SynthesisScientific reports2018
Comparing the Intramedullary Nail and Extramedullary Fixation in Treatment of Unstable Intertrochanteric Fractures.
Synthesis in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Pooled it
- Is lateral decubitus positioning without a traction table a safe option for unstable intertrochanteric fractures? A meta-analysis of randomized controlled trials.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Extramedullary versus intramedullary fixation of stable trochanteric femoral fractures: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Cephalo-medullary nailing versus dynamic hip screw with trochanteric stabilisation plate for the treatment of unstable per-trochanteric hip fractures: a meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- A randomized controlled trial of teriparatide for accelerating bone union and improving clinical outcomes in patients with pertrochanteric fracture fixation.Scientific reports · 2025Trial
- Intramedullary Nailing vs Sliding Hip Screw in Trochanteric Fracture Management: The INSITE Randomized Clinical Trial.JAMA network open · 2023Trial
- Intertrochanteric fractures treated with proximal femoral bionic nail versus proximal femoral nail antirotation versus InterTan Nail: A meta-analysis.Journal of orthopaedics · 2026Review
- Comparison of the Dynamic Cut-Out Failure Modes of Common Proximal Femoral Fixation Devices Using a Mesh-Free Computational Method.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
- Article
- Hemiarthroplasty vs. proximal femoral nail fixation in unstable pertrochanteric fractures: an updated systematic review and meta-analysis.Frontiers in surgery · 2026Review
- Cemented Bipolar Hemiarthroplasty with a Wiring Technique for Unstable Intertrochanteric Hip Fractures in Elderly Patients.Hip & pelvis · 2025Article
- Correlation between anxiety, depression, sense of coherence, and post-traumatic growth in patients who underwent intertrochanteric femoral fracture surgery.World journal of psychiatry · 2025Article
- Comparative analysis of proximal femoral nail and dynamic hip screw devices for the treatment of unstable trochanteric fractures AO31A2.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- The Effect of Pre-existing Advanced Osteoarthritis in Trochanteric Femoral Fractures on Post-intramedullary Nailing Quality of Life - A Retrospective Study.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Comparison of proximal femoral universal nail and proximal femoral nail anti-rotation internal fixation for older patients with intertrochanteric femoral fracture: a retrospective cohort study.Frontiers in medicine · 2025Article
- Flexible reamer use to overcome entry point errors in proximal femoral nail application in severe obese intertrochanteric fracture patients.BMC musculoskeletal disorders · 2024Article
- Functional Outcome of Intertrochanteric Fractures of the Femur Treated With Standard Surgical Modalities.Cureus · 2024Article
- A Novel Internal Fixation Design for the Treatment of AO/OTA-31A3.3 Intertrochanteric Fractures: Finite Element Analysis.Orthopaedic surgery · 2024Article
- Article
- Angle-Adjustable Dynamic Hip Screw Plate for Unstable Trochanteric Fractures in Middle-Aged Patients: Mid-Term Outcomes and Return to Sport.Journal of clinical medicine · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Treatment options for unstable intertrochanteric fractures include intramedullary nail and extramedullary fixation, although evidence regarding the most appropriate treatment for such fractures remains controversial. Our hypothesis was that there would be no obvious differences in mortality rates, functional outcomes and complications between the two groups. We therefore conducted a meta-analysis to compare the relative advantages of intramedullary nail and extramedullary fixation. A total of 10 randomized controlled trials including only patients with unstable intertrochanteric fractures were included in the final analysis. We found that no statistically significant difference in one-year mortality was observed between the two groups (RR: 0.78, 95% CI: 0.55-1.10, p = 0.160). Analysis of exact p values from five included studies indicated that functional outcomes were markedly better for patients of the intramedullary nail group when compared with those of the extramedullary fixation group (p = 0.0028), although evidence remains controversial. Higher incidences of all complications were noted for extramedullary fixation (RR:1.48, 95% CI: 1.12-1.96, p = 0.006). However, no significant differences in implant-related complications were observed between the two groups (RR:1.20, 95% CI: 0.73-1.97, p = 0.475). Therefore, comparing with extramedullary fixation, the intramedullary nail method would be more reliable and should be encouraging for unstable intertrochanteric fractures.
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Registered trials
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.