Evidence map›Paper›PMID 41307728›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Comparative analysis of the effects of blade plate retention versus removal on paediatric bone remodelling following proximal femoral osteotomy.

Emmanuel Eghan-Acquah, Alireza Y Bavil, Henry P J Walsh, Martina Barzan, Stefanie Feih, Christopher P Carty

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 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. Article
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.

Emmanuel Eghan-AcquahThe Australian Centre for Precision Health and Technology (PRECISE), Griffith University, Gold Coast, Australia.ORCID http://orcid.org/0000-0002-0011-6981
Alireza Y BavilThe Australian Centre for Precision Health and Technology (PRECISE), Griffith University, Gold Coast, Australia.ORCID http://orcid.org/0000-0002-4217-3087
Henry P J WalshThe Australian Centre for Precision Health and Technology (PRECISE), Griffith University, Gold Coast, Australia.
Martina BarzanThe Australian Centre for Precision Health and Technology (PRECISE), Griffith University, Gold Coast, Australia.ORCID http://orcid.org/0000-0002-1975-5433
Stefanie FeihAdvanced Design and Prototyping Technologies (ADaPT) Institute, Griffith University, Gold Coast, Australia.ORCID http://orcid.org/0000-0003-2442-3326
Christopher P CartySchool of Medicine and Dentistry, Griffith University, Gold Coast, Australia. c.carty@griffith.edu.au.ORCID http://orcid.org/0000-0002-8969-5181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe decision to retain or remove blade plate implants after proximal femoral osteotomy (PFO) in paediatric patients remains contentious. While retention provides ongoing support, it increases stress shielding, potentially hindering bone remodelling and causing long-term complications. Conversely, early removal may restore normal mechanical loading and promote bone recovery. This study compares the effects of blade plate retention versus removal on bone density changes and implant risk of yield (RoY) over 36 months in a paediatric femur. MATERIALS AND

methodsA personalised neuromusculoskeletal modelling and finite element analysis framework was developed using computed tomography scans and gait data. Using a strain energy-based remodelling analysis, the framework assessed changes in bone density and RoY for two clinical participants, comparing intact femurs with those retaining the implant for three years or having it removed after one year.

resultsIn both participants, implant retention diminished proximal femur remodelling. In P1, the average proximal bone density with implant increased by 0.11 g/cm DISCUSSION: These findings highlight the detrimental effects of prolonged retention due to stress shielding. Recovery in bone density after removal suggests that early removal may mitigate adverse effects and promote healthier bone adaptation, informing clinical decisions in paediatric PFO.

Indexed as

Bone PlatesBone RemodelingDevice RemovalFemurOsteotomyBone DensityChildFemaleFinite Element AnalysisHumansMaleTomography, X-Ray ComputedBone remodellingComputational modellingNeuromusculoskeletal modellingOrthopaedicsPaediatricsStress shielding

Identifiers

PMID41307728
PMCPMC12660449

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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.