Evidence map›Paper›PMID 35604263›Full record

ArticleActa bio-medica : Atenei Parmensis2022

Suprapatellar nail removal after suprapatellar nailing of the tibia: it could work!

Luigi Branca Vergano, Enrico Francesco Florio, Vito Prezioso, Mauro Monesi, Stefano Landi

Open access · greenAbstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

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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

5 authors at 4 institutions in 3 countries.

Luigi Branca VerganoU.O. Ortopedia e Traumatologia, Ospedale M. Bufalini, Cesena (FC). luigibrancavergano@hotmail.com.
Enrico Francesco Florio. enricoflorio@libero.it.
Vito Prezioso. vitoprezioso78@gmail.com.
Mauro Monesi. mauro.monesi@auslromagna.it.
Stefano Landi. stefano.landi@auslromagna.it.
Azienda Unità Sanitaria Locale Della Romagna · ITÉcole Nationale d'Administration et de Magistrature · CMOspedale “M. Bufalini” di Cesena · ITVitos · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and aim of the workIntramedullary nailing is a fundamental tool for the treatment of meta-diaphyseal tibia fractures. While, in the past, the infrapatellar approach was the only one available, over the last few years, an alternative approach has been developed: the suprapatellar tibial nailing. This technique has shown some advantages over the other one. However, as the most recent method has become increasingly more common, concerns have been put forward about the possibility to remove the nail using only the infrapatellar approach, thus incising the previously unviolated patellar tendon. The aim of our study is to describe the technique and the results of a suprapatellar approach to remove the nail.

methodsWe describe the surgical technique used to remove the tibial nail via the suprapatellar approach. We analyze a small case series of 12 patients who underwent the operation of nail removal, analyzing operation time, intraoperative and/or postoperative complications and clinical outcomes.

resultsThe mean duration of the operation was 39.8 minutes. The difference between the two values of the Lysholm score (pre- and postoperative) in each patient was not statistically significant, ranging between -2 to +4 points. We did not observe any intraoperative or postoperative complications.

conclusionsAfter suprapatellar nailing of the tibia, it is possible to remove the nail using the same suprapatellar approach with a safe, easy and reproducible technique. The clinical results observed in our case series show excellent outcomes in terms of absence of complications and good functional knee score.

Indexed as

Fracture Fixation, IntramedullaryTibial FracturesBone NailsHumansPostoperative ComplicationsTibiaTreatment Outcome

Identifiers

PMID35604263
PMCPMC9437694
OpenAlexW4282933739

What OpenQuestion holds

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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.