Evidence map›Paper›PMID 31664465›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Antegrade versus retrograde screw fixation of anterior column acetabular fractures: a biomechanical in vitro study.

Georg Osterhoff, Dag Wulsten, Satish Babu, Mark Heyland, Carlotta Pari

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07515092 (Virtual Reality-Based Simulation Training for Antegrade Anterior Column Acetabular Screw Placement in Orthopedic Residents), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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.

NCT07515092 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Virtual Reality-Based Simulation Training for Antegrade Anterior Column Acetabular Screw Placement in Orthopedic Residents: A Crossover Randomized Controlled Trial

TypeinterventionalSponsorBangkok Metropolitan Administration Medical College and Vajira HospitalRan2026 to 2027Enrolled20ConditionsVirtual Reality SimulationArmsVirtual reality based simulation training, Standard Training
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Biomechanical analysis of fixation methods in acetabular fractures: a systematic review of test setups.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Pooled it
  2. Article
  3. Article
  4. Focus on acetabular fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Article
  5. Article
  6. 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

5 authors at 5 institutions in 3 countries.

Georg OsterhoffDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany. georg.osterhoff@medizin.uni-leipzig.de.
Dag WulstenJulius Wolff Institute for Biomechanics and Musculoskeletal Regeneration, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, Berlin Institute of Health, Berlin, Germany.
Satish BabuTrauma and Orthopaedic Department, Frimley Park Hospital, Camberley, UK.
Mark HeylandJulius Wolff Institute for Biomechanics and Musculoskeletal Regeneration, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, Berlin Institute of Health, Berlin, Germany.
Carlotta PariOrthopaedic, and Trauma Department, Santa Maria Delle Croci Hospital, Ravenna, Italy.
Berlin Institute of Health at Charité - Universitätsmedizin Berlin · DEFreie Universität Berlin · DEFrimley Park Hospital · GBOspedale "Santa Maria delle Croci" di Ravenna · ITUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare the mechanical strength of antegrade versus retrograde lag screw fixation of anterior column acetabular fractures.

methodsStandardised anterior column fractures were created in synthetic pelvis models and stabilised by either antegrade (ANTE, n = 4) or retrograde (RETRO, n = 4) anterior column screw fixation. In a validated setup, a cyclic loading protocol was applied with increasing axial force (750 cycles, 250-750 N) followed by load to failure. Construct survival, energy absorbed, construct stiffness, and load to failure were assessed. Descriptive and opto-metric methods were used to describe the mode of failure.

resultsAll constructs failed with loads below 1500 N. With regard to energy absorbed until failure, the ANTE group resisted to 3.763 × 10

conclusionsIn this in vitro mechanical study, antegrade screw fixation of an anterior column acetabular fracture was not different in construct survival, load to failure, stiffness, and mode of failure when compared to retrograde screw fixation.

Indexed as

Fracture Fixation, InternalFractures, BoneAcetabulumBiomechanical PhenomenaBone PlatesBone ScrewsHumansAcetabular fractureAcetabulumBiomechanicalOsteoporosisPelvisScrew fixation

Identifiers

PMID31664465
OpenAlexW2982349687

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.