Evidence map›Paper›PMID 32818069›Full record

ReviewEFORT open reviews2020

Distal interlocking for short trochanteric nails: static, dynamic or no locking? Review of the literature and decision algorithm.

Alexei Buruian, Francisco Silva Gomes, Tiago Roseiro, Claudia Vale, André Carvalho, Emanuel Seiça, Antonio Mendes, Carlos Pereira

Open access · goldAbstract readReview
In one paragraph

Review in EFORT open reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.8field-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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. How accurately do finite element models predict the fall impact response of ex vivo specimens augmented by prophylactic intramedullary nailing?Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  3. Article
  4. [Research progress on distal interlocking screws of cephalomedullary nails in intertrochanteric fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Article
  5. 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

8 authors.

Alexei BuruianHospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal.ORCID https://orcid.org/0000-0003-4793-8832
Francisco Silva GomesHospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal.
Tiago RoseiroHospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal.
Claudia ValeHospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal.
André CarvalhoHospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal.
Emanuel SeiçaHospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal.
Antonio MendesHospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal.
Carlos PereiraHospital Distrital da Figueira da Foz, Figueira Da Foz, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pertrochanteric hip fractures are among the most common and the use of short cephalomedullary nails as the treatment of choice is increasing.A systematic review regarding distal locking options for short cephalomedullary nails was undertaken using Medline/PubMed®, Embase® and Cochrane Library® in order to evaluate current indications, associated complications and to provide treatment recommendations.The results seem to support the use of distal static locking for unstable fractures, dynamic locking for length stable/rotational unstable fractures and no locking for stable fractures.Complications associated with distal locking include iatrogenic fractures, thigh pain, delayed union and nonunion, implant failure, screw loosening and breaking, drill bit breaking, soft tissue irritation, femoral artery branch injury, intramuscular haematoma and compartment syndrome. It is also associated with longer operative time and radiation exposure.In unlocked constructs, dorsomedial comminution and nail/medullary canal mismatch contribute to peri-implant fractures. Anterior cortical impingement is associated with cut-out and nonunion.Most studies comparing distally locked and unlocked nails report a short follow-up.Distal locking mode should be based on the fracture's stability. Cite this article:

Indexed as

distallockednailpertrochantericshorttrochantericunlocked

Identifiers

PMID32818069
PMCPMC7407850
OpenAlexW3039598865

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.