Evidence map›Paper›PMID 33101681›Full record

ArticleSAGE open medicine2020

Treatment strategy for elderly patients with the isolated greater trochanteric fracture.

Yunus Oc, Ali Varol, Ethem Aytac Yazar, Semih Ak, Ahmet Onur Akpolat, Bekir Eray Kilinc

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in SAGE open medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05025228 (Analgesic Effect of Paracetamol in Patients With Femur Fracture), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

NCT05025228 completednot on this map

Analgesic Effect of Paracetamol in Patients With Femur Fracture: is Intravenous Better Than Oral?

TypeobservationalSponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2019 to 2020Enrolled170ConditionsFemur FractureArmsParacetamol
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 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

6 authors at 3 institutions in 1 country.

Yunus OcOrthopedics Surgery and Traumatology Department, Bagcilar Medilife Hospital, Istanbul, Turkey.
Ali VarolOrthopedics Surgery and Traumatology Department, Health Ministry, Silopi State Hospital, Sirnak, Turkey.
Ethem Aytac YazarOrthopedics Surgery and Traumatology Department, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Semih AkOrthopedics Surgery and Traumatology Department, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Ahmet Onur AkpolatOrthopedics Surgery and Traumatology Department, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.ORCID https://orcid.org/0000-0001-7773-5476
Bekir Eray KilincOrthopedics Surgery and Traumatology Department, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-1229-9815
Sağlık Bilimleri Üniversitesi · TRGüven Hospital · TRSivas State Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to evaluate the risk of femur intertrochanteric fracture associated with femur trochanter major fractures in patients over 65 years of age with magnetic resonance examination for better diagnosis and treatment.

methodsThirty-one patients who had incomplete femur intertrochanteric fracture diagnosed were included in the study. Patients were classified according to the length of the fracture line crossing the intertrochanteric border. Fracture patterns were described on magnetic resonance imaging coronal views. Group A, pattern 1, greater trochanteric fracture extends to intertrochanteric region with both cortices; Group B, pattern 2, fracture has characteristics of pattern 1 fracture including diametaphysis fracture line; Group C, pattern 3, greater trochanteric fracture only has extending superolateral cortex fracture line of intertrochanteric region; and Group D, pattern 4, fracture has characteristics of pattern 1 fracture and including superior extension to the baso-cervical line. Surgical treatment with dynamic hip screw was applied to all patients with intertrochanteric extension after magnetic resonance examination.

resultsThis study included 16 women (80.3 ± 6.7 years) and 15 men (76.9 ± 10.94 years). Group A had 11 patients, group B had 8 patients, group C had 6 patients, and group D had 6 patients. Ambulation was initially prescribed for these patients 1 day after the surgery. The average surgery durations of the A, B, C, and D patterns were 44.54 ± 7.56, 49.37 ± 12.65, 49.16 ± 3.76, and 44.16 ± 5.84 min, respectively. No statistically significant differences were observed among the four patterns (P = 0.404).

conclusionSurgical treatment of the greater trochanteric fracture which is considered an indicator of occult intertrochanteric fracture is a good choice for the treatment because of the procedure safety and early mobilization after the surgery.

Indexed as

geriatrics/gerontologyOrthopedics/rehabilitation/occupational therapyradiology

Identifiers

PMID33101681
PMCPMC7550942
OpenAlexW3091972043

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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.