Evidence map›Paper›PMID 40786774›Full record

ArticleJournal of orthopaedic case reports2025

Polytrauma Patients managed by Damage Control Orthopedics or Early Total Care - Assessment of Biomarkers.

Ritwika Nandi, Pinaki Das

Abstract read
In one paragraph

Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Ritwika NandiDepartment of Orthopaedics, Institute of Medical Sciences and SUM Hospital Campus II, Bhubaneswar, Khordha, Odisha, India.
Pinaki DasDepartment of Orthopaedics, Institute of Medical Sciences and SUM Hospital Campus II, Bhubaneswar, Khordha, Odisha, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Damage control orthopaedics (DCO) is a surgical concept that tends to control but not definitely repair the injuries caused to a polytrauma patient after trauma. Early total care (ETC) involves rapid stabilisation of the fracture after optimisation of retrieval conditions. In this study, a prospective randomized investigation will be done to correlate the clinical impression of DCO, ETC with the laboratory values of interleukin-6, Procalcitonin and C-reactive protein (CRP) in diaphyseal femoral fractures of polytrauma patients. Materials and Methods: During this study period 40 patients with diaphyseal femoral shaft fractures meeting the inclusion criteria presented to our institute. After random allocation, 20 patients underwent surgery with External fixation with the purpose of DCO and other 20 patients underwent antegrade nailing according to ETC. Results: There was a propensity of higher immuno-inflammatory response in the group subjected to primary stabilization of the femoral fractures than those with external fixation. Conclusion: The correlation of multiple markers and their significance over time would help the clinician to take a decision for the type of treatment that can be offered to the patient.

Indexed as

C-reactive proteindamage control orthopaedicsEarly total careimmuno-markersprocalcitonin

Identifiers

PMID40786774
PMCPMC12328943

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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.