Evidence map›Paper›PMID 33736638›Full record

Trial reportBMC musculoskeletal disorders2021

Outcome after polyaxial locking plate osteosynthesis in proximal tibia fractures: a prospective clinical trial.

Dominik Völk, Markus Neumaier, Heike Einhellig, Peter Biberthaler, Marc Hanschen

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04680247 (Outcome After Polyaxial Locking Plate Osteosynthesis in Proximal Tibia Fractures), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 37% 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.

NCT04680247 nacompletednot on this map

Outcome After Polyaxial Locking Plate Osteosynthesis in Proximal Tibia Fractures: a Prospective Clinical Trial

TypeinterventionalSponsorTechnical University of MunichRan2013 to 2017Enrolled28ConditionsTibia Plateau FractureArmsVA-LCP, NCB-PT
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. 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

5 authors at 3 institutions in 1 country.

Dominik VölkDepartment of Trauma Surgery, Technical University of Munich, School of Medicine, Klinikum rechts der Isar, Ismaninger Strasse 22, 81675, Munich, Germany.
Markus NeumaierDepartment of Trauma and Orthopaedic Surgery, Klinikum Freising, Freising, Germany.
Heike EinhelligDepartment of Radiology, Technical University of Munich, School of Medicine, Klinikum rechts der Isar, Munich, Germany.
Peter BiberthalerDepartment of Trauma Surgery, Technical University of Munich, School of Medicine, Klinikum rechts der Isar, Ismaninger Strasse 22, 81675, Munich, Germany.
Marc HanschenDepartment of Trauma Surgery, Technical University of Munich, School of Medicine, Klinikum rechts der Isar, Ismaninger Strasse 22, 81675, Munich, Germany. Marc.Hanschen@mri.tum.de.
Klinikum rechts der Isar · DEFraunhofer Institute for Process Engineering and Packaging · DETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the clinical and/or radiologic outcome using different polyaxial locking plates for the treatment of proximal tibia fractures, the Non-Contact-Briding plate (NCB-PT®) by Zimmer or the Variable Angle Locking Compression Plate (VA-LCP®) by Synthes.

methodsThis study enrolled 28 patients with proximal tibia fractures (AO/ OTA 41 B-C) and indication for locking plate osteosynthesis. All patients were treated with a polyaxial locking plate system. Depending on the fracture morphology, patients were either treated with a NCB-PT® or VA-LCP®. The implant was chosen according to the surgeon's experience and preference, in case of a higher degree of comminution the tendency was observed to use the NCB-PT® plate. After a time interval of 12 months postoperative we conducted clinical (e.g. range of motion, the Rasmussen score) and radiological (e.g. primary/secondary loss of reduction) follow-ups.

resultsPatients provided with the NCB-PT® (9 patients) showed longer operation time, use of longer implants, longer interval from injury to surgery and lower clinical scores after the 12 months follow-up compared with the VA-LCP® group (19 patients). Interestingly, the results showed no significant differences regarding the clinical and radiologic outcome.

conclusionsThe small number of patients as well as the heterogeneity of fractures constitute a limitation of this study. Nevertheless, the differentiated use of implants is associated with comparable clinical and radiological outcomes. This trial emphasizes the need for further prospective randomised trials with higher patient numbers.

trial registrationRetrospectively registered 21.12.2020. Registration number NCT04680247 .

Indexed as

Femoral FracturesTibiaBone PlatesFracture Fixation, InternalHumansRange of Motion, ArticularTreatment OutcomeClinical trialOsteosynthesisOutcomePolyaxial locking plateProximal tibia fracture

Identifiers

PMID33736638
PMCPMC7976713
OpenAlexW3137608435

What OpenQuestion holds

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LicenceCC BY
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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.