Evidence map›Paper›PMID 37095692›Full record

SynthesisInternational wound journal2023

Proximal femoral nail anti-rotation vs dynamic hip screws decrease the incidence of surgical site infections in patients with intertrochanteric fractures: A meta-analysis.

Peijun Dai, Huipeng Zhou, Xiaoyu Mao, Chang Liu, Zhiwei Wang, Yifan Kang

RetractedOpen access · goldAbstract readMeta-AnalysisRetracted Publication
In one paragraph

Synthesis in International wound journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Peijun DaiDepartment of Orthopedics, The Third Affiliated Hospital (Eastern Hepatobiliary Surgery Hospital), Naval Medical University (Second Military Medical University), Shanghai, People's Republic of China.
Huipeng ZhouDepartment of Orthopedics, The Third Affiliated Hospital (Eastern Hepatobiliary Surgery Hospital), Naval Medical University (Second Military Medical University), Shanghai, People's Republic of China.
Xiaoyu MaoDepartment of Orthopedics, The Third Affiliated Hospital (Eastern Hepatobiliary Surgery Hospital), Naval Medical University (Second Military Medical University), Shanghai, People's Republic of China.
Chang LiuDepartment of Orthopedics, The Third Affiliated Hospital (Eastern Hepatobiliary Surgery Hospital), Naval Medical University (Second Military Medical University), Shanghai, People's Republic of China.
Zhiwei WangDepartment of Orthopedics, The Third Affiliated Hospital (Eastern Hepatobiliary Surgery Hospital), Naval Medical University (Second Military Medical University), Shanghai, People's Republic of China.
Yifan KangDepartment of Orthopedics, The Third Affiliated Hospital (Eastern Hepatobiliary Surgery Hospital), Naval Medical University (Second Military Medical University), Shanghai, People's Republic of China.
Second Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this study, a meta-analysis was conducted to comprehensively analyse the effectiveness of using proximal femoral nail anti-rotation (PFNA) and dynamic hip screws (DHS) to treat intertrochanteric fractures on postoperative surgical site infections (SSI). PubMed, EMBASE, Cochrane Library, China National Knowledge Infrastructure (CNKI), and Wanfang databases were searched from their inception until December 2022 to identify studies that compared PFNA and DHS in the treatment of intertrochanteric fractures. Two investigators independently screened the retrieved studies to assess their quality and verify their eligibility for inclusion. Meta-analyses were performed with RevMan 5.4 software. Thirty studies, including 3158 patients, met the inclusion criteria. These studies included 1574 patients treated with PFNA, and 1584 were treated with DHS. The findings of the meta-analysis revealed a significant reduction in the incidence of SSI in patients treated with PFNA compared with those treated with DHS (2.64% vs 6.76%, odds ratio [OR]: 0.40, 95% confidence intervals [CIs]: 0.28-0.57, P < .001), superficial SSI (2.58% vs 5.01%, OR: 0.53, 95% CIs: 0.33-0.85, P = .008) and deep SSI (1.26% vs 3.43%, OR: 0.41, 95% CIs: 0.19-0.92, P = .03). PFNA was more effective than DHS in reducing the incidence of SSI. Even so, significant variations in sample sizes among the included studies meant that the methodology for some studies had qualitative deficiencies. Therefore, additional studies with large sample sizes are needed to validate these results.

Indexed as

Bone NailsHip FracturesBone ScrewsHumansIncidenceRetrospective StudiesSurgical Wound InfectionTreatment Outcomedynamic hip screwproximal femoral nail anti-rotationsurgical site infectiontrochanteric fractures

Identifiers

PMID37095692
PMCPMC10502260
OpenAlexW4366990446

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.