Evidence map›Paper›PMID 32912270›Full record

ArticleJournal of orthopaedic surgery and research2020

Ipsilateral proximal and shaft femoral fractures treated with bridge-link type combined fixation system.

Liangqi Kang, Hui Liu, Zhenqi Ding, Yiqiang Ding, Wei Hu, Jin Wu

Abstract readCase Reports
In one paragraph

Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

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

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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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Liangqi KangDepartment of Orthopedics, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou, 363000, China.
Hui LiuDepartment of Orthopedics, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou, 363000, China.
Zhenqi DingDepartment of Orthopedics, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou, 363000, China.
Yiqiang DingThe Affiliated Southeast Hospital of Xiamen University, Zhangzhou, 363000, China.
Wei HuThe Affiliated Southeast Hospital of Xiamen University, Zhangzhou, 363000, China.
Jin WuDepartment of Orthopedics, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou, 363000, China. wujin1983@xmu.edu.cn.ORCID http://orcid.org/0000-0002-6041-4462

Funding

Nanjing Military Region Medical Scientific and Technical Innovation Foundation Projects of People's Liberation Army of China ZD15029
6 · The paper itself

Abstract

backgroundAlthough many treatments for ipsilateral proximal and shaft femoral fractures have been developed, controversy exists regarding their optimal management. The purpose of this retrospective study was to discuss the effectiveness of the bridge-link type combined fixation system (BCFS) and evaluate functional outcomes in treating patients with these complex fractures. PATIENTS AND

methodsWe retrospectively reviewed 14 cases of ipsilateral proximal and shaft femoral fractures treated from January 2012 to December 2016. All cases were treated by BCFS combined with minimally invasive percutaneous plate osteosynthesis (MIPPO). Clinical and radiographic data were collected during regular post-operative follow-up visits. Functional outcomes were determined according to the Friedman and Wyman scoring system.

resultsThe proximal femoral fractures were emergency diagnoses in 11 cases and delayed diagnoses in 3 cases. The delay time was 5-6 days, with an average of 5.3 days. The mean operation time was 179.6 min (range 135-231 min) with a blood loss volume that ranged from 430 to 535 ml (average 483.6 ml). Follow-up was conducted in 13 cases between 9 and 30 months post-operation, with an average follow-up time of 17.3 months. The proximal femoral fractures were united in 12 cases at the final follow-up. One case had nonunion 13 months after the operation, underwent valgus intertrochanteric osteotomy, and healed 6 months later. The femoral shaft fractures obtained rigid union at the latest follow-up in 12 cases. One case endured nonunion 12 months after the operation. After the revision surgery and iliac bone grafting, the fracture healed 6 months later. Eight of the cases had good functional results, 4 had fair results, and results were poor in 1 case at the final follow-up.

conclusionsThe treatment of ipsilateral proximal femoral and shaft fractures with BCFS in combination with MIPPO demonstrated a high likelihood of union for both fractures and good functional results.

Indexed as

Bone NailsAdolescentAdultAgedBone MalalignmentFemaleFemoral FracturesFemoral Neck FracturesFemurFemur NeckFluoroscopyFollow-Up StudiesFracture FixationFracture Fixation, IntramedullaryHumansMaleBridge-link type combined fixation system (BCFS)Femoral proximal fracturesFemoral shaft fracturesMIPPO

Identifiers

PMID32912270
PMCPMC7488305

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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.