Evidence map›Paper›PMID 40788472›Full record

ArticleUnfallchirurgie (Heidelberg, Germany)2025

[Lesion of the sciatic nerve after antegrade intramedullary nailing of proximal femoral fractures].

H Christian Keiser, Philipp F Stillhard, Christoph Sommer, Christian Michelitsch

Abstract readEnglish Abstract
PubMed Publisher
In one paragraph

Article in Unfallchirurgie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The small distractor-a useful tool for the trauma surgeon.Operative Orthopadie und Traumatologie · 2026
    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

4 authors.

H Christian KeiserKlinik für Orthopädie und Unfallchirurgie, Departement Chirurgie, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Schweiz. christian.keiser@ksgr.ch.
Philipp F StillhardKlinik für Orthopädie und Unfallchirurgie, Departement Chirurgie, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Schweiz.
Christoph SommerKlinik für Orthopädie und Unfallchirurgie, Departement Chirurgie, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Schweiz.
Christian MichelitschKlinik für Orthopädie und Unfallchirurgie, Departement Chirurgie, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Schweiz.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proximal femoral fractures are frequent injuries that typically require surgical treatment. A rare complication is iatrogenic injury to the sciatic nerve, often caused by cerclages or suboptimally reduced fracture fragments. Our retrospective study of 224 cases in 39 months revealed an incidence of 1.8% for postoperative sensory motor deficits. The treatment includes revision surgery, such as neurolysis or improved reduction of fracture fragments. Despite surgical revision, long-term deficits often persist due to slow nerve regeneration. A precise operative technique and early diagnostic work-up can help mitigate the risk.

Indexed as

Femoral FracturesFracture Fixation, IntramedullaryHip FracturesPostoperative ComplicationsSciatic NerveSciatic NeuropathyAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedProximal Femoral FracturesReoperationRetrospective StudiesComplicationIntramedullary nail osteosynthesisNerve injurySciatic nerveTrauma

Identifiers

PMID40788472

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.