Evidence map›Paper›PMID 39308830›Full record

Trial reportPeerJ2024

Comparative analysis of radiological outcomes among cephalomedullary nails: helical, screw and winged screw.

Arman Vahabi, Ali Engin Dastan, Bunyamin Kilicli, Omar Aljasim, Huseyin Gunay, Nadir Ozkayin, Kemal Aktuglu

Abstract readComparative StudyClinical Trial
In one paragraph

Trial report in PeerJ, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Article
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.

Arman VahabiDepartment of Orthopaedics and Traumatology, Ege University, Izmir, Turkey.
Ali Engin DastanDepartment of Orthopaedics and Traumatology, Ege University, Izmir, Turkey.
Bunyamin KilicliDepartment of Orthopaedics and Traumatology, Ege University, Izmir, Turkey.
Omar AljasimDepartment of Orthopaedics and Traumatology, Ege University, Izmir, Turkey.
Huseyin GunayDepartment of Orthopaedics and Traumatology, Ege University, Izmir, Turkey.
Nadir OzkayinDepartment of Orthopaedics and Traumatology, Ege University, Izmir, Turkey.
Kemal AktugluDepartment of Orthopaedics and Traumatology, Ege University, Izmir, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Cephalomedullary nails (CMN) are implants with a high success rate in the surgical treatment of trochanteric fractures. The aim of this study is to compare the radiological outcomes and mechanical complications of femoral trochanteric fractures treated with three different CMNs. Methods: Intertrochanteric fractures in patients aged 50 years and older treated with CMN between January 2016 and December 2021 were reviewed retrospectively. A total of 158 cases meeting the criteria were included to final analysis. Cases were divided into three groups based on the type of nail used (helical blade: group 1, Results: Study groups were homogenic in terms of demographic characteristics, fracture type and reduction quality. Regarding mechanical complications, no statistically significant difference was found between groups. All three implants had similar outcomes on femoral neck shortening, varus collapse and lag sliding. Pooled analysis of 158 cases showed that mechanical complications increase as the quality of reduction decreases ( Conclusion: The radiological outcomes and mechanical complications of helical blade, screw type blade and winged screw type blade proximal femoral nails are similar in selected group. Regardless of the device type, it is necessary to obtain high reduction quality, obtain TAD within described range and optimally place the blade according to Cleveland Zones to reduce the failure rate and avoid complications.

Indexed as

Bone NailsBone ScrewsFracture Fixation, IntramedullaryHip FracturesAgedAged, 80 and overFemaleHumansMaleMiddle AgedPostoperative ComplicationsRadiographyRetrospective StudiesTreatment OutcomeHelical bladeLag slidingNeck shorteningProximal femoral nailScrew bladeWedge wing

Identifiers

PMID39308830
PMCPMC11416753

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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.