Evidence map›Paper›PMID 40708886›Full record

ReviewJournal of experimental orthopaedics2025

The role of lateral wall reconstruction in improving surgical outcomes for intertrochanteric femur fractures.

Sanaz Bordbar, Mehdi Komijani, Fereshteh Eidy, Mohammad Hossein Nabian, Leila Zanjani

Abstract readReview
In one paragraph

Review in Journal of experimental orthopaedics, 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
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

5 authors.

Sanaz BordbarStudents' Scientific Research Center Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0003-4421-8151
Mehdi KomijaniCenter for Orthopedic Transdisciplinary Applied Research (COTAR) Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-9656-880X
Fereshteh EidyCenter for Orthopedic Transdisciplinary Applied Research (COTAR) Tehran University of Medical Sciences Tehran Iran.
Mohammad Hossein NabianCenter for Orthopedic Transdisciplinary Applied Research (COTAR) Tehran University of Medical Sciences Tehran Iran.
Leila ZanjaniCenter for Orthopedic Transdisciplinary Applied Research (COTAR) Tehran University of Medical Sciences Tehran Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Intertrochanteric fractures are the most common type of proximal femur fractures, with lateral wall fractures occurring in approximately 33% of cases. This meta-analysis compared the effectiveness of intramedullary fixation methods, specifically the proximal femoral nail (PFN) and the proximal femoral nail anti-rotation (PFNA), to other treatment options. Methods: A systematic review was conducted using PubMed, Scopus, Web of Science and Embase, following PRISMA guidelines. We included clinical trials on intertrochanteric femur fractures with lateral wall involvement. Random effects models were used to analyze mean differences across treatment methods, with statistical evaluations including Results: Of the initial 1009 results, 10 studies involving 516 patients were included. The surgical methods assessed included PFN/PFNA, PFN with trochanteric buttress plates, screw-augmented PFN, PFNA with a sliding compression plate and InterTan. Blood loss was significantly greater in the experimental models (MD: 31.83, 95% confidence interval [CI]: 0.28-63.38, Conclusion: Combining PFN with lateral wall reconstruction techniques may increase blood loss, decrease union times, and improve functional outcomes, suggesting advantages over PFN or PFNA alone. Trial Registration: The PROSPERO registration number: CRD42024602939. Level of Evidence: Level II, systematic review of Level II studies.

Indexed as

cephalomedullary nailintertrochanteric fracturelateral wallPFNAreconstruction

Identifiers

PMID40708886
PMCPMC12287866

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.