Evidence map›Paper›PMID 35111533›Full record

ArticleFujita medical journal2020

Primary bipolar hemiarthroplasty as a treatment option for unstable intertrochanteric fractures.

Kosuke Tajima, Masahiro Yoshida, Daiki Murakami, Tomoyuki Nishimura, Akihiko Hirakawa, Norimichi Uenishi, Mitsunaga Iwata

Open access · greenAbstract read
In one paragraph

Article in Fujita medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Cemented bipolar hemiarthroplasty for unstable intertrochanteric fracture in elderly patients over 70 years: Boon or bane?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  4. 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

7 authors at 1 institution in 1 country.

Kosuke TajimaDepartment of Emergency Medicine, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Masahiro YoshidaDepartment of Emergency Medicine, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Daiki MurakamiDepartment of Surgery, Tokyo Hokubu Hospital, Tokyo, Japan.
Tomoyuki NishimuraDepartment of Surgery, Tokyo Hokubu Hospital, Tokyo, Japan.
Akihiko HirakawaDepartment of Disaster Medicine and Traumatology, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Norimichi UenishiDepartment of Emergency and General Internal Medicine, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Mitsunaga IwataDepartment of Emergency and General Internal Medicine, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Fujita Health University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesManagement of unstable intertrochanteric fractures is challenging, especially in patients with osteoporosis. Comminuted unstable intertrochanteric fractures require postoperative immobilization. Several recent reports have recommended hemiarthroplasty for treatment of unstable intertrochanteric fractures to avoid various immobilization-associated complications. The purpose of this study was to evaluate the functional and clinical outcomes of bipolar hemiarthroplasty for unstable intertrochanteric fractures in older persons.

methodsSixty patients aged over 75 years underwent hemiarthroplasty to treat unstable intertrochanteric fractures and were followed up over 12 months. All surgeries were performed by the same surgical team using the standard posterolateral approach. Wires, cables, and plates were used as required. Use of cemented protheses was considered when the lesser trochanter had been displaced. All patients were allowed full weight-bearing as tolerated. Clinical evaluation was based on Harris Hip Scores.

resultsThe cohort comprised 16 men and 44 women (aged 75-96 years). According to the Jensen classification, 24 fractures were type III, 14 type IV, and 22 type V. Cement was used in 24 patients. At 12 months follow-up, Harris Hip Scores were excellent in 18%, good in 42%, fair in 25%, and poor in 15%. No radiological abnormalities were detected.

conclusionsPrimary bipolar hemiarthroplasty for treating unstable intertrochanteric fractures eliminates the need for prolonged immobilization and permits early ambulation. As reported by others, hip hemiarthroplasty is an effective treatment choice for unstable intertrochanteric femoral fracture in older patients.

Indexed as

Harris Hip ScorePrimary bipolar hemiarthroplastyUnstable intertrochanteric fractures

Identifiers

PMID35111533
PMCPMC8761824
OpenAlexW3094795765

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.