Evidence map›Paper›PMID 37020158›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Intramedullary nail versus minimally invasive plate osteosynthesis for displaced extraarticular proximal tibia fractures: a prospective comparative cohort study.

Mehdi Teimouri, Peyman Mirghaderi, Joshua A Parry, Armin Ziaei, Maryam Salimi, Mohammad Ali Tahririan

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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. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Intramedullary nailing versus plate fixation for the treatment of proximal tibia extra-articular fractures: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. [Treatment options and research progress of proximal tibial extra-articular fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Review
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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

6 authors at 4 institutions in 2 countries.

Mehdi TeimouriDepartment of Orthopedic Surgery, Ayatollah Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID http://orcid.org/0000-0001-8866-4175
Peyman MirghaderiSurgical Research Society (SRS) Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0002-3522-8772
Joshua A ParryDepartment of Orthopaedic Surgery, Denver Health Medical Center, Denver, USA.ORCID http://orcid.org/0000-0002-8262-4065
Armin ZiaeiSchool of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Maryam SalimiStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0000-0001-9771-7048
Mohammad Ali TahririanDepartment of Orthopedic Surgery, Ayatollah Kashani Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. tahririan@med.mui.ac.ir.ORCID http://orcid.org/0000-0003-2122-1091
Isfahan University of Medical Sciences · IRDenver Health Medical Center · USShiraz University of Medical Sciences · IRTehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe treatment of extraarticular proximal tibial fractures is challenging. As the optimal fixation technique is still debated, the purpose of this study was to compare minimally invasive plate osteosynthesis (MIPO) and intramedullary nail (IMN) fixation.

methodsA prospective matched comparative study was conducted on patients with displaced extraarticular proximal tibia fractures treated with MIPO (n = 29) versus IMN (n = 30) fixation. Outcomes collected were the Johner-Wruhs grading, range of motion (ROM), union rate, time to union, malunion, coronal and sagittal alignment, and post-operative complications.

resultsUnion rates were similar between the MIPO and IMN groups (93% vs. 97%, P = 1.0). The IMN group had an earlier time to union (15 vs. 18 weeks, P < 0.001) and superior functional outcomes at one year (effective Johner-Wruhs score: 80% vs. 55%, P = 0.04). There was a significantly higher incidence of anterior knee pain in the IMN group (23% vs. 0%, P = 0.02) and there was a trend for more infections in the MIPO group (21% vs. 13%, P = 0.73).

conclusionIMN fixation of extraarticular proximal tibia fractures was associated with a shorter union time and better functional scores compared to MIPO.

Indexed as

Fracture Fixation, IntramedullaryTibial FracturesBone PlatesCohort StudiesFracture Fixation, InternalFracture HealingHumansMinimally Invasive Surgical ProceduresProspective StudiesTibiaTreatment OutcomeIntramedullary nailMinimally invasive plate osteosynthesisProximal tibiaTibial fractures

Identifiers

PMID37020158
OpenAlexW4362637344

What OpenQuestion holds

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Registered trials

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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.