Evidence map›Paper›PMID 38933352›Full record

ArticleActa ortopedica brasileira2024

LOW INFECTION AND NON-UNION RATES IN POLYTRAUMA FEMORAL FRACTURES: A RETROSPECTIVE STUDY.

Matheus Trindade Bruxelas de Freitas, Gabriel Benevides Valiate Martins, Matheus Augusto Maciel Santiago, Isaac Rocha Silva, Marcos de Camargo Leonhardt, Jorge Dos Santos Silva, Kodi Edson Kojima

Abstract read
In one paragraph

Article in Acta ortopedica brasileira, 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. Observational
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.

Matheus Trindade Bruxelas de FreitasUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HC-FMUSP), Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil.ORCID https://orcid.org/0009-0001-2535-3529
Gabriel Benevides Valiate MartinsUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HC-FMUSP), Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil.ORCID https://orcid.org/0000-0002-7370-3773
Matheus Augusto Maciel SantiagoUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HC-FMUSP), Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil.ORCID https://orcid.org/0009-0004-9735-1487
Isaac Rocha SilvaUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HC-FMUSP), Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil.ORCID https://orcid.org/0009-0005-5398-5661
Marcos de Camargo LeonhardtUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HC-FMUSP), Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil.ORCID https://orcid.org/0000-0002-0359-9704
Jorge Dos Santos SilvaUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HC-FMUSP), Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil.ORCID https://orcid.org/0000-0001-8901-3120
Kodi Edson KojimaUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HC-FMUSP), Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil.ORCID https://orcid.org/0000-0001-9543-081X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Assess complications and risks in staged femoral shaft fracture treatment using external fixation and intramedullary nailing (DCO). Methods: Analysis involved 37 patients with 40 fractures, mostly male (87.5%), average age 32.9 years. Data included ASA score, AO/OTA and Gustilo classifications, Glasgow Coma Score, Injury Severity Score, times to external fixation and conversion, ICU duration, nail type, and reaming status. Complications tracked were mortality, deep infection, and non-union. Results: Predominant fracture type was AO/OTA A (45%), with 40% open (Gustilo A, 93.8%). Average ISS was 21; GCS was 12.7. Median ICU stay was 3 days; average time to conversion was 10.2 days. Retrograde nails were used in 50% of cases, with reaming in 67.5%. Complications included deep infections in 5% and non-union in 2.5%. Conclusion: DCO strategy resulted in low infection and non-union rates, associated with lower GCS and longer ICU stays.

Indexed as

Femoral FracturesIntramedullary NailingMultiple TraumaPostoperative Complications

Identifiers

PMID38933352
PMCPMC11197956

What OpenQuestion holds

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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.