Evidence map›Paper›PMID 33269214›Full record

ArticleWorld journal of orthopedics2020

Does proximal femoral nail antirotation achieve better outcome than previous-generation proximal femoral nail?

Seung-Hoon Baek, Seunggil Baek, Heejae Won, Jee-Wook Yoon, Chul-Hee Jung, Shin-Yoon Kim

Open access · diamondAbstract read
In one paragraph

Article in World journal of orthopedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. 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 at 1 institution in 1 country.

Seung-Hoon BaekDepartment of Orthopedic Surgery, Kyungpook National University Hospital, Daegu 41944, South Korea.
Seunggil BaekDepartment of Orthopedic Surgery, Goodssen Hospital, Daegu 42010, South Korea.
Heejae WonDepartment of Orthopedic Surgery, Kyungpook National University Hospital, Daegu 41944, South Korea.
Jee-Wook YoonDepartment of Orthopedic Surgery, Kyungpook National University Hospital, Daegu 41944, South Korea.
Chul-Hee JungDepartment of Orthopedic Surgery, Kyungpook National University Hospital, Daegu 41944, South Korea.
Shin-Yoon KimDepartment of Orthopedic Surgery, Kyungpook National University Hospital, Daegu 41944, South Korea.
Kyungpook National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are few studies in the literature comparing the clinical outcomes and radiographic results of proximal femoral nail (PFN) and proximal femoral nail antirotation (PFNA) for pertrochanteric femoral fracture (PFF) in elderly patients.

aimTo evaluate both clinical and radiographic outcomes after fixation with PFN and PFNA in an elderly patient population.

methodsOne hundred fifty-eight patients older than 65 years with PFF who underwent fixation with either PFN or PFNA were included. Seventy-three patients underwent fixation with PFN, whereas 85 were fixed with PFNA. The mean follow-up was 2.4 years (range, 1-7 years). Clinical outcome was measured in terms of operation time, postoperative function at each follow-up visit, and mortality within one year. Radiographic evaluation included reduction quality after surgery, Cleveland Index, tip-apex distance (TAD), union rate, time to union, and sliding distance of the screw or blade. Complications including nonunion, screw cutout, infection, osteonecrosis of the femoral head, and implant breakage were also investigated.

resultsPostoperative function was more satisfactory in patients who underwent PFNA than in those who underwent PFN (

conclusionElderly patients with PFF who underwent PFNA using a helical blade demonstrated better clinical and radiographic outcomes as measured by clinical score and sliding distance compared with patients who underwent PFN.

Indexed as

CutoutOutcomePertrochanteric fractureProximal femoral nailProximal femoral nail antirotationSliding distance

Identifiers

PMID33269214
PMCPMC7672801
OpenAlexW3105493931

What OpenQuestion holds

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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.