Evidence map›Paper›PMID 33716436›Full record

ArticleJournal of clinical orthopaedics and trauma2021

Current updates in management of extremity injuries in polytrauma.

A Devendra, Gupta Nishith P, S Dilip Chand Raja, J Dheenadhayalan, S Rajasekaran

Erratum issued Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of clinical orthopaedics and trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06402669 (Time to Hospitalization and Limb Loss in Blunt Extremity Trauma), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 22% 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.

NCT06402669 completednot on this mapstarted 2022, after this paper: background citation

Time to Hospitalization and Limb Loss in Blunt Extremity Trauma

TypeobservationalSponsorArrowhead Regional Medical CenterRan2022 to 2024Enrolled20,000ConditionsTrauma Injury, Trauma Blunt, Vascular TraumaArmsPacked Red Blood Cell Administration
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Cut Short: Evaluation, Management, and Prevention of Pediatric Lawnmower-Related Injuries.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Review
  3. Review
  4. Girl with Multiple Fractures: A Unique Case of Polytrauma.Journal of orthopaedic case reports · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Trends in the Management of Femur Fractures in Young Children.Journal of the Pediatric Orthopaedic Society of North America · 2023
    Article
  13. Article
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

A DevendraDept of Orthopaedics, Trauma and Spine Surgery, Ganga Medical Centre & Hospitals Pvt Ltd, 313, Mettupalayam Road, Coimbatore, 641 043, Tamil Nadu, India.
Gupta Nishith PDept of Orthopaedics, Trauma and Spine Surgery, Ganga Medical Centre & Hospitals Pvt Ltd, 313, Mettupalayam Road, Coimbatore, 641 043, Tamil Nadu, India.
S Dilip Chand RajaDept of Orthopaedics, Trauma and Spine Surgery, Ganga Medical Centre & Hospitals Pvt Ltd, 313, Mettupalayam Road, Coimbatore, 641 043, Tamil Nadu, India.
J DheenadhayalanDept of Orthopaedics, Trauma and Spine Surgery, Ganga Medical Centre & Hospitals Pvt Ltd, 313, Mettupalayam Road, Coimbatore, 641 043, Tamil Nadu, India.
S RajasekaranDept of Orthopaedics, Trauma and Spine Surgery, Ganga Medical Centre & Hospitals Pvt Ltd, 313, Mettupalayam Road, Coimbatore, 641 043, Tamil Nadu, India.
Ganga Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Injury-related morbidity and mortality have been one of the most common causes of loss in productivity across all geographic distributions. It remains to be a global concern despite a continual improvement in regional and national safety policies. The establishment of trauma care systems and advancements in diagnostics and management have improved the overall survival of severely injured. A better understanding of the physiopathological and immunological responses to injury led to a significant shift in trauma care from "Early Total Care" to "Damage Control Orthopedics." While most of these algorithms were tailored to the philosophy of "life before limb," the impact of improper fracture management on disability and societal loss is increasingly being recognized. Recently, "Early Appropriate Care" of extremities has gained importance; however, its implementation is influenced by regional health care policies, available resources, and expertise and varies between low and high-income countries. A review of the literature was performed using PubMed, Embase, Web of Science, and Scopus databases on articles published from 1990 to 2020 using the Mesh terms "Polytrauma," "Multiple Trauma," and "Fractures." This review aims to consolidate on guidelines and available evidence in the management of extremity injuries in a polytraumatized patient to achieve better clinical outcomes of these severely injured.

Indexed as

Chest injuryDamage controlFracture fixationPolytraumaResuscitationTraumatic brain injury

Identifiers

PMID33716436
PMCPMC7920200
OpenAlexW3089190559

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.