Evidence map›Paper›PMID 38226990›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024

Functional outcomes after intramedullary nailing (C-Nail®) of severe calcaneal fractures with mean follow-up of 36 months.

Philipp Schippers, Rasmus Engels, Dominik Benning, Sebastian Fischer, Felix Wunderlich, Yama Afghanyar, Charlotte Arand, Michael Nienhaus, Philipp Drees, Erol Gercek and 1 more

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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

11 authors.

Philipp SchippersDepartment of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, 55131, Mainz, Germany. philipp.schippers@unimedizin-mainz.de.ORCID http://orcid.org/0000-0002-0005-299X
Rasmus EngelsDepartment of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, 55131, Mainz, Germany.
Dominik BenningDepartment of Orthopaedics and Trauma Surgery, Reconstructive Surgery, Hand Surgery, Plastic Surgery and Burn Medicine, German Armed Forces Central Hospital, Koblenz, Germany.
Sebastian FischerDepartment of Foot and Ankle Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt Am Main, 60389, Frankfurt, Germany.
Felix WunderlichDepartment of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, 55131, Mainz, Germany.
Yama AfghanyarDepartment of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, 55131, Mainz, Germany.
Charlotte ArandDepartment of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, 55131, Mainz, Germany.
Michael NienhausDepartment of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, 55131, Mainz, Germany.
Philipp DreesDepartment of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, 55131, Mainz, Germany.
Erol GercekDepartment of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, 55131, Mainz, Germany.
Raphael KüchleDepartment of Orthopedics and Traumatology, University Medical Center of the Johannes Gutenberg University Mainz, 55131, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCalcaneal fractures (CFs) are rare but potentially debilitating injuries. Apart from the open, far lateral or sinus tarsi approach, operative treatment can be performed minimally invasive and percutaneously with intramedullary nailing. In this study, we sought to investigate the functional outcome of severe CFs treated with the C-Nail® implant.

methodsTwenty-two CFs (9 × Sanders III and 8 × Sanders IV), operated between 2016 and 2019, were followed up with a mean duration of 36 (± 11) months. The AOFAS score, pre- and postoperative Böhler angles, wound healing disorders, and patient-reported outcome measures (PROMs) like pain levels and return to work/sport levels were assessed.

resultsThe mean AOFAS score was 72.0 (± 9.8). Four patients sustained wound healing disorders, yet no implant-associated surgical revision was required. Fifty percent of patients were pain-free within 1 year. Within 1 year, about 50% of the patients could return to sports, and about 80% of the patients could return to work. PROMs and functional results align with those from other implants reported in the literature.

conclusionIntramedullary nailing of severe CFs with the C-Nail® implant can be considered a safe treatment alternative that yields acceptable results at mid-terms.

Indexed as

CalcaneusFracture Fixation, IntramedullaryFractures, BoneAdultBone NailsFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient Reported Outcome MeasuresRecovery of FunctionRetrospective StudiesReturn to SportTreatment OutcomeCalcaneal fracturesC-NailFoot traumaIntramedullary nailingPROMsReturn to sportsReturn to work

Identifiers

PMID38226990
PMCPMC11249407

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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.