Evidence map›Paper›PMID 30210200›Full record

ArticleJournal of orthopaedics2018

CT-measurement predicts shortening of stable intertrochanteric hip fractures.

Garin Hecht, Trevor J Shelton, Augustine M Saiz, Parker B Goodell, Philip Wolinsky

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 83% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Trial
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

5 authors at 3 institutions in 1 country.

Garin HechtDepartment of Orthopaedics and Sports Medicine, Harborview Medical Center, USA.
Trevor J SheltonDepartment of Orthopedics, University of California, Davis, USA.
Augustine M SaizDepartment of Orthopedics, University of California, Davis, USA.
Parker B GoodellUCSF-Fresno, Department of Orthopaedic Surgery, USA.
Philip WolinskyDepartment of Orthopedics, University of California, Davis, USA.
University of California, Davis · USCalifornia State University, Fresno · USHarborview Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntertrochanteric (IT) hip fractures can be treated with sliding hip screws (SHS) or cephalomedullary nails (CMN) based on the stability of the fracture. This stability is affected by the initial impaction of the fracture which can be difficult to assess. The aim of this paper is to develop specific pre-operative computed tomography (CT) measurements of IT fractures which are predictive of post-operative shortening.

methodsA retrospective review was performed of 141 patients with AO/OTA 31A1 or 31A2 fracture patterns, who had pre-operative radiographs and CT scans, and who were treated with a SHS or a CMN. Pre-operative and post-operative imaging of IT fractures were analyzed for those fractures that shortened ≥15 mm post-fixation.

results11 fractures shortened ≥15 mm with CMN being protective of shortening (6/36 SHS versus 5/105 CMN,

conclusionsMeasuring the CTP is predictive of post-operative shortening after fixation of an IT fracture with a SHS. CMN fixation may be protective of shortening. Patients with a CTP of ≤9 mm are at risk for fracture site shortening of more than 15 mm when treated with a SHS.

Indexed as

Cephalomedullary nailComputed tomographyHip fractureSliding hip screw

Identifiers

PMID30210200
PMCPMC6134156
OpenAlexW2890389340

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.