Evidence map›Paper›PMID 40713901›Full record

ArticleBMC research notes2025

Outcome analysis after cephalomedullary nail implantation in older adults and elderly patients with per-, sub- or intertrochanteric femur fractures.

Alexander Blümke, Adaugo Okoro, João Pinheiro, Maximilian Mellinghoff, Daniel Kühlwein, Aditya Vadgaonkar, Frederic Bludau, Andreas Schilder, Svetlana Hetjens, Michael Hackl and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC research notes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

12 authors.

Alexander BlümkeDepartment of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. alexander.bluemke@umm.de.
Adaugo OkoroDepartment of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
João PinheiroDepartment of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Maximilian MellinghoffDepartment of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Daniel KühlweinDepartment of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Aditya VadgaonkarDepartment of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Frederic BludauDepartment of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Andreas SchilderDepartment of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Svetlana HetjensDepartment of Medical Statistics and Biomathematics, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Michael HacklDepartment of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Sascha GraviusDepartment of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Ali DarwichDepartment of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePer-, sub-, and intertrochanteric femur fractures are common in older adults and elderly patients. They frequently lead to functional decline and increased dependency. Despite the routine use of cephalomedullary nails (CMN) for stabilization, detailed data on perioperative outcomes in this vulnerable population are scarce.

resultsIn this retrospective study, we analyzed 401 patients aged ≥ 50 years who underwent CMN fixation for per-, sub-, or intertrochanteric femur fractures at a university medical center between 2019 and 2024. Pre-, intra-, and postoperative parameters, including demographics, fracture classification, comorbidities, and functional outcomes, were extracted from hospital records and analyzed descriptively. The median patient age was 84 years (IQR 75-89) and 62.6% were female. Most fractures were classified as AO/OTA type A2 (49.9%). Prior to the fracture, 51.6% of patients were fully mobile without aids, yet only 1% maintained this mobility at discharge. The median length of stay was 12 days (IQR 7-18). In-hospital mortality was 8.4%. Postoperatively, hemoglobin and hematocrit levels declined. Discharge destinations included home (36.5%), nursing homes (19.2%), and rehabilitation facilities (12.2%).

Indexed as

Bone NailsFemoral FracturesFracture Fixation, IntramedullaryHip FracturesOutcome Assessment, Health CareAgedAged, 80 and overFemaleHospital MortalityHumansLength of StayMaleMiddle AgedRetrospective StudiesTreatment OutcomeCephalomedullary nailingElderly patientsOsteoporosisPer-, Sub- and intertrochanteric femur fractures

Identifiers

PMID40713901
PMCPMC12296612

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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.