Evidence map›Paper›PMID 38555541›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

A dual telescoping lag screw nailing system for intertrochanteric fractures: retrospective analysis of clinical and radiologic outcomes.

Matteo Innocenti, Filippo Leggieri, Gregorio Secci, Christian Carulli, Armando Del Prete, Roberto Civinini

Open access · hybridAbstract read
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 93% 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, 0 citations in OpenAlex.

  1. Article
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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 2 institutions in 1 country.

Matteo InnocentiDepartment of General Orthopedic, University of Florence, A.O.U. Careggi CTO - Largo Palagi 1, 50139, Florence, Italy.ORCID http://orcid.org/0000-0001-9604-2042
Filippo LeggieriDepartment of General Orthopedic, University of Florence, A.O.U. Careggi CTO - Largo Palagi 1, 50139, Florence, Italy. filippoleggieri@icloud.com.ORCID http://orcid.org/0009-0007-1289-8849
Gregorio SecciDepartment of General Orthopedic, University of Florence, A.O.U. Careggi CTO - Largo Palagi 1, 50139, Florence, Italy.ORCID http://orcid.org/0000-0002-5610-4138
Christian CarulliDepartment of General Orthopedic, University of Florence, A.O.U. Careggi CTO - Largo Palagi 1, 50139, Florence, Italy.ORCID http://orcid.org/0000-0002-0845-7940
Armando Del PreteDepartment of General Orthopedic, University of Florence, A.O.U. Careggi CTO - Largo Palagi 1, 50139, Florence, Italy.
Roberto CivininiDepartment of General Orthopedic, University of Florence, A.O.U. Careggi CTO - Largo Palagi 1, 50139, Florence, Italy.ORCID http://orcid.org/0000-0002-0010-7532
University of Florence · ITAzienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe aim of this study was to evaluate whether this system is associated with a reduced rate of failure and complications in patients treated for proximal femoral fractures with intramedullary nailing. MATERIALS AND

methods742 Patients with AO-OTA 31-A intertrochanteric fractures were enrolled at a single Institution. Functional evaluation was assessed through the Functional Independence Measure (FIM™) instrument and Parker's New Mobility Score (NMS). Radiological follow-up included the degree of the reduction according to the Baumgartner criteria, the Tip-Apex Distance, and the shortening of the telescoping screws and its lateral protrusion.

resultsPre-operative mean FIM™ and NMS were 4.3 (range 1-9) and 98.7 (range 22-126), respectively. At the 12-month follow-up the average FIM™ and NMS were 95.3 (range 22-126) and 3.7 (range 1-9), respectively. Mean shortening of the lag screws was 4.3 mm (range 1-8) and mean lateral protrusion was 1.7 mm (range 0-3). 3 Cases (0.70%) of non-consolidation requiring reoperation were recorded. 1 Case (0.24%) of these cases was also characterized by nail breakage. No case of cut-out has been reported at our follow-up.

conclusionsThis dual telescoping nail system is effective and safe. The sliding of the telescoping screws within the barrel is able to decrease strain from the femoral head during weight bearing reducing the risk of cut-out.

Indexed as

Bone NailsBone ScrewsFracture Fixation, IntramedullaryHip FracturesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPostoperative ComplicationsRadiographyRetrospective StudiesTreatment OutcomeCut-outHip fracturesIntramedullary nailingLateral protrusionTelescoping screw

Identifiers

PMID38555541
PMCPMC11101515
OpenAlexW4393354108

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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.