Evidence map›Paper›PMID 33230142›Full record

ArticleScientific reports2020

Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis.

Shingo Okazaki, Masahiro Shirahama, Ryuki Hashida, Mitsuhiro Matsuura, Shiro Yoshida, Kenjiro Nakama, Hiroo Matsuse, Naoto Shiba

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. [Molecular imaging and biology · 2025
    Article
  5. Surgical treatment of fragility fractures of the pelvis: short-term outcomes of 42 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  6. Evaluation of a treatment protocol based on conservative therapy for fragility fractures of the pelvis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  7. Article
  8. Article
  9. Operative treatment of fragility fractures of the pelvis: a critical analysis of 140 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  10. 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 at 1 institution in 1 country.

Shingo OkazakiDepartment of Orthopaedic Surgery, Kurume University School of Medicine, 67 Asahi, Kurume City, Fukuoka, 830-0011, Japan. okazaki_shingo@med.kurume-u.ac.jp.
Masahiro ShirahamaDepartment of Orthopaedic Surgery, Kurume University School of Medicine, 67 Asahi, Kurume City, Fukuoka, 830-0011, Japan.
Ryuki HashidaDepartment of Orthopaedic Surgery, Kurume University School of Medicine, 67 Asahi, Kurume City, Fukuoka, 830-0011, Japan.
Mitsuhiro MatsuuraDepartment of Orthopaedic Surgery, Kurume University School of Medicine, 67 Asahi, Kurume City, Fukuoka, 830-0011, Japan.
Shiro YoshidaDepartment of Orthopaedic Surgery, Kurume University School of Medicine, 67 Asahi, Kurume City, Fukuoka, 830-0011, Japan.
Kenjiro NakamaDepartment of Orthopaedic Surgery, Kurume University School of Medicine, 67 Asahi, Kurume City, Fukuoka, 830-0011, Japan.
Hiroo MatsuseDepartment of Orthopaedic Surgery, Kurume University School of Medicine, 67 Asahi, Kurume City, Fukuoka, 830-0011, Japan.
Naoto ShibaDepartment of Orthopaedic Surgery, Kurume University School of Medicine, 67 Asahi, Kurume City, Fukuoka, 830-0011, Japan.
Kurume University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There have been few reports on fixation of Rommens classification Type IIIA fragility fractures of the pelvis (FFPs). Here, we present our less invasive surgical technique, called iliac intramedullary stabilization (ILIS), for the internal fixation of Type IIIA FFPs. The technique involves a closed reduction, termed the femur internal rotation reduction method (FIRM), whereby the fracture fragments are repositioned using lateral rotators by internally rotating the femur while the patient is in the prone position. Two iliac screws are inserted on the ilium bilaterally via the supra-acetabular bone canal during FIRM and connected with two transverse rods and two cross connectors. We refer to this internal fixation procedure as ILIS. We retrospectively recruited patients with Type IIIA fractures, treated using this procedure, at our institute between October 2017 and October 2019. We evaluated operative and post-operative outcomes. We enrolled 10 patients (9 women and 1 man; mean age, 85.2 years) who were followed up for over 6 months. All patients suffered FFPs after falling from a standing position. The mean operative time was 145.1 (range, 94-217) minutes, and the mean blood loss was 258.5 (range, 100-684) ml. All patients were allowed full weight bearing from post-operative day 1. All patients achieved bone union and regained their pre-injury walking ability at 6 months after surgery without evident secondary displacement. In conclusion, our ILIS technique allows less invasive internal fixation of Type IIIA FFPs with adequate stability for full weight bearing from post-operative day 1.

Indexed as

AcetabulumAgedAged, 80 and overBlood Loss, SurgicalBone ScrewsFemaleFracture Fixation, InternalFracture HealingFractures, BoneHumansIliumMaleOperative TimePelvisRecovery of FunctionRetrospective Studies

Identifiers

PMID33230142
PMCPMC7684285
OpenAlexW3110255356

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.