Evidence map›Paper›PMID 35248095›Full record

ArticleJournal of orthopaedic surgery and research2022

Evaluation of the efficacy of ipsilateral fibular transfer for reconstruction of large tibial defects in children: a retrospective study.

SiYu Xu, YaoXi Liu, GuangHui Zhu, Kun Liu, Jin Tang, JiangYan Wu, An Yan, Fei Jiang, ShaSha Mo, HaiBo Mei

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 53% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 2 institutions in 1 country.

SiYu XuAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children's Hospital, Changsha, 410007, China.
YaoXi LiuAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children's Hospital, Changsha, 410007, China.
GuangHui ZhuAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children's Hospital, Changsha, 410007, China.
Kun LiuAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children's Hospital, Changsha, 410007, China.
Jin TangAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children's Hospital, Changsha, 410007, China.
JiangYan WuAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children's Hospital, Changsha, 410007, China.
An YanAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children's Hospital, Changsha, 410007, China.
Fei JiangDepartment of Orthopaedics, Dalian Children's Hospital, Dalian, 116012, China.
ShaSha MoAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children's Hospital, Changsha, 410007, China.
HaiBo MeiAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children's Hospital, Changsha, 410007, China. meihaibo@sohu.com.
Hunan Children's Hospital · CNUniversity of South China · CN

Funding

Clinical Research Center for Limb Deformity of Children in Hunan Province 2019SK4006Major science and technology projects for collaborative prevention and control of birth defects in Hunan Province 2019SK1010
6 · The paper itself

Abstract

backgroundReconstruction of large tibial defects is often a major challenge in limb salvage. This study aimed to evaluate initial follow-up results of ipsilateral fibula transfer for the treatment of large tibial defects in children.

methodsA retrospective study was performed between September 2014 and April 2021. Ten children were identified as having large tibial defects. The children underwent ipsilateral fibula transfer. We then evaluated initial healing, tibial length discrepancy, ankle varus/valgus, fibular position, refracture, infection, and function.

resultsFive boys and five girls, with an average age of 7.2 years, were evaluated. The transferred fibula was united in the patients. The mean follow-up period after fibular transposition was 43 months. The patients achieved primary bone union; the mean time to union was 8.4 months (range, 4-18 months). Complications included refracture (30%), infection (40%), tibia malunion (30%), ankle varus (30%), sensory loss of toes (10%), and ankle valgus (10%). No other major complications were observed. All 10 patients were able to perform activities of daily living and return to their normal activities.

conclusionIpsilateral fibula transfer is a salvage surgery for the treatment of large tibial defects in children with congenital pseudoarthrosis of the tibia, traumatic nonunion of the tibia, and/or tibial defect after chronic osteomyelitis. However, long-term results still need to be followed up.

Indexed as

TibiaActivities of Daily LivingBone TransplantationChildChild, PreschoolFemaleFibulaHumansInfantMalePseudarthrosisRetrospective StudiesTibial FracturesTreatment OutcomeCongenital pseudoarthritis of the tibiaFibular centralizationIpsilateral fibula transferLarge tibial defects

Identifiers

PMID35248095
PMCPMC8898503
OpenAlexW4220889531

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.