Evidence map›Paper›PMID 32828132›Full record

ReviewBMC musculoskeletal disorders2020

Revision surgery due to failed internal fixation of intertrochanteric femoral fracture: current state-of-the-art.

Pei Liu, Dongxu Jin, Changqing Zhang, Youshui Gao

Registry-linked trialOpen access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07738458 (Robot-Assisted Closed Reduction and Internal Fixation for Intertrochanteric Femoral Fractures), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT07738458 narecruitingnot on this mapstarted 2026, after this paper: background citation

Robot-Assisted Closed Reduction and Internal Fixation for Intertrochanteric Femoral Fractures: A Randomized Controlled Trial

TypeinterventionalSponsorBeijing Jishuitan HospitalRan2026 to 2028Enrolled60ConditionsIntertrochanteric Fractures, Intertrochanteric Fractures of the Hip, Intertrochanteric Fractures of the FemurArmsRobot-assisted closed reduction and internal fixation, Conventional manual closed reduction and internal fixation
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Pei LiuDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Xuhui, Shanghai, 200233, China.
Dongxu JinDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Xuhui, Shanghai, 200233, China.
Changqing ZhangDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Xuhui, Shanghai, 200233, China. zhangcq@sjtu.edu.cn.
Youshui GaoDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Xuhui, Shanghai, 200233, China. gaoyoushui@sjtu.edu.cn.ORCID http://orcid.org/0000-0001-9242-2486
Shanghai Jiao Tong University · CN

Funding

School of Medicine, Shanghai Jiao Tong University DLY201616Shanghai Municipal Health Bureau 2014ZYJB0301, 16CR1038B, 201840041
6 · The paper itself

Abstract

Failed treatment of intertrochanteric (IT) femoral fractures leads to remarkable disability and pain, and revision surgery is frequently accompanied by higher complication and reoperation rates than primary internal fixation or primary hip arthroplasty. There is an urgent need to establish a profound strategy for the effective surgical management of these fragile patients. Salvage options are determined according to patient physiological age, functional level, life expectancy, nonunion anatomical site, fracture pattern, remaining bone quality, bone stock, and hip joint competency. In physiologically young patients, care should be taken to preserve the vitality of the femoral head with salvage internal fixation; however, for the elderly population, conversion arthroplasty can result in early weight bearing and ambulation and eliminates the risks of delayed fracture healing. Technical challenges include a difficult surgical exposure, removal of broken implants, deformity correction, critical bone defects, poor bone quality, high perioperative fracture risk, and prolonged immobilization. Overall, the salvage of failed internal fixations of IT fractures with properly selected implants and profound techniques can lead to the formulation of valuable surgical strategies and provide patients with satisfactory clinical outcomes.

Indexed as

Arthroplasty, Replacement, HipHip FracturesAgedFracture Fixation, InternalHumansReoperationRetrospective StudiesSalvage TherapyTreatment OutcomeFailed fracture fixationHip fractureIntertrochanteric femoral fractureRevision surgerySalvage internal fixation

Identifiers

PMID32828132
PMCPMC7443291
OpenAlexW3081146098

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.