Evidence map›Paper›PMID 34487106›Full record

ArticleActa bio-medica : Atenei Parmensis2021

Italian Consensus Conference on Guidelines for preoperative treatment in acetabular fractures.

Alessandro Aprato, Michele Nardi, Mario Arduini, Federico Bove, Luigi Branca Vergano, Dario Capitani, Alessandro Casiraghi, Matteo Cavanna, Gabriele Cominetti, Matteo Commessatti and 15 more

Abstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Arthroscopic assistance during open reduction and fixation for complex acetabular fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  4. Article
  5. 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

25 authors.

Alessandro ApratoUniversità degli studi di Torino. ale_aprato@hotmail.com.
Michele NardiAzienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino. nardi.mich@gmail.com.
Mario ArduiniPoliclinico Tor Vergata, Viale Oxford, 81, 00133, Roma. mario.arduini@gmail.com.
Federico BoveOspedale Niguarda Ca' Granda, Milano. bovefederico@yahoo.it.
Luigi Branca VerganoOspedale Santa Chiara, Trento. luigibrancavergano@hotmail.com.
Dario CapitaniOspedale Niguarda Ca' Granda, Milano. dario.capitani@ospedaleniguarda.it.
Alessandro CasiraghiOspedale Niguarda Ca' Granda, Milano. axcasi@yahoo.com.
Matteo CavannaHumanitas Reseach Hospital, Rozzano. matteo.cavanna@humanitas.it.
Gabriele CominettiAzienda Ospedaliero Universitaria Città della Salute e della Scienza, Torino. lelecomi@libero.it.
Matteo CommessattiOspedale Maggiore, Bologna. matteocommessatti@gmail.com.
Marco FavutoAzienda Ospedaliero Universitaria Città della Salute e della Scienza, Torino. m.favuto@gmail.com.
Alberto FerreliOspedale G.Brotzu, Cagliari. ferrelialberto@gmail.com.
Alberto FinoAzienda Ospedaliero Universitaria Città della Salute e della Scienza, Torino. finoalberto@gmail.com.
Stefano GulliOspedale Maggiore di Trieste. stefano.gulli@libero.it.
Federico LamponiOspedale Infermi, Rimini. federicolamponi@hotmail.com.
Alessandro MassèAzienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino. alessandro.masse@unito.it.
Umberto MezzadriOspedale Niguarda Ca' Granda, Milano. umberto.mezzadri@ospedaleniguarda.it.
Mauro MonesiOspedale M.Bufalini, Cesena. mmonesi@ausl-cesena.emr.it.
Michael OranskyAurelia Hospital, Roma. oransky103@gmail.com.
Antonello PannellaOspedale Policlinico di Bari. apanella77@hotmail.com.
Federico SantoliniOspedale Policlinico San Martino, Genova. federico.santolini@hsanmartino.it.
Marco StellaEnte ospedaliero ospedali Galliera, Genova. dr.marcostella@gmail.com.
Domenico TiganiOspedale Maggiore di Bologna. domenico.tigani@fastwebnet.it.
Kristijan ZoccolaAzienda Ospedaliero Universitaria Città della Salute e della Scienza, Torino. kristianz@hotmail.com.
Guido RoccaOspedale di Camposampiero. guidofly56@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preoperative management of acetabular fracture is a major problem and no consensus has been reached in literature on the optimal treatment of this problem. We present the results of the First Italian Consensus Conference on Acetabular fracture. An extensive review of the literature has been undertaken by the organizing committee and forwarded to the panel. Members were appointed by surgical experience with acetabular fractures. From November 2017 to January 2018, the organizing committee undertook the critical revision and prepared the presentation to the Panel on the day of the Conference. Then 11 recommendations were presented according to the 11 submitted questions. The Panel voted the recommendations after discussion and amendments with the audience. Later on, a second debate took place in September 2018 to reach a unanimous consent. We present results of the following questions: does hip dislocation require reduction? Should hip reduction be performed as soon as possible? In case of unsuccessful reduction of the dislocation after attempts in the emergency department, how should it be treated? If there is any tendency toward renewed dislocation, how should it be treated? Should Computed Tomography (CT) scan be performed before reduction? Should traction be used? How can we treat the pain? Is preoperative ultrasound exam to rule out vein thrombosis always necessary? Is tranexamic acid intravenous (IV) preoperatively recommended? Which antibiotic prophylactic protocols should be used? Is any preoperative heterotopic ossification prophylaxis suggested? In this article we present the indications of the First Italian Consensus Conference: a hip dislocation should be reduced as soon as possible. If unsuccessful, surgeon may repeat the attempts optimizing the technique. Preoperative CT scan is not mandatory before reduction. Skeletal traction is not indicated in most of the acetabular fracture. Standard pain and antibiotic prophylactic protocols for trauma patient should be used. Preoperative ultrasound exam is not recommended in all acetabular fracture. Tranexamic acid should be preoperatively used. There is no indication for preoperative heterotopic ossification.

Indexed as

Fractures, BoneHip DislocationHip FracturesOssification, HeterotopicAcetabulumFracture Fixation, InternalHumansItalyTreatment Outcome

Identifiers

PMID34487106
PMCPMC8477087

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.