Evidence map›Paper›PMID 39201137›Full record

ArticleHealthcare (Basel, Switzerland)2024

Experimental Analysis of a Failed Gamma Nail: A Case Report and Literature Review.

Mihai Alexandru Cordunianu, Alina Georgiana Vulcu Cordunianu, Iulian Antoniac, Andrei Luca, Marius Niculescu, Cristian Ovidiu Chiriac, Iuliana Corneschi, Cosmin Ioan Mohor

Abstract readCase Reports
In one paragraph

Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Mihai Alexandru CordunianuFaculty of Medicine, Titu Maiorescu University, 67A Gheorghe Petrascu, 031593 Bucharest, Romania.
Alina Georgiana Vulcu CordunianuFaculty of Medicine, Titu Maiorescu University, 67A Gheorghe Petrascu, 031593 Bucharest, Romania.
Iulian AntoniacFaculty of Material Science and Engineering, University Politehnica of Bucharest, 313 Splaiul Independentei, 060042 Bucharest, Romania.ORCID 0000-0003-0112-3494
Andrei LucaFaculty of Medicine, Titu Maiorescu University, 67A Gheorghe Petrascu, 031593 Bucharest, Romania.ORCID 0000-0002-3628-4637
Marius NiculescuFaculty of Medicine, Titu Maiorescu University, 67A Gheorghe Petrascu, 031593 Bucharest, Romania.
Cristian Ovidiu ChiriacDepartment of Neurologic Recovery, Central Military Emergency University Hospital Carol Davila, 134 Calea Plevnei, District 1, 010825 Bucharest, Romania.
Iuliana CorneschiFaculty of Material Science and Engineering, University Politehnica of Bucharest, 313 Splaiul Independentei, 060042 Bucharest, Romania.
Cosmin Ioan MohorFaculty of Medicine, Lucian Blaga University of Sibiu, 10 Victoriei Boulevard, 550024 Sibiu, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Gamma Nail represents one of the most popular and efficient implants for treating proximal femoral fractures. Our paper reports a case of a failed Gamma Nail which was used for the surgical treatment of a 69-year-old woman with a right femoral trochanteric fracture due to a car accident. After the surgical intervention, 6 months later, the patient presented to the hospital reporting pain and limited mobility of the right hip. An X-ray was performed at the level of the pelvis, which highlighted the fracture nonunion and the implant failure. The implant removal and its replacement with a dynamic condylar screw system (DCS) was decided. Because Gamma Nail failures are rare occurrences, the implant was subjected to analyses and experimental determinations to find out the cause. For the implant analyses, a stereomicroscope, an optical microscope, and scanning electron microscopy were used. After the tests were conducted, preparation and processing irregularities as causes of the implant failure were eliminated. Also, the experimental analyses showed that the Gamma Nail did comply with chemical composition and microstructure regulations. Thus, it was concluded that the implant failed due to the mechanical overloading caused by surgical technique errors.

Indexed as

elderly traumaexperimental determinationsGamma Nailimplant failuretrochanteric fracture

Identifiers

PMID39201137
PMCPMC11353889

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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.