Evidence map›Paper›PMID 31900496›Full record

SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020

Rehabilitation protocols in unstable trochanteric fractures treated with cephalomedullary nails in elderly: current practices and outcome.

Xavier Lizano-Díez, Marius Johann Baptist Keel, Klaus Arno Siebenrock, Marc Tey, Johannes Dominik Bastian

Open access · bronzeAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. New Prognostic Factors in Operated Extracapsular Hip Fractures: Infection and GammaTScore.International journal of environmental research and public health · 2022
    Article
  4. Results of revision intramedullary nailing with and without auxillary plate in aseptic trochanteric and subtrochanteric nonunion.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  5. Long-term outcomes of distal locking in extracapsular fractures treated with trochanteric Gamma3 nails.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021
    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 3 institutions in 2 countries.

Xavier Lizano-DíezDepartment of Orthopaedic Surgery and Traumatology, Fundació Hospital de L'Esperit Sant, Universitat de Barcelona (UB), Santa Coloma de Gramenet, Barcelona, Spain.
Marius Johann Baptist KeelDepartment of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, Freiburgstrasse 18, 3010, Bern, Switzerland.
Klaus Arno SiebenrockDepartment of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, Freiburgstrasse 18, 3010, Bern, Switzerland.
Marc TeyDepartment of Orthopaedic Surgery and Traumatology, Parc de Salut Mar, Hospital del Mar and Hospital de L'Esperança, Universitat Autonoma de Barcelona (UAB), Barcelona, Spain.
Johannes Dominik BastianDepartment of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, Freiburgstrasse 18, 3010, Bern, Switzerland. johannes.bastian@insel.ch.ORCID http://orcid.org/0000-0002-0708-4097
University of Bern · CHHospital de l'Esperança · ESUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptimal rehabilitation treatment after surgery for fixation of unstable trochanteric fractures is challenging in elderly patients. PURPOSE: The objective of this study is to analyse the existing literature on available rehabilitation protocols with regards to permitting or restricting early weight bearing following fixation of unstable trochanteric fractures treated by the use of cephalomedullary nails in patients at least 65 years of age.

methodsA systematic review was performed based on the checklist of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Studies published between 1948 and 2018 on elderly patients with unstable trochanteric fractures treated with cephalomedullary nails that offered information on the postoperative rehabilitation protocol have been selected. Subsequently, the results and complications have been analysed according to the protocols.

resultsFifteen of the 7056 initial articles have been selected for analysis. Authors who did not restrict weight bearing to their patients reported a shorter hospitalization time and a lower orthopaedic complication rate but a greater systemic complication rate, worse functional scores, and a higher reoperation and mortality rates. Those results should be taken with caution because of the heterogeneity of provided clinical information and the fact that none of the included studies considered the different rehabilitation protocols as study variables to analyse its influence on the results.

conclusionWith evidence available to date, there is no clear agreement on the postoperative rehabilitation protocol following fixation of an unstable trochanteric fracture by cephalomedullary nail in the elderly.

Indexed as

Bone NailsAgedFracture Fixation, IntramedullaryHip FracturesHumansWeight-BearingAftercareNailRehabilitationTrochantericUnstableWeight bearing

Identifiers

PMID31900496
OpenAlexW2998495161

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.