Evidence map›Paper›PMID 40217650›Full record

ReviewJournal of clinical medicine2025

Controversies in the Treatment Strategies of Intertrochanteric Fractures: A Scoping Review and Discussion of a Literature-Based Algorithm.

Tilman Graulich, Mohamed Omar, Stephan Sehmisch, Emmanouil Liodakis

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07738458 (Robot-Assisted Closed Reduction and Internal Fixation for Intertrochanteric Femoral Fractures), which is not on this 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.

NCT07738458 narecruitingnot on this mapstarted 2026, after this paper: background citation

Robot-Assisted Closed Reduction and Internal Fixation for Intertrochanteric Femoral Fractures: A Randomized Controlled Trial

TypeinterventionalSponsorBeijing Jishuitan HospitalRan2026 to 2028Enrolled60ConditionsIntertrochanteric Fractures, Intertrochanteric Fractures of the Hip, Intertrochanteric Fractures of the FemurArmsRobot-assisted closed reduction and internal fixation, Conventional manual closed reduction and internal fixation
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

4 authors.

Tilman GraulichDepartment of Trauma Surgery, Hannover Medical School, Carl-Neuberg Str. 1, 30625 Hannover, Germany.
Mohamed OmarDepartment of Trauma Surgery, Hannover Medical School, Carl-Neuberg Str. 1, 30625 Hannover, Germany.
Stephan SehmischDepartment of Trauma Surgery, Hannover Medical School, Carl-Neuberg Str. 1, 30625 Hannover, Germany.
Emmanouil LiodakisDepartment of Trauma, Hand and Reconstructive Surgery, Departments and Institutes of Surgery, Saarland University, 66123 Homburg, Germany.ORCID 0000-0001-8870-6216

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intertrochanteric fractures become more and more relevant in an aging population. Despite significant progress in the treatment of these fractures, some technical details, concerning the surgical procedure, are still a matter of strong debate. In this review of the literature, we have included the best evidence available from the last decade in an effort to shed light on some of the most controversial subjects related to intertrochanteric fractures: Treatment in the case of polytrauma or monotrauma? Reconstruction or arthroplasty? Open or closed reduction? Reconstruction with or without additional cables and plates? Cephalomedullary nail or dynamic hip screw (DHS)? Long cephalomedullary nail or short cephalomedullary nail? The results of this scoping review are controversial. By introducing a new therapeutic algorithm, we do not intend to present a new finished guideline but rather arouse a controversial debate about a relevant aspect in geriatric traumatology. These conflicting results are an indication that larger and more well-conducted, high-quality trials are needed in order to gain more secure answers.

Indexed as

algorithmarthroplastycomplicationintertrochanteric fracturesreconstruction

Identifiers

PMID40217650
PMCPMC11989566

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Registered trials

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.