Evidence map›Paper›PMID 40245284›Full record

ArticleSICOT-J2025

Retrograde femoral nailing for deformity correction and fracture treatment in osteogenesis imperfecta: clinical and radiological assessment of a novel technique.

Samuel Georges, Ibrahim Saliba, Georges Finidori, Edouard Haumont, Stephanie Pannier, Zagorka Pejin

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Article in SICOT-J, 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
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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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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Samuel GeorgesOrthopedic Department, Necker Hospital, 149 Rue de Sèvres, 75015 Paris, France.
Ibrahim SalibaOrthopedic Department, Necker Hospital, 149 Rue de Sèvres, 75015 Paris, France.ORCID 0000-0003-2136-157X
Georges FinidoriOrthopedic Department, Necker Hospital, 149 Rue de Sèvres, 75015 Paris, France.
Edouard HaumontOrthopedic Department, Necker Hospital, 149 Rue de Sèvres, 75015 Paris, France.
Stephanie PannierOrthopedic Department, Necker Hospital, 149 Rue de Sèvres, 75015 Paris, France - Genetics Department, Paris Cité University, INSERM UMR 1163, Imagine Institute, 75015 Paris, France.
Zagorka PejinOrthopedic Department, Necker Hospital, 149 Rue de Sèvres, 75015 Paris, France - Genetics Department, Paris Cité University, INSERM UMR 1163, Imagine Institute, 75015 Paris, France.

Funding

None None
6 · The paper itself

Abstract

introductionIntramedullary anterograde femoral nailing is a standard treatment for femoral deformity and fracture in osteogenesis imperfecta (OI). This study evaluates the clinical and radiological outcomes of a novel retrograde femoral nailing technique.

methodsA retrospective analysis was performed on 31 patients with OI who underwent retrograde femoral nailing using Dubow-Bailey nails from 2004 to 2019. A total of 54 femurs were treated for femoral deformity or fracture by three senior surgeons, with a mean follow-up of 2.7 years. Clinical outcomes, including knee range of motion and pain, were assessed. Radiological outcomes included deformity angle (DA), neck shaft angle (NSA), mechanical lateral distal femoral angle (mLDFA), and nail positioning on AP and lateral X-rays. Potential complications, including hip osteonecrosis, distal femoral growth arrest, and infections, were also evaluated.

resultsThe procedure showed favorable outcomes, with no postoperative knee motion limitations or persistent pain. The mean pre-operative DA on AP and lateral views was 29° and 40°, respectively, with no residual deformity after surgery. The mean NSA and mLDFA were 132° and 101° before surgery, compared to 143° and 89° post-operatively. Nail alignment was optimal in 81% of the femurs, with proper positioning in both the distal epiphysis and femoral neck. No cases of hip osteonecrosis, distal femoral growth arrest, or infection were reported. Hardware migration occurred in seven cases.

conclusionRetrograde femoral nailing is a safe and effective technique for managing femoral deformities and fractures in OI.

Indexed as

Femoral deformitiesFracturesOsteogenesis imperfectaRetrograde femoral nailingTelescoping nails

Identifiers

PMID40245284
PMCPMC12005622

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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.