Evidence map›Paper›PMID 33861371›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

Results of revision intramedullary nailing with and without auxillary plate in aseptic trochanteric and subtrochanteric nonunion.

Christina Dietze, Andreas Brand, Jan Friederichs, Fabian Stuby, Dorien Schneidmueller, Christian von Rüden

Open access · hybridAbstract read
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. [Non-Unions of the lower extremities].Chirurgie (Heidelberg, Germany) · 2025
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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 2 institutions in 2 countries.

Christina DietzeDepartment of Trauma Surgery, BG Unfallklinik Murnau, Professor Küntscher Str. 8, 82418, Murnau, Germany.
Andreas BrandInstitute for Biomechanics, BG Unfallklinik Murnau, Murnau, Germany.
Jan FriederichsDepartment of Trauma Surgery, BG Unfallklinik Murnau, Professor Küntscher Str. 8, 82418, Murnau, Germany.
Fabian StubyDepartment of Trauma Surgery, BG Unfallklinik Murnau, Professor Küntscher Str. 8, 82418, Murnau, Germany.
Dorien Schneidmueller *Department of Trauma Surgery, BG Unfallklinik Murnau, Professor Küntscher Str. 8, 82418, Murnau, Germany.
Christian von Rüden *Department of Trauma Surgery, BG Unfallklinik Murnau, Professor Küntscher Str. 8, 82418, Murnau, Germany. christian.vonrueden@bgu-murnau.de.ORCID http://orcid.org/0000-0001-6308-8378
Berufsgenossenschaftliche Unfallklinik Murnau · DEParacelsus Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAim of this study was to investigate whether limited open auxiliary angle stable plate fixation has an effect on functional and radiologic outcomes one year after revision intramedullary nailing in aseptic trochanteric and subtrochanteric fracture nonunion.

methodsIn a retrospective analysis, surgically revised aseptic trochanteric and subtrochanteric nonunion was evaluated in a total of 190 consecutive patients ranging from 18 to 94 years between 12/2005 and 10/2018.

resultsOne year after revision intramedullary nailing, nonunion healing was assessed in 129 out of 136 patients (95%) in group 1 without auxiliary plate fixation and in 51 out of 54 patients (94%) in group 2 with auxiliary plating (p = 0.23). In group 1, range of motion (ROM) was unrestricted in 88 patients and still restricted in 48 patients. In group 2, ROM was free in 34 patients and restricted in 20 patients (p = 0.25). The mean Lower Extremity Functional Scale (LEFS) was 56 points in group 1 and 55 points in group 2 (p = 0.55).

conclusionThis study did not demonstrate significant differences in functional and radiologic outcomes following revision intramedullary nailing of aseptic trochanteric and subtrochanteric fracture nonunion. Limited open auxiliary plate fixation might be a reasonable option especially in cases of relevant varus axis deviation and comminuted or atypical fracture configurations, regardless of patients' age. Retrospectively registered with the German Clinical Trials Register (01/25/2021; ID: DRKS00024112).

Indexed as

Fracture Fixation, IntramedullaryFractures, UnunitedHip FracturesBone NailsBone PlatesFracture HealingHumansRetrospective StudiesTreatment OutcomeAugmentationAuxiliary plateCephalomedullary nailFemurLower Extremity Functional Scale (LEFS)NonunionSubtrochanteric fractureTrochanteric fracture

Identifiers

PMID33861371
PMCPMC9192482
OpenAlexW3155594636

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.