SynthesisMedicine2018
Suprapatellar versus infrapatellar intramedullary nailing for treatment of tibial shaft fractures in adults.
Synthesis in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled 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.
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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review and meta-analysis comparing suprapatellar versus infrapatellar approach intramedullary nailing for tibal shaft fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Infrapatellar versus suprapatellar approach for intramedullary nailing of the tibia: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- Comparison of Infrapatellar and Suprapatellar Intramedullary Nails with New Clinical Score for Fixation of Tibial Shaft Fractures.Journal of functional morphology and kinesiology · 2025Article
- Suprapatellar Technique for Tibia Fractures: Is the Fracture Level Important?Journal of orthopaedic case reports · 2025Article
- Comparison of lateral parapatellar vs. infrapatellar approaches for intramedullary nailing for tibial shaft fractures.Frontiers in surgery · 2025Article
- Infrapatellar branch of the saphenous nerve lesion following tibial nailing: it is possible to avoid it?Musculoskeletal surgery · 2024Review
- Assessing the effectiveness of intramedullary nailing for tibial shaft fractures in a low-income setting: a prospective study in Yemen.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Arthroscopically Assisted Suprapatellar Tibial Nail Removal.Arthroscopy techniques · 2023Article
- Suprapatellar Tibial Nailing: Future or Fad?Journal of clinical medicine · 2023Article
- Controlling the angle between the distal locking screw and tibiotalar joint tangent helps to reduce the occurrence of misalignment of distal tibial fractures treated with intramedullary nail fixation.BMC musculoskeletal disorders · 2022Article
- Cartilaginous defect of the lateral trochlea following suprapatellar nailing of an open tibial shaft fracture: a case report.Journal of surgical case reports · 2022Article
- Suprapatellar versus infrapatellar approach for intramedullary nail fixation of tibial shaft fractures: a review of the literature.OTA international : the open access journal of orthopaedic trauma · 2022Article
- Trochlear Lesion Caused by Suprapatellar Intramedullary Nailing and Treated with Autologous Chondrocytes Implant.Journal of orthopaedic case reports · 2022Article
- New method to remove tibial intramedullary nail through original suprapatellar incision: A case report.World journal of clinical cases · 2022Article
- Lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach.BMC musculoskeletal disorders · 2021Article
- Clinical Faceoff: Suprapatellar Tibial Nailing for Tibia Fractures.Clinical orthopaedics and related research · 2020Article
- Clinical analysis of an anchor nail combined with a titanium cable in the treatment of lower patella fractures.The Journal of international medical research · 2020Article
- Suprapatellar versus infrapatellar approaches in the treatment of tibia intramedullary nailing: a retrospective cohort study.BMC musculoskeletal disorders · 2019Article
- Intramedullary nailing through a suprapatellar approach. Evaluation of clinical outcome after removal of the device using the infrapatellar approach.Acta bio-medica : Atenei Parmensis · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNumerous studies have compared suprapatellar (SP) nailing to infrapatellar (IP) nailing for treatment of tibial shaft fractures; however, the best strategy remains controversial. The aim of this meta-analysis is to assess whether SP or IP nailing is more effective for tibial shaft fractures in adults.
methodsLiterature searches of PubMed, Embase, OVID, Cochrane Library, Web of Science, Chinese Biomedical Literature, Wanfang, Weipu Journal, and CNKI databases were performed up to July 2017. Only randomized controlled trials (RCTs) comparing SP versus IP intramedullary nailing for tibial shaft fractures were included. Data collection and extraction, quality assessment, and data analyses were performed according to the Cochrane standards.
resultsTwelve RCTs were selected for analysis. SP intramedullary nailing reduced knee joint pain, visual analog score, fluoroscopy time, and sagittal angle, resulting in better Harris hip score, Lysholm knee score, short-form 36 questionnaire, range of motion, and rates of "excellent" and "good" outcome. There were no significant differences in operative time, blood loss, length of hospital stay, union time, and coronal angle between groups.
conclusionThe present meta-analysis indicates that SP intramedullary nailing has obvious advantages over IP intramedullary nailing for treatment of tibial shaft fractures in adults. However, owing to the low-quality evidence currently available, additional high-quality RCTs are needed to confirm these findings.
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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.