Evidence map›Paper›PMID 33470032›Full record

ArticleOrthopaedic surgery2021

Management of Failed External Fixation by Two-Staged Internal Osteosynthesis in the Lower Limb.

Bahaa Ali Kornah, Mohamed Abdelaziz, Mohamed I Abulsoud, Tharwat Abdel Ghani, Nagi Seleem, Ehab A Alshal, Mohamed Aly Abdel-AAl

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Article in Orthopaedic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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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

1 citing paper in PubMed.

  1. Review
4 · The record

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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

7 authors.

Bahaa Ali KornahDepartment of Orthopedics, Faculty of Medicine, AL-Azhar University, Cairo, Egypt.
Mohamed AbdelazizDepartment of Orthopedics, Faculty of Medicine, AL-Azhar University, Cairo, Egypt.
Mohamed I AbulsoudDepartment of Orthopedics, Faculty of Medicine, AL-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-3778-3294
Tharwat Abdel GhaniDepartment of Orthopedics, Faculty of Medicine, AL-Azhar University, Cairo, Egypt.
Nagi SeleemDepartment of Orthopedics, Faculty of Medicine, AL-Azhar University, Cairo, Egypt.
Ehab A AlshalDepartment of Orthopedics, Faculty of Medicine, AL-Azhar University, Cairo, Egypt.
Mohamed Aly Abdel-AAlElbakry General Hospital, Ministry of Health, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to evaluate the result of a two-stage (delayed conversion) management of nonunion after failed external fixation of the lower limb.

methodsA case series of 25 patients (19 males and six females) enrolled in this study between February 2008 and October 2016, mean age 33.4 years (range, 22-65 years). Eight had femoral fractures, and 17 had tibial fractures. All were due to high-energy trauma and were open fractures. All cases were presented by non-union after external fixation in the lower limb long bones. All patients were managed by two stages (delayed conversion) osteosynthesis. The patients have been assessed for rate and time for union, range of motion of adjacent joints, the Modified functional outcome score of Karlstrom-Olerud, and Trauma outcomes measure score.

resultsThe mean follow-up was 36.5 months (range 24-54 months). Twenty-two cases (88%) were fully united on an average of 5.3 months. According to the Karlstrom-Olerud scores, the final functional outcome score was excellent 12 cases, good 9 cases, accepted 2 cases, and poor in two cases. As regards the trauma outcome measure score, the mean TOM after 3 months was 26.1 (25.3-27.3), 30.4 (29.3-32.1) after 12 months, and 33.4 (32.3-40) after 24 months.

conclusionsThe technique of two-stage treatment of nonunions of long bone after external fixation is a successful tool to achieve bony union. It could be a favorable option with a low risk of complications and a high level of functional outcomes.

Indexed as

External FixatorsTreatment FailureAdultAgedFemaleFemoral FracturesFracture Fixation, InternalFractures, OpenHumansMaleMiddle AgedTibial FracturesYoung AdultExternal fixationfailed external fixationLocked compression plateLower limb traumaNon-unionOpen fracturestwo-stage reconstruction

Identifiers

PMID33470032
PMCPMC7957394

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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.