Evidence map›Paper›PMID 40355772›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Extracapsular hip fractures are more prone to perioperative thrombosis than intracapsular hip fractures in elderly patients undergoing arthroplasty for hip fractures: a retrospective cohort study.

Min Sun, Chengbin Long, Yinshuang Zou, Yong Hu, Cheng Chen, Ning Hu

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Min SunDepartment of Knee Joint Sports Injury, Sichuan Provincial Orthopedic Hospital, Chengdu, Sichuan Province, China.
Chengbin LongDepartment of Orthopedics, Bishan Hospital of Chongqing Medical University, Chongqing, China.
Yinshuang ZouDepartment of Orthopedics, Jingzhou Hospital, Yangtze University, Jingzhou, China.
Yong HuDepartment of Knee Joint Sports Injury, Sichuan Provincial Orthopedic Hospital, Chengdu, Sichuan Province, China.
Cheng ChenDepartment of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Ning HuDepartment of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. huncqjoint@yeah.net.

Funding

intramural Research Project of Sichuan Orthopedic Hospital No. 20PT04the Articular Cartilage Tissue Engineering, Regenerative Medicine Team, Chongqing Medical University No. W0080the National Natural Science Foundation of China No.82072443the Outstanding Project of Chongqing Overseas Chinese Entrepreneurship and Innovation Support Program CX2022032
6 · The paper itself

Abstract

purposeWhether fracture site has any effect on perioperative deep vein thrombosis (DVT) in elderly patients with hip fractures undergoing arthroplasty is still controversial. This study aimed to evaluate the association between fracture site and perioperative DVT in elderly patients undergoing hip arthroplasty.

methodsA retrospective cohort analysis was conducted on elderly hip fracture patients who underwent hip arthroplasty and were admitted between January 2015 and December 2021. Patient data, including demographics, comorbidities, injury-related information, laboratory test results at admission, and surgery-related information, were collected. Univariate and multivariate regression analyses, along with subgroup analyses and sensitive analysis, were performed to identify the association between fracture site and DVT.

resultsThe study included 593 patients, consisting of 353 patients with intracapsular hip fractures (ICF) and 240 patients with extracapsular hip fractures (ECF), with an average age of 80.7 ± 7.6. The incidence of DVT diagnosed by ultrasonography was 16.9% in all patients. The prevalence of DVT for ECF patients and ICF patients was 22.5% and 13.0%, respectively. In all adjusted multivariate regression analysis model, ECF patients exhibited an increased risk of DVT compared to ICF patients (OR 2.03; 95% CI 1.19-3.47, p = 0.009). Subgroup analyses revealed that female patients with ECF had a higher likelihood of DVT than those with ICF (OR 2.25; 95% CI 1.22-4.13), as did patients aged 65 to 80 years (OR 4.06; 95% CI 1.44-11.41), patients with hemoglobin levels above 110 g/L (OR 2.30; 95% CI 1.08-4.92), and patients with albumin levels above 35 g/L (OR 2.47; 95% CI 1.29-4.73). Sensitivity analysis found similar results.

conclusionThe findings indicate a significant association between fracture site and perioperative DVT in elderly hip fracture patients undergoing hip arthroplasty, with ECF patients demonstrating a higher likelihood of developing DVT than ICF patients.

Indexed as

Arthroplasty, Replacement, HipHip FracturesPostoperative ComplicationsVenous ThrombosisAgedAged, 80 and overFemaleHumansIncidenceMaleRetrospective StudiesRisk FactorsCohortDeep vein thrombosisFracture siteHip fractureLogistic regression

Identifiers

PMID40355772

What OpenQuestion holds

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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.