Evidence map›Paper›PMID 39513644›Full record

ArticleSICOT-J2024

Proximal femoral nailing for unstable trochanteric fractures: lateral decubitus position or traction table? A case-control study of 96 patients.

Mohamed I Abulsoud, Mohamed A A Ibrahim, Ahmed Saied Mohammed, Mohammed Elmarghany, Usama Gaber, Elsherbiny Ali Elsherbiny, Samir A Nematallah, Mohamed Amer Mohamed, Mohamed F Elhalawany, Yahia A Hasanien and 1 more

Abstract read
In one paragraph

Article in SICOT-J, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Factors influencing mechanical failure following intramedullary nailing of proximal femur fractures: a retrospective cohort study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. [Treatment of irreducible intertrochanteric femoral fracture in elderly with proximal femoral nail antirotation combined with minimally invasive clamp reduction technique by Kocher pincers].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    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

11 authors.

Mohamed I AbulsoudDepartment of Orthopaedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0000-0002-3778-3294
Mohamed A A IbrahimDepartment of Orthopaedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0000-0002-1796-4549
Ahmed Saied MohammedDepartment of Orthopaedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohammed ElmarghanyDepartment of Orthopaedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0000-0002-6915-3772
Usama GaberDepartment of Orthopaedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0009-0003-4524-288X
Elsherbiny Ali ElsherbinyDepartment of Orthopaedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0000-0003-1778-2048
Samir A NematallahDepartment of Orthopaedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0009-0002-5388-7656
Mohamed Amer MohamedDepartment of Orthopaedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed F ElhalawanyDepartment of Orthopaedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Yahia A HasanienDepartment of Orthopaedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mostafa AbonnourAbo-Khalifa trauma and specialized surgeries hospital, Ismailia, Egypt.ORCID 0000-0003-1363-0514

Funding

None None
6 · The paper itself

Abstract

purposeThis study aimed to compare the treatment of unstable intertrochanteric femoral fractures with short proximal femoral nailing in elderly patients in the lateral decubitus position versus the supine position on traction tables.

methodsFrom June 2020 to January 2022, a prospective case-control study was performed on 96 patients who presented with unstable trochanteric fractures treated by internal fixation via short proximal femoral nail (PFN). Patients were divided into two groups: Group A, which included patients who underwent surgery in the lateral position; and Group B, which included those in the supine position. Both groups were subjected to follow-up for 12 months.

resultsThe mean setup time, surgery time, and blood loss were significantly greater in Group B than in Group A, while the hospital stay and fluoroscopy duration were similar in both groups. Regarding reduction quality and fixation (TAD (tip-apex distance), CDA (collodiaphyseal angle), and Reduction CRQC (change reduction quality criterion)), there were no statistically significant differences between the two groups; moreover, there were no intraoperative or postoperative complications in either group or the Harris hip score (67.65 ± 17.06 in Group A vs. 67.15 ± 17.05 in Group B).

conclusionThe lateral decubitus and supine positions on a traction table are suitable for proximal femoral nailing with comparable outcomes, and surgeons can use either position according to their preferences and resources.

Indexed as

Harris hip scoreHip fracturesIntertrochanteric femoral fracturesLateral positionPatient positioningProximal femoral nailTraction table

Identifiers

PMID39513644
PMCPMC11545368

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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.