Evidence map›Paper›PMID 37396117›Full record

ArticleTrauma case reports2023

Endovascular assisted removal of intrapelvic lag screw after intramedullary proximal femoral nail: A case report and literature review.

Zakaria Mousati, Mathias Van Den Broek, Joren Callaert, Jan Gielis, Kris Govaers

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PubMed Full text at PMC Publisher
In one paragraph

Article in Trauma case reports, 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. Article
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

5 authors.

Zakaria MousatiDepartment of Orthopaedics and Trauma, AZ Sint Blasius, Dendermonde, Belgium.
Mathias Van Den BroekDepartment of Orthopaedics and Trauma, AZ Sint Blasius, Dendermonde, Belgium.
Joren CallaertDepartment of Vascular Surgery, AZ Sint Blasius, Dendermonde, Belgium.
Jan GielisDepartment of Vascular Surgery, AZ Sint Blasius, Dendermonde, Belgium.
Kris GovaersDepartment of Orthopaedics and Trauma, AZ Sint Blasius, Dendermonde, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Trochanteric fractures are very common hip injuries often fixed with intramedullary nailing as the recommended treatment. Medial lag screw migration of the intramedullary nail system is an uncommon complication. The objective of this case report is to highlight the importance of optimal reduction in hip fractures and the need for a multidisciplinary approach with vascular assistance in intrapelvic lag screw migration. Case report and results: We collected 24 cases of intrapelvic migration of the lag screw in the latest literature. Here, we report the case of a 68-year-old patient with medial pelvic migration of the lag screw after minor trauma and its removal using peroperative simultaneous angiography. After removal of the osteosynthesis material, a revision to a total hip arthroplasty was performed. Conclusion/discussion: This is the first case demonstrating an endovascular assisted removal simultaneous with revision surgery. We suggest that a multidisciplinary approach is warranted in which the orthopedic surgeon is assisted by a vascular surgeon. An endovascular assisted open removal of the lag screw with conversion to a hip arthroplasty is considered a safe treatment.

Indexed as

AngiographyEndovascularFemurIntertrochanteric fractureLag screwMigration

Identifiers

PMID37396117
PMCPMC10310941

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