Evidence map›Paper›PMID 39920603›Full record

ArticleBMC musculoskeletal disorders2025

Partial weight bearing and long-term survival outcomes in extracapsular hip fractures treated with trochanteric Gamma3 nails.

Carlos Hernández-Pascual, José Ángel Santos-Sánchez, Jorge Hernández-Rodríguez, Carlos Fernando Silva-Viamonte, Carmen Pablos-Hernández, Pablo Alonso-Rodríguez, José Antonio Mirón-Canelo

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Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

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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.

Carlos Hernández-PascualDepartment of Trauma and Orthopaedic Surgery, Hospital Universitario de Salamanca, Paseo de la Transición Española, 37007, Salamanca, Spain. medcarlitos@usal.es.
José Ángel Santos-SánchezDepartment of Radiology, Hospital Universitario de Salamanca, Paseo de la Transición Española, 37007, Salamanca, Spain.
Jorge Hernández-RodríguezDepartment of Medical Physics and Radiation Protection, Hospital Universitario de Salamanca, Paseo de la Transición Española, 37007, Salamanca, Spain.
Carlos Fernando Silva-ViamonteDepartment of Statistics, Faculty of Medicine, Universidad de Salamanca. Campus Miguel de Unamuno, Avda. Alfonso X El Sabio S/N, 37007, Salamanca, Spain.
Carmen Pablos-HernándezDepartment of Geriatrics, Hospital Universitario de Salamanca, Paseo de la Transición Española, 37007, Salamanca, Spain.
Pablo Alonso-RodríguezDepartment of Rehabilitation, Hospital Universitario de Salamanca, Paseo de la Transición Española, 37007, Salamanca, Spain.
José Antonio Mirón-CaneloDepartment of Biomedical and Diagnostic Sciences. Preventive Medicine and Public Health, Faculty of Medicine, Universidad de Salamanca. Campus Miguel de Unamuno, Avda. Alfonso X El Sabio S/N, 37007, Salamanca, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBenefits of partial weight bearing (PWB) in operated extracapsular hip fractures (ECF) have not been proved. We have assessed influence of PWB on long-term survival and the final mobility achieved, dependence and mortality-related factors.

methodsRetrospective cohort study of osteoporotic ECF in ≥ 65-year-old patients who underwent surgery with trochanteric Gamma3 nails in 2014 (n = 218), followed in the long-term (consolidation or stabilisation). According to Baumgaertner-Fogagnolo classification (138 good, 71 acceptable and 9 poor) a postoperative protocol was applied. 116 cases bore weight before discharge (Immediate Partial Weight Bearing, IPWB = 116; Not-IPWB = 102), and 118 did it after a month (Early PWB, EPWB = 118; Not-EPWB = 100). Variables were collected from medical records and complementary studies. We used FMS (Fracture Mobility Score) and the National Mortality Database from the Spanish Ministry of Health at > 5 years. EPWB and Not-EPWB were comparable, except for hospital stay and dependence. We used the Cox method for mortality. < 0.05 p-values were significant.

resultsSurvival improved in IPWB earlier than in EPWB, although there was no statistical significance. The final FMS was significantly favourable only in EPWB. Not-EPWB showed greater dependence. Age (per year of increment), moderate Charlson comorbidity index (not age-modified) and greater immediate post-operative estimated blood loss were independent factors for mortality, but we did not find radiological factors implied.

conclusionsPostoperative PWB in ECF may increase mid-term and long-term survival rates, but considerably delayed in EPWB. Only EPWB improved final mobility. Not-EPWB presented with greater dependence. Only clinical factors were independently related to mortality, but no radiological factors were.

Indexed as

Bone NailsFracture Fixation, IntramedullaryHip FracturesOsteoporotic FracturesWeight-BearingAgedAged, 80 and overCohort StudiesFemaleHumansMalePartial Weight-BearingRetrospective StudiesTreatment OutcomeDependenceFracture fixationHip fractureIntramedullaryMobilityPartial weight bearingSurvival

Identifiers

PMID39920603
PMCPMC11804022

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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.