Evidence map›Paper›PMID 34169023›Full record

ArticleJournal of orthopaedic case reports2020

Proximal Femoral Non-unions with Implant In Situ Treated by Revision Osteosynthesis: A Real Challenge.

Anoop Kalia, Jagdeep Singh, Sorabh Garg, Rajdeep Singh

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of orthopaedic case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 68% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 1 country.

Anoop KaliaDepartment of Orthopaedics, Max Super Speciality Hospital, Mohali, Punjab. India.
Jagdeep SinghDepartment of Orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. India.
Sorabh GargDepartment of Orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. India.
Rajdeep SinghDepartment of Orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. India.
Guru Gobind Singh Medical College and Hospital · INMax Super Speciality Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProximal femur fractures non-union with implant failure creates a nightmare for both the surgeon and the patient. Meticulous surgical planning and the correct choice of the implant are essential to achieve success in the revision surgery. MATERIALS AND

methodsEleven patients with ununited proximal femur fractures including both intertrochanteric and subtrochanteric fractures who had a failed previous implant were included in the study. Femoral neck nonunions and infected nonunions were excluded from the study. One patient was lost to follow-up.

resultsOne patient was lost to follow-up and out of the remaining ten patients, six were males and four were females. Mean age was 62.2 years (35-74). Union was achieved with mean union time of 10.1 months (9-14). Mean surgical time was 105 min (90-125) and mean blood loss during surgery was 600 ml (350-850). Mean time of revision surgery after the primary index surgery was 20 months (15-30). Mean duration of follow-up was 12.9 months (12-16).

conclusionRevision osteosynthesis in proximal femoral nonunions with implant failure is a real test of surgeons expertise because of the many factors going against like osteoporosis, distorted proximal femur anatomy due to the already present implant resulting in poor bone stock availability. Judicious and appropriate selection of implants is an impeccable factor for fracture union and positive outcome.

Indexed as

bone graftNon-unionproximal femur

Identifiers

PMID34169023
PMCPMC8046450
OpenAlexW3167704227

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.