Evidence map›Paper›PMID 32696332›Full record

ArticleInternational orthopaedics2020

Retrograde intramedullary nailing below a hip arthroplasty prosthesis: a viable fixation option for periprosthetic and interprosthetic femur fractures.

Raveesh D Richard, Roman M Natoli, Anthony T Sorkin, Walter W Virkus, Greg E Gaski

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Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Retrograde nail/plate combination for interprosthetic femoral fractures: technical note and case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  2. Rates of interlock screw back-out are high with the retrograde femoral nailing advanced system for distal femur fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  3. Treatment Algorithm of Periprosthetic Femoral Fracturens.Geriatric orthopaedic surgery & rehabilitation · 2022
    Review
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 2 institutions in 2 countries.

Raveesh D RichardCentura Orthopaedics & Spine, 9949 S. Oswego St, Ste 200, Parker, CO, 80134, USA. raveeshrichard@centura.org.ORCID http://orcid.org/0000-0001-5253-9276
Roman M NatoliDepartment of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Anthony T SorkinDepartment of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Walter W VirkusDepartment of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Greg E GaskiDepartment of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Indiana University School of MedicineGGz centraal · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriprosthetic femur fractures (PPFF) distal to a femoral stem are traditionally treated with open reduction and internal fixation (ORIF) with plate and screws. To our knowledge, no studies exist comparing outcomes following ORIF vs retrograde intramedullary nails (RIMN) for this injury.

methodsThis is a retrospective comparison of PPFFs distal to a femoral stem treated by ORIF (n = 17) vs RIMN (n = 13). The primary outcome was unplanned re-operation.

resultsThere was no difference in unplanned re-operation (17.6 vs 23.1%, p > 0.99), infection, nonunion, refracture, and alignment between groups. The RIMN group had shorter surgical time (89 vs 157 min, p < 0.01), less blood loss (137 vs 291 ml, p = 0.03), and greater obesity.

conclusionRIMN is a potential option for operative fixation of PPFF distal to a femoral stem worthy of additional study.

Indexed as

Arthroplasty, Replacement, HipFemoral FracturesFracture Fixation, IntramedullaryHip FracturesPeriprosthetic FracturesBone NailsFemurFracture Fixation, InternalHumansRetrospective StudiesTreatment OutcomeFemuFractureinternal fixationInterprostheticIntramedullaryNailORIFPeriprostheticRetrograde

Identifiers

PMID32696332
OpenAlexW3045293874

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.