Evidence map›Paper›PMID 35856419›Full record

ArticleOrthopaedic surgery2022

Design of a New "U"-shaped Staple and Its Clinical Application in Postoperative Ankle Valgus of Congenital Pseudarthrosis of the Tibia in Children.

Xiongke Hu, Anping Li, Kun Liu, Jiangyan Wu, Haibo Mei

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 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 36% 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.

  1. Article
  2. 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

5 authors at 1 institution in 1 country.

Xiongke HuDepartment of Pediatric Orthopedics, Hunan Children's Hospital, Pediatric Academy of University of South China, Changsha, Hunan, China.ORCID https://orcid.org/0000-0002-1503-660X
Anping LiDepartment of Pediatric Orthopedics, Hunan Children's Hospital, Pediatric Academy of University of South China, Changsha, Hunan, China.
Kun LiuDepartment of Pediatric Orthopedics, Hunan Children's Hospital, Pediatric Academy of University of South China, Changsha, Hunan, China.
Jiangyan WuDepartment of Pediatric Orthopedics, Hunan Children's Hospital, Pediatric Academy of University of South China, Changsha, Hunan, China.
Haibo MeiDepartment of Pediatric Orthopedics, Hunan Children's Hospital, Pediatric Academy of University of South China, Changsha, Hunan, China.
Hunan Children's Hospital · CN

Funding

Clinical Research Center for Limb Deformity of Children in Hunan Province 2019SK4006Natural Science Foundation of Hunan Province 2020JJ5900the Clinical Research (Translation) Center of Hunan Children's Hospitalthe Project of Hunan Provincial Health Committee 202204083923the Project of the Administration of Traditional Chinese Medicine of Hunan Province D2022083
6 · The paper itself

Abstract

objectiveThere has been a lack of suitable epiphysis blocking materials due to the characteristics of less tissue coverage and narrow epiphysis in children's distal tibial medial malleolus. Therefore, this study is to investigate the clinical efficacy and safety of a new "U"-shaped staple in the treatment of postoperative ankle valgus of congenital pseudarthrosis of the tibia (CPT).

methodAccording to the inclusion and exclusion criteria, 33 patients with postoperative ankle valgus of CPT were treated with new "U"-shaped staples from May 2013 to September 2019. The deformity of ankle valgus was gradually corrected by implanting a new "U"-shaped staple on the medial side of the distal tibia. Clinical indexes such as the operation time, intraoperative bleeding and hospital stay were observed. Tibiotalar angle was selected as the evaluation index of ankle valgus. American Orthopedic Foot & Ankle Society (AOFAS) scale was used for clinical evaluation of ankle function. The tibiotalar angle, deformity correction rate and complications were evaluated by preoperative, postoperative and last follow-up imaging data. Student's t-test was used for statistical analysis.

resultsThirty-three patients, including 12 males and 21 females were included. All the patients were followed up for at least 14 months, with an average of 35 months. The average operation time was 23 (15-40) min, the average amount of intraoperative bleeding was 7.5 (4-10) mL, and the average hospital stay was 4.2 (3-6) days. The intraoperative tibiotalar angles of all patients were 74.2° ± 4.6°, the tibiotalar angle were 86.8° ± 4.9° when internal fixation was removed, and the tibiotalar angles at the last follow-up were 84.3° ± 5.9°. The average orthopedic rate was 0.68° per month. No patients suffered from serious complications such as screw prolapse, osteomyelitis, wound infection, etc. Postoperative wound pain complications occurred in two patients, which were relieved after conservative treatment. The AOFAS score improved from 46.2 ± 9.4 before the operation to 74.6 ± 5.7 at the last follow-up (P < 0.01). The ankle movement was good without joint stiffness. There was no epiphyseal plate injury after the removal of internal fixation.

conclusionThe new "U"-shaped staple is characterized by simple implantation, low notch, lower risk of fixation failure and close fitting with cortical bone. It is a safe and effective internal fixation system for the treatment of ankle valgus in children.

Indexed as

PseudarthrosisTibiaAnkleAnkle JointChildFemaleHumansMalePostoperative ComplicationsRetrospective StudiesTreatment OutcomeAnkle valgusCongenital pseudarthrosis of the tibiaGuided growthHemiepiphyseal block“U”-shaped staple

Identifiers

PMID35856419
PMCPMC9483067
OpenAlexW4285999681

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.