Evidence map›Paper›PMID 38819679›Full record

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

The dynamic locking blade plate: seven-year follow-up results of 389 patients with a femoral neck fracture.

J H Kalsbeek, W H Roerdink, P Krijnen, C A S Berende, J T Winkelhorst, A D P van Walsum, I B Schipper

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
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 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. Review
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

7 authors.

J H KalsbeekDepartment of Trauma Surgery, Medisch Spectrum Twente, Koningstraat 1, Enschede, 7512 KZ, The Netherlands. j.h.kalsbeek@lumc.nl.ORCID http://orcid.org/0000-0002-1125-0027
W H RoerdinkDepartment of Trauma Surgery, Deventer Ziekenhuis, Nico Bolkesteinlaan 75, Deventer, 7416 SE, The Netherlands.ORCID http://orcid.org/0000-0003-3283-116X
P KrijnenDepartment of Trauma Surgery, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands.ORCID http://orcid.org/0000-0002-7154-9514
C A S BerendeDepartment of Trauma Surgery, Amphia Ziekenhuis, Molengracht 21, Breda, 4818 CK, The Netherlands.
J T WinkelhorstDepartment of Trauma Surgery, Canisius Wilhelmina Ziekenhuis, Weg door Jonkerbos 100, Nijmegen, 6532 SZ, The Netherlands.
A D P van WalsumDepartment of Trauma Surgery, Medisch Spectrum Twente, Koningstraat 1, Enschede, 7512 KZ, The Netherlands.ORCID http://orcid.org/0000-0002-4217-125X
I B SchipperDepartment of Trauma Surgery, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands.ORCID http://orcid.org/0000-0001-9952-3079

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to investigate the long-term outcomes of patients with a femoral neck fracture (FNF), treated with the Dynamic Locking Blade Plate (DLBP).

methodsRetrospective analysis of prospectively collected data of a multicentre cohort of patients with FNFs was conducted, regarding the long-term incidence of revision surgery after DLBP. Implant failure was evaluated using Kaplan-Meier and Cox regression analysis. Secondary outcomes were the indication for revision surgery, complications, time to revision surgery, rate of elective removal of the implant, potential predictors for revision surgery and mortality.

resultsMedian follow-up of 389 included patients was 98 months; 20.6% underwent revision surgery; 28.8% after treatment of a displaced FNF (dFNF) and 10.0% with a undisplaced FNF (uFNF). 5.7% (n = 22) of the patients had operation related complications and 32.9% (n = 128) deceased during follow-up. Median time to revision surgery was 13 (dFNF) and 18 months (uFNF). 15.7% of the DLBPs were electively removed. In the multivariate Cox regression analysis, female gender (hazard ratio 2.1, 95% CI 1.2-3.7) and a TAD > 25 mm (hazard ratio 2.9, 95% CI 1.7-5) were significant predictors for revision surgery in patients with dFNF.

conclusionThis study is the first long-term follow-up study on the outcome of the DLBP. The DLBP demonstrated positive long-term results in the treatment of FNF.

Indexed as

Bone PlatesFemoral Neck FracturesFracture Fixation, InternalReoperationAgedAged, 80 and overFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeDisplaced undisplacedDynamic locking blade plateFemoral neck fractureHip fractureInternal fixationIntracapsular hip fracture

Identifiers

PMID38819679
PMCPMC11599314

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