Evidence map›Paper›PMID 31194045›Full record

ArticleJournal of orthopaedic translation2019

Treatment of trauma-induced femoral head necrosis with biodegradable pure Mg screw-fixed pedicle iliac bone flap.

Lingling Chen, Zefeng Lin, Ming Wang, Wenhan Huang, Jin Ke, Dewei Zhao, Qingshui Yin, Yu Zhang

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of orthopaedic translation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Biomechanical evaluation of percutaneous compression plate and femoral neck system in Pauwels type III femoral neck fractures.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. [Clinical study of a new biodegradable magnesium internal fixation screw in treatment of osteonecrosis of the femoral head].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022
    Article
  10. The effect of anteromedial support plate with three cannulated screws in the treatment of Pauwels type III femoral neck fracture in young adults.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  11. Magnesium-Based Alloys Used in Orthopedic Surgery.Materials (Basel, Switzerland) · 2022
    Review
  12. Article
  13. Review
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

8 authors at 5 institutions in 1 country.

Lingling ChenSouthern Medical University, Guangzhou, 510515, China.
Zefeng LinGuangdong Key Laboratory of Orthopedic Technology and Implant Materials, Guangzhou, 510010, China.
Ming WangSouthern Medical University, Guangzhou, 510515, China.
Wenhan HuangDepartment of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.
Jin KeGuangdong Key Laboratory of Orthopedic Technology and Implant Materials, Guangzhou, 510010, China.
Dewei ZhaoOrthopedic Department, Affiliated Zhongshan Hospital of Dalian University, Dalian, 116001, China.
Qingshui YinSouthern Medical University, Guangzhou, 510515, China.
Yu ZhangDepartment of Orthopaedics, Guangdong Provincial People's Hospital, Guangzhou, 510080, China.
General Hospital of Guangzhou Military Command · CNSouthern Medical University · CNAffiliated Zhongshan Hospital of Dalian University · CNGuangdong Provincial People's Hospital · CNPrince of Wales Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe avascular necrosis of the femoral head represents the death of bone tissue due to the lack of blood supply. The disease has a progressive evolution; it leads to femoral head collapse and severe arthritis when left untreated. The application of a pedicled bone flap graft is an effective treatment for femoral head necrosis. A pure Mg screw is a kind of degradable screw that can fix the grafted bone flap and prevent long-term stress occlusion and secondary dissection. CASE PRESENTATION: The report shows the results of the treatment of traumatic femoral head necrosis with a pedicled bone flap with pure Mg screw. A patient had avascular necrosis of the femoral head after 2 years of internal fixation of the femoral neck fracture. We removed the patient's internal fixation hollow nail, cleaned the necrotic bone tissue and took part of the same ipsilateral pedicle iliac bone graft in the femoral head defect with biodegradable pure Mg screw fixation. Within 2 years after the surgery, the patients had no significant progressive necrosis of the femoral head. Postoperative Harris scores showed that the patient's left hip function was significantly improved compared with his preoperative state. The pure Mg screw in the body had gradually degraded. After 2 years, the screw's diameter had been significantly reduced compared with 3 days after the surgery. The postoperative Harris score showed that the patient's left hip function was significantly improved compared with the second preoperative examination. DISCUSSION: The discussion includes the reasons for the choices of surgical approaches, the mode of pure Mg screw degradation and the postoperative functional assessment of the patient's left hip.

conclusionPure Mg screw fixation pedicled bone flap transplantation is an effective surgical treatment for femoral head necrosis in young patients. Pure Mg screw is a biodegradable internal fixation device with good biocompatibility, which has a good clinical application prospects. THE TRANSLATIONAL POTENTIAL OF THIS ARTICLE: Degradable pure Mg screw has the potential to preserve hip joint therapy for the treatment of femoral head necrosis.

Identifiers

PMID31194045
PMCPMC6551358
OpenAlexW2912007627

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LicenceCC BY-NC-ND
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Registered trials

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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.