Evidence map›Paper›PMID 37655843›Full record

ReviewEFORT open reviews2023

Surgical fixation of ipsilateral femoral neck and shaft fractures: a matter of debate?

Johannes D Bastian, Silviya Ivanova, Ahmed Mabrouk, Peter Biberthaler, Pedro Caba-Doussoux, Nikolaos K Kanakaris

Open access · goldAbstract readReview
In one paragraph

Review in EFORT open reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 4 citations in OpenAlex.

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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 3 countries.

Johannes D BastianDepartment of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Silviya IvanovaDepartment of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Ahmed MabroukDepartment of Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, United Kingdom.ORCID 0000-0002-2547-3176
Peter BiberthalerDepartment of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Pedro Caba-DoussouxServicio de Cirugía Ortopédica y Traumatología, Hospital 12 de Octubre, Madrid, España.
Nikolaos K KanakarisDepartment of Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, United Kingdom.ORCID 0000-0002-1695-1519
University of Bern · CHLeeds Teaching Hospitals NHS Trust · GBTUM Klinikum · DEUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Segmental femoral fractures represent a rare but complex clinical challenge. They mostly result from high-energy mechanisms, dictate a careful initial assessment and are managed with various techniques. These often include an initial phase of damage control orthopaedics while the initial manoeuvres of patient and soft tissue resuscitation are employed. Definitive fixation consists of either single-implant (reconstruction femoral nails) or dual-implant constructs. There is no consensus in favour of one of these two strategies. At present, there is no high-quality comparative evidence between the various methods of treatment. The development of advanced design nailing and plating systems has offered fixation constructs with improved characteristics. A comprehensive review of the existing evidence with a step-by-step description of these different definitive fixation strategies based on three case examples was conducted. Furthermore, the rationale for using single vs dual-implant strategy in its case is presented with supportive references. The prevention of complications relies mainly on the strict adherence to basic principles of fracture fixation with an emphasis on careful preoperative planning, the quality of the reduction, and the application of soft tissue-friendly surgical methods.

Indexed as

femursegmental fracturestrauma

Identifiers

PMID37655843
PMCPMC10548304
OpenAlexW4386346560

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.