Evidence map›Paper›PMID 36401000›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Treatment and outcome in combined scapula and rib fractures: a retrospective study.

Ruben Joost Hoepelman, Frank Joseph Paulus Beeres, Nicole van Veelen, Roderick Marijn Houwert, Reto Babst, Björn-Christian Link, Bryan Joost Marinus van de Wall

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. 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
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.

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

7 authors.

Ruben Joost HoepelmanDepartment of Trauma Surgery, UMC Utrecht, Utrecht, the Netherlands.ORCID http://orcid.org/0000-0003-2298-244X
Frank Joseph Paulus BeeresDepartment of Orthopaedics and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Nicole van VeelenDepartment of Orthopaedics and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Roderick Marijn HouwertDepartment of Trauma Surgery, UMC Utrecht, Utrecht, the Netherlands.
Reto BabstDepartment of Orthopaedics and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Björn-Christian LinkDepartment of Orthopaedics and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Bryan Joost Marinus van de WallDepartment of Orthopaedics and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland. Bryan.vandewall@luks.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe primary aim was to describe the population characteristics of patients with combined scapula and rib fractures and outcomes associated with different treatment strategies.

methodsAll adult (≥ 18 years) patients with concurrent ipsilateral scapula and rib fractures admitted to the study hospital between 1st January 2010 and 31st June 2021 were retrospectively reviewed.

resultsA total of 223 patients were admitted with concurrent ipsilateral rib and scapula fractures. A total of 160 patients (72%) were treated conservatively, 63 patients (28%) operatively. Among operatively treated patients, 32 (51%) underwent rib fixation (RF) only, 24 (38%) underwent scapula fixation (SF) only, and seven patients (11%) underwent combined fixation of scapula and ribs (SRF). In general, more severely injured patients were treated with more extensive surgery. RF patients had a median hospital length of stay of 16 days, the SF patients 11 days and SRF patients 18 days. There were no significant differences in complications (pneumonia, recurrent pneumothorax and revision surgery) between groups.

conclusionInjury severity resulted in different treatment modalities. As a result, different patient characteristics between treatment groups were observed, which makes direct comparison between treatment modalities impossible. All treatment modalities seem feasible; however, the additional value of both rib and scapula fixation has yet to be proven in large multicentre studies.

Indexed as

Flail ChestRib FracturesThoracic InjuriesAdultFracture Fixation, InternalHumansLength of StayRetrospective StudiesTreatment OutcomeFlail chestMultiple rib fracturesRib fixationScapula fixationScapula fractures

Identifiers

PMID36401000

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.