Evidence map›Paper›PMID 32201631›Full record

ArticleGeriatric orthopaedic surgery & rehabilitation2020

Predicting Factors for Return to Prefracture Ambulatory Level in High Surgical Risk Elderly Patients Sustained Intertrochanteric Fracture and Treated With Proximal Femoral Nail Antirotation (PFNA) With and Without Cement Augmentation.

Noratep Kulachote, Paphon Sa-Ngasoongsong, Norachart Sirisreetreerux, Kulapat Chulsomlee, Sorawut Thamyongkit, Siwadol Wongsak

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Geriatric orthopaedic surgery & rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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  14. Review
  15. Trochanteric fixation nail advanced with helical blade and cement augmentation: early experience with a retrospective cohort.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021
    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

6 authors at 1 institution in 1 country.

Noratep KulachoteDepartment of Orthopedics, Mahidol University, Samut Prakan, Thailand.
Paphon Sa-NgasoongsongDepartment of Orthopedics, Mahidol University, Samut Prakan, Thailand.ORCID https://orcid.org/0000-0003-1936-4456
Norachart SirisreetreeruxDepartment of Orthopedics, Mahidol University, Samut Prakan, Thailand.
Kulapat ChulsomleeDepartment of Orthopedics, Mahidol University, Samut Prakan, Thailand.
Sorawut ThamyongkitDepartment of Orthopedics, Mahidol University, Samut Prakan, Thailand.
Siwadol WongsakDepartment of Orthopedics, Mahidol University, Samut Prakan, Thailand.
Mahidol University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPostoperative outcomes in the elderly patients with intertrochanteric fracture were generally poor with a low rate of return to prefracture ambulatory level (RPAL). Recent studies showed that proximal femoral nail antirotation (PFNA) with cement augmentation might be useful for postoperative functional recovery. This study aimed to compare the outcomes in elderly patients with high surgical risk, American Society of Anesthesiologist (ASA) grade 3 or 4, who sustained intertrochanteric fractures and were treated with PFNA with and without cement augmentation, and to correlate perioperative surgical factors with the RPAL.

methodsA retrospective consecutive series was conducted based on 135 patients with prefracture ambulation classified as independent in community with or without a single cane (68 in augmented group and 67 in control group). Perioperative data and data on the complications within 1-year postsurgery were collected and compared. Predictive factors for RPAL were analyzed via logistic regression analysis.

resultsThe overall 1-year postoperative mortality rate was 10% (n = 14) with no significant difference between groups ( DISCUSSION AND

conclusionsThe results of the present study showed that PFNA with cement augmentation is safe and effectiveness in the intertrochanteric fracture treatment of elderly. Postoperative functional recovery, like RPAL, in elderly patients who sustained intertrochanteric fractures is relatively low, especially in those with ASA grade 4. However, cement augmentation with PFNA might be helpful for increasing the RPAL in high-surgical-risk geriatric patients.

Indexed as

cement augmentationPFNApostoperative functional recoverypredictive factorreturn to prefracture ambulatory level

Identifiers

PMID32201631
PMCPMC7068744
OpenAlexW3012307561

What OpenQuestion holds

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LicenceCC BY-NC
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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.