Evidence map›Paper›PMID 40223675›Full record

ArticleActa orthopaedica2025

Risk of secondary surgery following surgical treatment of fractures: a nationwide register study on 9,719 adult patients.

Anders Bo Roennegaard, Signe Steenstrup Jensen, Peter Toft Tengberg, Per Hviid Gundtoft, Bjarke Viberg

Abstract read
In one paragraph

Article in Acta orthopaedica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Anders Bo RoennegaardDepartment of Orthopedic Surgery and Traumatology, Kolding Hospital (part of Hospital Lillebaelt), Kolding; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark. anders.bo.ronnegaard@rsyd.dk.ORCID 0000-0002-8037-5114
Signe Steenstrup JensenDepartment of Orthopedic Surgery and Traumatology, Kolding Hospital (part of Hospital Lillebaelt), Kolding; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0003-1563-3778
Peter Toft TengbergDepartment of Orthopedic Surgery, Hvidovre Hospital, Denmark.
Per Hviid GundtoftDepartment of Orthopedic Surgery and Traumatology, Kolding Hospital (part of Hospital Lillebaelt), Kolding; Department of Orthopedic Surgery, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-3688-6865
Bjarke VibergDepartment of Orthopedic Surgery and Traumatology, Kolding Hospital (part of Hospital Lillebaelt), Kolding; Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense; Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-5169-4282

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeReports on the risk of secondary surgery in fracture-related surgery are scarce in the literature. The aim of this study was to estimate the risk of any secondary musculoskeletal surgery within 2 years of primary, fracture-related surgery.

methodsWe performed a nationwide register study on adult Danish patients surgically treated for fractures in 2016 with 2 years' follow-up. We used cross-linked data from the Danish Fracture Database, the Danish National Patient Registry and the Danish Civil Registration System. Primary outcome was risk of secondary surgery calculated by the cumulative incidence function and presented with 95% confidence intervals (CI) overall and stratified on age, sex, and anatomical area.

resultsWe included 9,719 adult patients of whom 63% were female and median age was 70 years (20-100). The overall risk of secondary musculoskeletal surgery in the same anatomical area as the primary was 20% (CI 19-21), for reoperation (i.e., pertaining to the initial treatment) 19% (CI 18-20), and for major reoperation (due to complication of the initial treatment) 8% (CI 7-8). Across anatomical areas risk ranged from 4% (CI 1-9) to 69% (CI 66-73) for secondary surgery, from 4% (CI 1-9) to 68% (CI 65-72) for reoperations, and from 2% (CI 0-6) to 26% (CI 19-33) for major reoperation.

conclusionThe risk of experiencing a major postoperative complication that needs surgical treatment is below 10%.

Indexed as

Fractures, BonePostoperative ComplicationsReoperationAdultAgedAged, 80 and overDenmarkFemaleHumansMaleMiddle AgedRegistriesRisk FactorsYoung Adult

Identifiers

PMID40223675
PMCPMC11995429

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.