Evidence map›Paper›PMID 30410578›Full record

ArticlePatient safety in surgery2018

Safety and efficacy of a two-screw cephalomedullary nail for intertrochanteric femur fracture fixation: a retrospective case series in 264 patients.

Boris A Zelle, Antonio J Webb, Christopher Matson, Michael Morwood, Khang H Dang, Samuel S Ornell, Gabrielle Gostigian, Cody M Ramirez, Hassan Mir

Abstract read
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Article in Patient safety in surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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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

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Boris A ZelleDepartment of Orthopaedics, UT Health San Antonio, 7703 Floyd Curl Dr, MC-7774, San Antonio, TX 78229 USA.
Antonio J WebbDepartment of Orthopaedics, UT Health San Antonio, 7703 Floyd Curl Dr, MC-7774, San Antonio, TX 78229 USA.
Christopher Matson2Department of Orthopaedics, University of South Florida, Tampa, FL 33606 USA.
Michael Morwood3Department of Orthopaedics, Florida Orthopedic Institute, Tampa, FL 33606 USA.
Khang H DangDepartment of Orthopaedics, UT Health San Antonio, 7703 Floyd Curl Dr, MC-7774, San Antonio, TX 78229 USA.
Samuel S OrnellDepartment of Orthopaedics, UT Health San Antonio, 7703 Floyd Curl Dr, MC-7774, San Antonio, TX 78229 USA.
Gabrielle Gostigian2Department of Orthopaedics, University of South Florida, Tampa, FL 33606 USA.
Cody M RamirezDepartment of Orthopaedics, UT Health San Antonio, 7703 Floyd Curl Dr, MC-7774, San Antonio, TX 78229 USA.
Hassan Mir3Department of Orthopaedics, Florida Orthopedic Institute, Tampa, FL 33606 USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecent advances have led to the design of a new cephalomedullary nail, which aims to decrease the risk of failures in patients with intertrochanteric hip fractures by allowing for insertion of two interdigitating screws into the head segment. The goal of this study is to evaluate the safety and efficacy of this two-screw cephalomedullary nailing system. PATIENTS/

participantsPatients 18 years of age and older who underwent intramedullary nailing of their intertrochanteric femoral fracture using the InterTAN nailing system (Smith and Nephew, Memphis, TN) from 2012 to 2016 were included in this retrospective study which was performed at two urban certified level-1 trauma centers and one urban certified level-3 trauma center. The study data was collected through a retrospective chart review and review of the existing radiographic studies. Primary outcome measure was mechanical hardware failure and screw cutout. Secondary outcome measures included nonunion, malunion, medical and surgical complications.

resultsA total of 264 patients were included in this analysis. Two patients (0.75%) were found to have a screw cut out requiring revision surgery. Two other revision surgeries were performed for malrotation ( DISCUSSION: This modified cephalomedullary nail is a reliable, safe, and effective implant for management of intertrochanteric hip fractures. Surgical treatment of patients with intertrochanteric hip fractures can be performed in a safe fashion using this implant.

Indexed as

Cephalomedullary nailIntertrochanteric fractureMechanical failureSafety

Identifiers

PMID30410578
PMCPMC6218954

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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.