Evidence map›Paper›PMID 41345623›Full record

Observational studyBMC surgery2025

Comparison of clinical efficacy of Ganz approach and K-L approach in treatment of Pipkin type IV femoral head fracture.

Jun Zhang, Songqi Chai, Li Dai, Yunqiang Zhuang

Erratum issuedAbstract readComparative StudyObservational Study
In one paragraph

Observational study in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

4 authors.

Jun ZhangDepartment of Trauma Orthopedic Center, Ningbo No.6 Hospital, Ningbo, Zhejiang, China.
Songqi ChaiHealth Science Center, Ningbo University, Ningbo, 315211, China.
Li DaiDepartment of Trauma Orthopedic Center, Ningbo No.6 Hospital, Ningbo, Zhejiang, China.
Yunqiang ZhuangDepartment of Trauma Orthopedic Center, Ningbo No.6 Hospital, Ningbo, Zhejiang, China. yqzhuang_nb6hisp@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the efficacy of Ganz approach and Kocher-Langenbeck (K-L) approach in Pipkin type IV femoral head fracture (FHF) with internal fixation.

methodsThe medical records of patients with Pipkin type IV FHF were assessed in the observational study. The patients were divided into Ganz approach group and K-L approach group. The surgical time, intraoperative blood loss, quality of acetabular fracture reduction, Thompson-Epstein clinical and radiological score, fracture healing time, Harris hip score, and complications were recorded.

resultsFifteen patients were followed for 12–23 months (mean 16.8 months). The Ganz approach group showed significantly better Thompson-Epstein clinical and radiological scores (7 excellent, 1 good) than the K-L group (2 excellent, 5 good) (P < 0.05). According to Matta radiographic criteria, anatomical reduction was achieved in 6 cases (with 2 satisfactory) in the Ganz group compared to 5 cases (with 2 satisfactory) in the K-L group, demonstrating a non-significant trend toward superiority for the Ganz approach (P > 0.05).

conclusionCompared with the traditional K-L approach, the Ganz approach offers better visual field exposure, better reduction quality of FH, and better postoperative functional recovery.

Indexed as

Femur HeadFracture Fixation, InternalHip FracturesAdultFemaleFollow-Up StudiesFracture HealingHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultFemoral headFractureFracture internal fixationGanz approachK-L approach

Identifiers

PMID41345623
PMCPMC12679778

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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.