Evidence map›Paper›PMID 36197460›Full record

ArticleInternational orthopaedics2022

Autogenous bone-guided induced membrane technique in closed/small-sized open high-energy fractures in benign inflammatory environment: a case series.

Jingxin Pan, Ying Gao, Jing Li, Junjun Fan, Tao Yang, Zhenbang Yang, Jiang Shuang, Zhuojing Luo, Zhijun Pan, Zhi Yuan

Abstract read
PubMed Publisher
In one paragraph

Article in International orthopaedics, 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
–field-weighted citation impact, top 81% 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, 0 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 4 institutions in 1 country.

Jingxin PanAir Force Military Medical University, Xi'an, 710032, Shaanxi, China. ylpanzhijun@163.com.
Ying GaoYanan University, Yan'an, China.
Jing LiAir Force Military Medical University, Xi'an, 710032, Shaanxi, China.
Junjun FanAir Force Military Medical University, Xi'an, 710032, Shaanxi, China.
Tao YangYulin Fourth Hospital of Shanxi Province, Yulin, China.
Zhenbang YangYulin First Hospital of Shanxi Province, Yulin, China.
Jiang ShuangYulin First Hospital of Shanxi Province, Yulin, China.
Zhuojing LuoDepartment of Orthopedics, Xijing Hospital, Air Force Military Medical University, Xi'an, China.
Zhijun PanYulin Fourth Hospital of Shanxi Province, Yulin, China. ylpanzhijun@163.com.
Zhi YuanAir Force Military Medical University, Xi'an, 710032, Shaanxi, China.
Air Force Medical University · CNYulin University · CNXijing Hospital · CNYanan University Affiliated Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInfection and nonunion are the two most challenging issues for high-energy fractures. This study aimed to explore the clinical effect of benign inflammation-cultivated bone growth activity in the treatment of closed/small-sized open and high-energy fractures.

methodsThis study is a case series of closed/small-sized open and high-energy fractures of the lower limbs treated at our hospital from April 2009 to February 2017. All patients underwent debridement and external fixation in the early stage, followed by internal fixation in the second stage. After the operation, fracture healing was monitored by X-ray, and early-stage knee function training was initiated. Also, bone grafting was performed to stimulate the healing reaction, eliminating the atrophic nonunion factors.

resultsThe operation in all 75 cases was carried out after the inflammatory responses completely subsided, leading to secondary wound healing. Bony union appeared in 71 patients who did not suffer from any pain and could stand up and walk without any restriction. Among them, 68 patients could flex their knee > 100°, and three patients had knee flexion ranging from 80 to 100°. No infections occurred after the second operation.

conclusionThis two-stage treatment for high-energy fractures could avoid the damage caused by excessive inflammatory responses that occurred following early-stage one-time internal fixation. This method protected benign inflammatory-callus reactions induced by the primary injury and utilized the advantages of closed reduction in AO fixation with open reduction, thereby avoiding potential infection and nonunion caused by one-time fixation during the early stage.

Indexed as

Fractures, BoneFractures, OpenTibial FracturesFracture FixationFracture Fixation, InternalFracture HealingHumansRetrospective StudiesTreatment OutcomeBenign inflammatory-callus reactionExcessive inflammatory scar reactionFibrous osteotylus vesicle with bone growth activitySecondary wound healing response

Identifiers

PMID36197460
OpenAlexW4302027375

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.