Evidence map›Paper›PMID 39958107›Full record

ArticleCureus2025

The Off-Label Use of a Humeral Nail To Treat a Subtrochanteric Femur Fracture: A Case Report.

Alison Buseck, Michael Koulopoulos, Matthew P Sullivan

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  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

3 authors.

Alison BuseckOrthopedic Surgery, State University of New York Upstate Medical University, Syracuse, USA.
Michael KoulopoulosOrthopedic Surgery, State University of New York Upstate Medical University, Syracuse, USA.
Matthew P SullivanOrthopedic Surgery, State University of New York Upstate Medical University, Syracuse, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of humeral nails for femoral subtrochanteric fractures is rarely reported. We present a case in which a humeral nail was employed for a subtrochanteric femur fracture alongside contralateral prophylactic stabilization of the femoral neck and shaft.  A 29-year-old female patient with a history of bilateral varus-producing proximal femoral osteotomies, complicated by symptomatic hardware indicating bilateral removal, sustained a subtrochanteric fracture. Given her 98-degree neck-shaft angle, a humeral nail was selected for right femur fixation. She also underwent prophylactic stabilization of the contralateral proximal femur with a humeral nail. There are limited options for addressing subtrochanteric femur fractures in patients with anatomy variations that preclude using standard femoral nails. This case demonstrates the successful off-label use of a humeral nail for subtrochanteric femur fracture when a traditional femoral nail is impossible.

Indexed as

congenital hip dysplasiafemoral neck osteotomyfemoral neck-shaft angleim nailsubtrochanteric femur fracture

Identifiers

PMID39958107
PMCPMC11830416

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.