Evidence map›Paper›PMID 31165917›Full record

SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019

Sliding hip screws versus cancellous screws for femoral neck fractures: a systematic review and meta-analysis.

Mohamed S A Shehata, Mohamed M Aboelnas, Ali N Abdulkarim, Ahmed R Abdallah, Hussien Ahmed, James Holton, Paolo Consigliere, Ali A Narvani, Asser A Sallam, James A Wimhurst and 1 more

Abstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Internal fixation implants for intracapsular hip fractures in older adults.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Pooled it
  4. Article
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  11. Review
  12. Observational
  13. Risk of Contralateral Hip Fracture Following Initial Hip Fracture Among Geriatric Fragility Fracture Patients.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. [Short- and medium-term effectiveness of percutaneous compression plate internal fixation in the treatment of femoral neck fractures in the elderly].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
    Article
  19. Article
  20. Standardizing statistics and data reporting in orthopaedic research.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021
    Article
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

11 authors at 7 institutions in 2 countries.

Mohamed S A ShehataFaculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohamed M AboelnasFaculty of Medicine, Cairo University, Cairo, Egypt.
Ali N AbdulkarimFaculty of Medicine, Cairo University, Cairo, Egypt.
Ahmed R AbdallahFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Hussien AhmedFaculty of Medicine, Zagazig University, Zagazig, Egypt.
James HoltonOxford University Hospitals, Oxford, UK.
Paolo ConsigliereSt George Trauma Centre, London, UK.
Ali A NarvaniRowley Bristow Orthopaedic Center, St Peter's Hospital, Chertsey, UK.
Asser A SallamDepartment of Orthopedic Surgery and Trauma, Suez Canal University Hospitals, Kilo 4.5 Ring Road, Ismailia, 41111, Egypt. assersallam@hotmail.com.ORCID http://orcid.org/0000-0002-0936-8296
James A WimhurstNorfolk and Norwich University Hospital, University of East Anglia, Norwich, UK.
Mohamed A ImamDepartment of Orthopedic Surgery and Trauma, Suez Canal University Hospitals, Kilo 4.5 Ring Road, Ismailia, 41111, Egypt.
Cairo University · EGUniversity of East Anglia · GBZagazig University · EGMansoura University · EGOxford University Hospitals NHS Trust · GBSt Peter's Hospital · GBSuez Canal University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBoth sliding hip screws (SHS) and cancellous screws are used in the surgical management of intracapsular femoral neck fracture. However, there is paucity of information as to which is the superior treatment modality. We performed this systematic review and meta-analysis study to compare the clinical outcomes of SHS and cancellous screws for the treatment of femoral neck fractures in adult patients.

methodsWe searched PubMed, Scopus, Web of Science, and Cochrane CENTRAL, up to December 2017. Randomized controlled trials (RCTs) directly comparing the clinical outcomes of SHS and cancellous screws for femoral neck fractures were retrieved with no language or publication year restrictions. Data retrieved included operative details, nonunion rate, avascular necrosis, reoperation, infection and mortality, hip pain, functional hip scores, and medical complications. These were pooled as risk ratio or mean difference (MD) with their corresponding 95% confidence interval (CI). Heterogeneity was assessed by Chi-square test.

resultsTen RCTs involving 1934 patients were included in the final analysis. The pooled estimate showed that the SHS group was associated with more intraoperative blood loss (MD = 110.01 ml, 95% CI [52.42, 167.60], p = 0.00002) than the cancellous screws. There was no significant difference in terms of operative time, postoperative hip function, nonunion, avascular necrosis, reoperation rate, infection, fracture healing, hip pain, medical complications, and mortality rate.

conclusionBased on our study, the cancellous screws group was associated with less intraoperative blood loss in comparison with the SHS group. No other significant differences were found between the two interventions.

Indexed as

Bone ScrewsBlood Loss, SurgicalFemoral Neck FracturesFemur Head NecrosisFracture Fixation, InternalFractures, UnunitedHip JointHumansOperative TimeRandomized Controlled Trials as TopicReoperationTreatment OutcomeCancellous screwsFemoral neck fracturesInternal fixationSliding hip screws

Identifiers

PMID31165917
OpenAlexW2955496613

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.