Evidence map›Paper›PMID 31996965›Full record

ReviewOperative Orthopadie und Traumatologie2020

Suprapatellar nailing of fractures of the tibia.

Martin H Hessmann, Michael Buhl, Chris Finkemeier, Amal Khoury, Rami Mosheiff, Michael Blauth

Abstract readReview
PubMed Publisher
In one paragraph

Review in Operative Orthopadie und Traumatologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  4. [Comparison of effectiveness of tibial intramedullary nailing fixation via suprapatellar approach and medial parapatellar approach in treatment of multiple tibial fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
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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

6 authors at 3 institutions in 4 countries.

Martin H HessmannAcademic Teaching Hospital Fulda, Pacelliallee 4, 36043, Fulda, Germany. Martin.Hessmann@klinikum-fulda.de.
Michael BuhlAcademic Teaching Hospital Fulda, Pacelliallee 4, 36043, Fulda, Germany.
Chris FinkemeierSutter Roseville Medical Center, PO Box 2070, 95746, Granite Bay, CA, USA.
Amal KhouryOrthopedic Trauma Unit, Hadassah Ein Kerem Hospital, Hebrew University Medical Center, P.O.B. 12000, 91120, Jerusalem, Israel.
Rami MosheiffOrthopedic Surgery Department, Hadassah Ein Kerem Hospital, Hebrew University Medical Center, P.O.B. 12000, 91120, Jerusalem, Israel.
Michael BlauthDepartment for Trauma Surgery, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Hadassah Medical Center · ILInnsbruck Medical University · ATSutter Roseville Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIntramedullary nailing of tibia fractures via a suprapatellar, transarticular approach with the knee joint in 20-30° of flexion and the use of specific protection tubes to preserve intra-articular structures. INDICATIONS: Extra-articular fractures of the proximal tibia; simple and comminuted fractures of the tibia diaphysis; segmental diaphyseal fractures of the tibia; extra-articular fractures of the distal tibia and fractures with simple intra-articular distal extension; floating knee injuries. CONTRAINDICATIONS: Gustilo grade 3C open fractures of the tibia; severe soft tissue laceration, contamination or infection in the suprapatellar area; ipsilateral knee joint prosthesis; knee arthrodesis; implants blocking the nail entry point. SURGICAL TECHNIQUE: Via a suprapatellar, transarticular approach an intramedullary tibia nail is inserted after anatomical reposition of the tibial fracture with the knee joint in 20-30° of flexion. Use of specific protection tubes to preserve intra-articular structures. The proximal and distal locking configuration depends upon the specific fracture characteristics.

resultsIn all, 61 patients underwent suprapatellar tibia nailing and were under follow-up at least until fracture union. Twelve patients suffered from an open fracture. A total of 17 patients had a distal third fracture, 8 sustained a proximal third fracture and 36 had a shaft fracture. Follow-up focused on patients with distal fractures; 6/17 patients sustained open fractures. Average time to union was 9 weeks. One fracture did not heal and required exchange nailing. Two patients complained about anterior knee pain. Functionally, full range of motion was regained in all patients.

Indexed as

Bone NailsFracture Fixation, IntramedullaryTibial FracturesHumansTibiaTreatment OutcomeApproachBone nailsComplicationsExpert Tibia Nail®Surgical technique

Identifiers

PMID31996965
OpenAlexW3003924797

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.