SynthesisJournal of orthopaedic surgery and research2021
Cephalo-medullary nailing versus dynamic hip screw with trochanteric stabilisation plate for the treatment of unstable per-trochanteric hip fractures: a meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Short versus long cephalomedullary nails for intertrochanteric femur fractures: A meta-analysis of randomized controlled trials.PloS one · 2025Pooled it
- Does intramedullary nail have advantages over dynamic hip screw for the treatment of AO/OTA31A1-A3? A meta-analysis.BMC musculoskeletal disorders · 2023Pooled it
- Comparison of Cephalomedullary Nails with Sliding Hip Screws in Surgical Treatment of Intertrochanteric Fractures: A Cumulative Meta-Analysis of Randomized Controlled Trials.Clinics in orthopedic surgery · 2023Pooled it
- Single-centre results of a randomised controlled trial comparing the Gamma3 nail and a sliding hip screw to treat AO type 31-A1 and 31-A2 trochanteric fractures.Langenbeck's archives of surgery · 2024Trial
- Review
- A novel biomechanical model for reproducing and analysing the causal mechanisms of PFNA "cut-in" phenomenon.Archives of orthopaedic and trauma surgery · 2026Article
- Comparison of the Dynamic Cut-Out Failure Modes of Common Proximal Femoral Fixation Devices Using a Mesh-Free Computational Method.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
- Evaluation of a Blood Reserve Protocol for Hip Fracture Surgery in the Elderly.Revista brasileira de ortopedia · 2024Article
- Angle-Adjustable Dynamic Hip Screw Plate for Unstable Trochanteric Fractures in Middle-Aged Patients: Mid-Term Outcomes and Return to Sport.Journal of clinical medicine · 2024Article
- Poor usability of computer-assisted navigation for hip fracture surgery.Archives of orthopaedic and trauma surgery · 2024Article
- Study protocol: biomechanical testing, finite element analysis and prospective, randomized, clinical study of single screw cephalomedullary nailing versus integrated dual interlocking screw fixation for unstable (31A2Journal of orthopaedic surgery and research · 2023Article
- The predictive value of the Singh index for the risk of InterTAN intramedullary fixation failure in elderly patients with intertrochanteric fractures.BMC musculoskeletal disorders · 2022Article
- In Silico Finite Element Modeling of Stress Distribution in Osteosynthesis after Pertrochanteric Fractures.Journal of clinical medicine · 2022Article
- Dynamic hip screw versus intramedullary nailing for the treatment of A1 intertrochanteric fractures: A retrospective, comparative study and cost analysis.Joint diseases and related surgery · 2022Article
- Reverse wedge effect following intramedullary nail fixation of trochanteric fracture, what does it imply?BMC musculoskeletal disorders · 2021Article
- A combined fracture and mortality risk index useful for treatment stratification in hip fragility fractures.Joint diseases and related surgery · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of cephalo-medullary nails (CMN) is a widely accepted management option for the treatment of unstable per-trochanteric hip fractures. A growing body of literature has reported good functional and radiological outcomes in patients managed with a dynamic hip screw supplemented with a trochanteric stabilisation plate (DHS w/ TSP). However, a robust meta-analysis does not exist in the current literature comparing the two fixation methods. PURPOSES: Management of these kinds of injuries is very challenging in orthopaedic practice, yet no strong evidence is in place to delineate which implant gives the best results. This meta-analysis is the first to determine the efficacy of CMN versus DHS w/ TSP.
methodsAn up-to-date literature search was performed using a predetermined search strategy and eligibility criteria. All suitable literature was appraised for methodological quality using the Cochrane's collaboration tool. Hospital stay, operative time, intra-operative complication rate, mechanical failure rate, infection rates, revision rates and functional outcomes were all considered.
resultsA total of five studies were included in the meta-analysis. The results of this analysis suggest that CMN is only associated with lower revision rates when compared to DHS w/ TSP; however, no significant difference was found in terms of hospital stay, operative time, blood transfusion, complications rate and functional outcome.
conclusionBoth CMN and DHS w/TSP proved to be reliable in the management of unstable per-trochanteric fractures; however, more extensive datasets are required to draw robust conclusions.
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