Evidence map›Paper›PMID 35309106›Full record

ArticleInternational journal of burns and trauma2022

Evaluation of functional outcome and comparison of three different surgical modalities for management of intertrochanteric fractures in elderly population.

Abhishek Garg, Pradeep Kamboj, Pankaj Kumar Sharma, Umesh Yadav, Ram Chander Siwach, Virender Kadyan

Open access · greenAbstract read
In one paragraph

Article in International journal of burns and trauma, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
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 3 institutions in 1 country.

Abhishek GargDepartment of Orthopaedics, PGIMS Rohtak Haryana 124001, India.
Pradeep KambojDepartment of Orthopaedics, PGIMS Rohtak Haryana 124001, India.
Pankaj Kumar SharmaDepartment of Orthopaedics, All India Institute of Medical Sciences Bathinda 151001, Punjab, India.
Umesh YadavDepartment of Orthopaedics, PGIMS Rohtak Haryana 124001, India.
Ram Chander SiwachDepartment of Orthopaedics, PGIMS Rohtak Haryana 124001, India.
Virender KadyanDepartment of Orthopaedics, Malik Hospital Hansi, Haryana 125033, India.
Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences · INCentral University of Punjab · INGovernment of Haryana · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe purpose of this study was to compare the role of the various surgical modalities ie, Hemiarthroplasty (HA), Dynamic Hip Screw (DHS), Cephalo-medullary nail (CMN) in the management of intertrochanteric fractures in elder patients with comparison of the results and assessment of the complications encountered with each method.

methodsTotal 105 adult patients having intertrochanteric fractures managed during July 2013 to December 2018 at tertiary trauma care centre and followed for minimum 12 months were included in the study. Patients were divided into three groups. Primary hemiarthroplasty was done in 35 patients (group A) while DHS and PFN was done in 35 patients each in group B and group C respectively. Functional evaluation was done using Modified Harris Hip score (HHS) at different intervals while ambulatory function was measured using the Parker Mobility Score.

resultsThe mean age of patients was 72.14±2.9 years. Mean operative time and blood loss in group A was significantly higher than the other two groups. Hemiarthroplasty group could ambulate earlier than DHS/PFN group. Mean HHS at final follow up was 85.40±7 in group A while in group B and group C these values were 76.36±16.45 and 86.85±10.52 respectively. HHS was significantly higher (P, 0.01) in hemiarthroplasty group in comparison to DHS group. Post-operative complications were comparable in all the groups.

conclusionWe support the use of hemiarthroplasty for unstable intertrochanteric fracture in elderly patients with lesser failure rates, early mobilization and better functional outcomes. Early mobilization and less hospital stay should be the goal of every surgical procedure in the elder population.

Indexed as

comminuted intertrochanteric fracturesDHSHarris hip scoreHemiarthroplastyPFN

Identifiers

PMID35309106
PMCPMC8918764
OpenAlexW4226054676

What OpenQuestion holds

Textmetadata
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.