Evidence map›Paper›PMID 31700206›Full record

ArticleJournal of clinical orthopaedics and trauma2019

Is PFNA-II a better implant for stable intertrochanteric fractures in elderly population ? A prospective randomized study.

Navin Kumar Singh, Vijay Sharma, Vivek Trikha, Shiva Gamanagatti, Amit Roy, Avtar Singh Balawat, Palaniswamy Aravindh, Amrut Raje Diwakar

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

Article in Journal of clinical orthopaedics and trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 7 pooled it
6.6field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 7 syntheses or guidelines pooled it, 45 citations in OpenAlex.

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  13. Post hip fracture orthogeriatric care-a Canadian position paper addressing challenges in care and strategies to meet quality indicators.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Review
  14. Evaluation of the effect of proximal femur geometry on results of geriatric intertrochanteric fracture surgery.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Navin Kumar SinghDepartment of Orthopedics, All India Institute of Medical Sciences, New Delhi, India.
Vijay SharmaDepartment of Orthopedics, All India Institute of Medical Sciences, New Delhi, India.
Vivek TrikhaDepartment of Orthopedics, All India Institute of Medical Sciences, New Delhi, India.
Shiva GamanagattiDepartment of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.
Amit RoyDepartment of Orthopedics, All India Institute of Medical Sciences, New Delhi, India.
Avtar Singh BalawatDepartment of Orthopedics, All India Institute of Medical Sciences, New Delhi, India.
Palaniswamy AravindhDepartment of Orthopedics, All India Institute of Medical Sciences, New Delhi, India.
Amrut Raje DiwakarDepartment of Orthopedics, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntertrochanteric fracture is one of the most common and severe fractures occurring in the elderly population. We conducted a randomized prospective study to compare the functional and radiological outcome of Proximal Femoral Nail anti-rotation-Asia(PFNA-II) and Dynamic Hip screw (DHS) used in fixation of stable (AO type 31 A1-A2.1) intertrochanteric fractures in elderly.

methods60 elderly patients with stable intertrochanteric fractures treated with DHS and PFNA-II between August 2014 to Dec 2016 were enrolled in the study. Intraoperative variables-surgical time, blood loss, fluoroscopy time and post-operative variables-union rate, change in neck shaft angle(NSA), functional outcome in terms of Modified Harris Hip Score(HHS) & SF-12, complication rate and mortality at one year were studied and compared between both the groups.

resultsThe mean age of patients in our study was 70.96 years. We found patients treated with DHS required significantly longer surgical time and had more blood loss compared to PFNA-II group. However, there was no significant difference in both the groups in terms of intra-operative fluoroscopy time, change in neck shaft angle, union rate, complication rate and Modified Harris Hip Score & SF-12 at three months; six months and one year follow-up.

conclusionsBoth DHS and PFNA-II can be used effectively in the treatment of elderly patients with stable intertrochanteric fracture with comparable outcome. However, in high-risk elderly patients requiring shorter surgical time and less blood loss, PFNA-II can be used.

Indexed as

DHSElderlyIntertrochanteric fracturesPFNA-II

Identifiers

PMID31700206
PMCPMC6823828
OpenAlexW2914786991

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.