Evidence map›Paper›PMID 31882018›Full record

ArticleEuropean journal of medical research2019

Total hip arthroplasty for intertrochanteric fracture fixation failure.

Liyun Liu, Yongqiang Sun, Linlin Wang, Qiankun Gao, Ang Li, Jialin Wang, Yanzheng Gao

Open access · goldAbstract read
In one paragraph

Article in European journal of medical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

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  17. Trochanteric Bolt Failure in a Modular Femoral Revision System.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023
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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

7 authors at 3 institutions in 1 country.

Liyun LiuSchool of Medicine, Henan University, Kaifeng, 475004, Henan, People's Republic of China.
Yongqiang SunLuoyang Orthopedic Hospital of Henan Province, Orthopedic Hospital of Henan Province, Zhengzhou, 45000, Henan, People's Republic of China.
Linlin WangLuoyang Orthopedic Hospital of Henan Province, Orthopedic Hospital of Henan Province, Zhengzhou, 45000, Henan, People's Republic of China.
Qiankun GaoLuoyang Orthopedic Hospital of Henan Province, Orthopedic Hospital of Henan Province, Zhengzhou, 45000, Henan, People's Republic of China.
Ang LiHenan Provincial People's Hospital, Zhengzhou University People's Hospital, 7 Weiwu Road, Zhengzhou, 450003, Henan, People's Republic of China.
Jialin WangHenan Provincial People's Hospital, Zhengzhou University People's Hospital, 7 Weiwu Road, Zhengzhou, 450003, Henan, People's Republic of China.
Yanzheng GaoHenan Provincial People's Hospital, Zhengzhou University People's Hospital, 7 Weiwu Road, Zhengzhou, 450003, Henan, People's Republic of China. gyz9998@yeah.net.
Luoyang Orthopedic-Traumatological Hospital of Henan Province · CNHenan Provincial People's Hospital · CNZhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntertrochanteric fracture is a common fracture suffered by elderly patients. Total hip arthroplasty (THA) is regarded as a salvage operation to restore hip joint function after fixation failure, which remains somewhat controversial due to some clinical potential issues.

methods18 elderly patients (average age 70.3 years) each with intertrochanteric fracture fixation failure treated with THA between September 2013 and October 2016 were retrospectively analyzed. Internal fixation treatments involved 5 patients who had received proximal femoral nail anti-rotation, 7 who received locking proximal femur plates and 6 who received dynamic hip screws. All patients were treated with THA using biological acetabular prosthesis and hip arthroplasty (HA) coating skillet femoral prosthesis, with the greater trochanter fixed using wire or steel when necessary. Patients' Harris scores pre- and post-treatment, SF-36 Health Questionnaire score and digital radiology (DR) were used for joint prostheses initial stability and survival evaluation.

results15 patients completed follow-up periods ranging between 19 and 54 months (mean 26.2 months; 1 patient died from a pulmonary embolism, 1 patient died from pulmonary heart disease 1 year after surgery and 1 patient withdrew for personal reasons). There were no joint infections, periprosthetic fractures or dislocations. The average Harris score increased significantly, from 32.68 ± 12.04 points before surgery to 91.08 ± 5.9 points at 24 months post-treatment. SF-36 scores were significantly increased.

conclusionTHA as salvage treatment for failed internal fixation of intertrochanteric femoral fractures in elderly patients significantly reduced hip pain and restored joint function, and early clinical outcomes were satisfactory.

Indexed as

Bone NailsRecovery of FunctionAgedArthroplasty, Replacement, HipFemaleFemurFollow-Up StudiesFracture Fixation, InternalHip FracturesHip ProsthesisHumansMaleMiddle AgedProsthesis FailureReoperationRetrospective StudiesArthroplastyElderly patientFixation failureHipIntertrochanteric fracture

Identifiers

PMID31882018
PMCPMC6935170
OpenAlexW2997105887

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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.