Evidence map›Paper›PMID 36629717›Full record

ArticleRevista do Colegio Brasileiro de Cirurgioes2023

Antibiotic cement-coated plate is a viable and efficient technique for the definitive management of metaphyseal septic nonunions of the femur and tibia.

Fernando Bidolegui, Mariano Codesido, Sebastián Pereira, Agustín Abraham, Robinson Esteves Pires, Vincenzo Giordano

Abstract read
In one paragraph

Article in Revista do Colegio Brasileiro de Cirurgioes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Fernando Bidolegui- Hospital Sirio Libanés, Servicio de Ortopedia y Traumatología - Buenos Aires - Argentina.ORCID http://orcid.org/0000-0002-0502-2300
Mariano Codesido- Hospital Universitario Austral, Servicio de Ortopedia y Traumatología - Buenos Aires - Argentina.ORCID http://orcid.org/0000-0002-2280-1816
Sebastián Pereira- Hospital Sirio Libanés, Servicio de Ortopedia y Traumatología - Buenos Aires - Argentina.ORCID http://orcid.org/0000-0001-9475-3158
Agustín Abraham- Hospital Universitario Austral, Servicio de Ortopedia y Traumatología - Buenos Aires - Argentina.ORCID http://orcid.org/0000-0001-8322-7072
Robinson Esteves Pires- Universidade Federal de Minas Gerais, Departamento do Aparelho Locomotor - Belo Horizonte - MG - Brasil.ORCID http://orcid.org/0000-0002-3572-5576
Vincenzo Giordano- Hospital Municipal Miguel Couto, Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro - Rio de Janeiro - RJ - Brasil.ORCID http://orcid.org/0000-0002-4429-312X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivethe management of septic metaphyseal nonunions is challenging, with inconsistent outcomes. Antibiotic cement-coated implants have been demonstrated good outcome for diaphyseal infected nonunions, however there is no data in metaphyseal infected nonunions.

methodsfifteen adult patients with septic metaphyseal nonunions of the femur or tibia were treated with antibiotic cement-coated plates. The antibiotic cement-coated plate was prepared with either gentamicin or vancomycin. Outcome measures were infection control, bone healing, return to pre-injury level on daily activities, and quality of life at the last follow-up visit. A p value of <5% was considered significant.

resultsMethicillin-susceptible S. aureus was isolated in 53.3% cases. Average postoperative follow-up time was 18 months. Local infection control and radiographic bone healing were adequately achieved in 93.3% patients. No patient presented recurrent symptoms of surgical site infection. Fourteen patients reported to be either able, or on the same level as before injury, with 73.3% reporting no problems in all five dimensions of the EQ-5D-3L. Persistent infection was the only variable associated with a reduced long-term quality of life.

conclusionantibiotic cement-coated plate is a viable and efficient surgical technique for the definitive management of juxta-articular metaphyseal septic nonunions of the femur and tibia.

Indexed as

Fractures, UnunitedTibiaAdultAnti-Bacterial AgentsBone CementsFemurHumansQuality of LifeStaphylococcus aureusTreatment OutcomeAnti-Bacterial AgentsBone Cements

Identifiers

PMID36629717
PMCPMC10578849

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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.