Evidence map›Paper›PMID 40535322›Full record

ReviewGeriatric orthopaedic surgery & rehabilitation2025

Comparing Intramedullary Nails versus Dynamic Hip Screws in the Treatment of Intertrochanteric Hip Fractures on Post-operative Rehabilitation Outcomes - A Systematic Review and Meta-Analysis.

Chantal Backman, Ashley Lam, Rosie Papp, Aurelie Tonjock Kolle, Franciely Daina Engel, Wenshan Li, Soha Shah, Colleen Webber, Peter Tanuseputro, Marie-Cecile Domecq and 1 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Geriatric orthopaedic surgery & rehabilitation, 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. Review
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

11 authors.

Chantal BackmanFaculty of Health Sciences, University of Ottawa, ON, Canada.ORCID https://orcid.org/0000-0001-7431-8159
Ashley LamFaculty of Health Sciences, University of Ottawa, ON, Canada.
Rosie PappFaculty of Health Sciences, University of Ottawa, ON, Canada.
Aurelie Tonjock KolleFaculty of Health Sciences, University of Ottawa, ON, Canada.
Franciely Daina EngelFaculty of Health Sciences, University of Ottawa, ON, Canada.
Wenshan LiOttawa Hospital Research Institute, Ottawa, ON, Canada.
Soha ShahBruyère Research Institute, Ottawa, ON, Canada.
Colleen WebberBruyère Research Institute, Ottawa, ON, Canada.
Peter TanuseputroDepartment of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong.
Marie-Cecile DomecqHealth Sciences Library, University of Ottawa, ON, Canada.
Steve PappFaculty of Medicine, University of Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We conducted a systematic review and meta-analysis to compare post-operative rehabilitation outcomes between two common treatments in patients who have suffered an intertrochanteric hip fracture: intramedullary nails vs dynamic hip screws. Methods: We searched MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science up to August 10, 2022. The inclusion criteria were defined as Population: adults (>18 years old); Interventions/Comparators: intramedullary nails and dynamic hip screws; Outcomes: function, quality of life and survival; and Study type: randomized controlled trials and non-randomized studies. A meta-analysis was performed, and the fixed-effect model was selected to pool the data for homogeneous studies (I Results: 108 studies were included in the review. 42 studies had outcomes that were included in the meta-analysis. There were modest differences after sensitivity analysis for the Parker mobility score mean difference (MD) = 0.70, 95% CI [0.12, 1.28], T = 3.11, df = 5, Conclusion: This review showed some differences in functional outcomes in the treatment of intertrochanteric fractures favoring intramedullary nails over dynamic hip screws. There were no differences between the groups for quality of life and mortality outcomes. The narrative synthesis showed additional outcomes that warrant further investigations.

Indexed as

dynamic implantsfunctional outcomeship fractureintertrochanteric hip fractureintramedullary nailsrehabilitation

Identifiers

PMID40535322
PMCPMC12174732

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.