate are increased for this type of fracture. As a result, the hardware breakage and non-union rate is high among such patients. Our purpose is to evaluate the outcomes of the role of blade plate and bone strut allograft in the management of subtrochanteric non-union by femoral nailing. MATERIALS AND

methodsWe reported a group of 22 patients with subtrochanteric non-union, associated with breakage of the intramedullary nail with medial femoral allograft bone and lateral blade plate and wire (PS) s; and a group of 13 patients with subtrochanteric non-union, associated with breakage of the intramedullary nail treated with lateral blade plate and screws (CG). The chosen criteria to evaluate the two group during the clinical and radiological follow-up were the quality of life, measured by The Short Form (12) Health Survey (SF-12), the hip function and quality of life related to it, measured by the Harris Hip Score (HHS), bone healing, measured by Radiographic Union Score (RUS) by XR and CT at 1 year after the surgery, and postoperative complications. The evaluation endpoint was set at 12 months.

resultsThe Bone healing measured by RUS occurred and also the full recovery before the first trauma measured by SF-12 and HHS are better in PS group. We only had three unimportant complications in PS while four breakage hardware in CG.

conclusionWe conclude that in complicated non-unions, the use of blade plate and bone strut allograft has a definite positive role in the management of such cases.

Indexed as

Bone NailsAgedAged, 80 and overBone PlatesBone TransplantationEquipment FailureFemaleFracture Fixation, IntramedullaryFracture HealingHip FracturesHumansItalyMaleMiddle AgedPostoperative ComplicationsQuality of LifeAllograft bone strutBlade plateBone healingNail breakageNon unionSubtrochanteric complications

Identifiers

PMID28258285
OpenAlexW2593446720

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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.