Evidence map›Paper›PMID 40775521›Full record

ArticleScientific reports2025

Comparison of combined femoral nail and plate fixation versus dual plate fixation in the treatment of AO/OTA 33C distal femoral fractures.

Weizhen Xu, Weibin Lin, Hui Liu, Yuanfei Xiong, Jinhui Zhang, Jin Wu

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 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

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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. Observational
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

6 authors.

Weizhen Xu *Department of Orthopaedics, the 909th Hospital, School of Medicine, Xiamen University, Zhanghua Road 269, Zhangzhou,, 363000, Fujian, China.
Weibin Lin *Department of Orthopaedics, the 909th Hospital, School of Medicine, Xiamen University, Zhanghua Road 269, Zhangzhou,, 363000, Fujian, China.
Hui LiuDepartment of Orthopaedics, the 909th Hospital, School of Medicine, Xiamen University, Zhanghua Road 269, Zhangzhou,, 363000, Fujian, China.
Yuanfei XiongDepartment of Orthopaedics, the 909th Hospital, School of Medicine, Xiamen University, Zhanghua Road 269, Zhangzhou,, 363000, Fujian, China.
Jinhui ZhangDepartment of Orthopaedics, the 909th Hospital, School of Medicine, Xiamen University, Zhanghua Road 269, Zhangzhou,, 363000, Fujian, China.
Jin WuDepartment of Orthopaedics, the 909th Hospital, School of Medicine, Xiamen University, Zhanghua Road 269, Zhangzhou,, 363000, Fujian, China. wujin1983@xmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to compare the clinical outcomes of retrograde intramedullary nailing combined with a lateral locking plate versus dual plating (medial and lateral locking plates) in the treatment of AO/OTA 33C distal femoral fractures. A retrospective analysis was conducted on 78 patients treated between June 2017 and December 2022. Patients were divided into two groups: the nail-plate group (n = 42) and the dual-plate group (n = 36). Outcome measures included intraoperative blood loss, operative time, time to weight-bearing, bone union time, visual analogue scale (VAS) scores, hospital for special surgery (HSS) scores at final follow-up, knee range of motion (ROM), and complication rates. No significant differences were observed between the groups in terms of blood loss, operative time, time to weight-bearing, bone healing time, or follow-up duration (P > 0.05). Final follow-up assessments revealed no significant differences in VAS scores, HSS scores, or knee ROM (P > 0.05). The nail-plate group experienced five complications: one delayed union, two infections, one case of knee stiffness, and one case of limb shortening. The dual-plate group reported six complications: one delayed union, one nonunion, one infection, one case of knee stiffness, one malalignment, and one case of limb shortening. Complication rates did not differ significantly between groups (P > 0.05). No implant failures were observed in either group. Both fixation strategies provided stable constructs, facilitated early recovery, and resulted in satisfactory functional outcomes. Retrograde intramedullary nailing with lateral plating and dual plating are both effective options for the management of complex AO/OTA 33 C distal femoral fractures.

Indexed as

Bone NailsBone PlatesFemoral FracturesFracture Fixation, InternalFracture Fixation, IntramedullaryAdultAgedFemaleFemoral Fractures, DistalFracture HealingHumansMaleMiddle AgedPostoperative ComplicationsRange of Motion, ArticularRetrospective StudiesAO/OTA classificationDistal femoral fracturesDual plate fixationLateral locking plateRetrograde intramedullary nail

Identifiers

PMID40775521
PMCPMC12331908

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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.