Effects of methamphetamines in patients with tibial shaft fractures: a retrospective cohort study at a Level 1 trauma center.

Zohal Ghulam-Jelani, Fernando Cruz, Jacob Zipperstein, Yeng Vue, Spencer Woolwine, Motasem Refaat

Abstract read

In one paragraph

Article in OTA international : the open access journal of orthopaedic trauma, 2026. 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

–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

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

6 authors.

Zohal Ghulam-JelaniDepartment of Orthopaedic Surgery, University of California San Francisco (UCSF)-Fresno, Fresno, CA.ORCID https://orcid.org/0000-0002-3842-5720

Fernando CruzDepartment of Orthopaedic Surgery, University of California San Francisco (UCSF)-Fresno, Fresno, CA.

Jacob ZippersteinDepartment of Orthopaedic Surgery, University of California San Francisco (UCSF)-Fresno, Fresno, CA.

Yeng VueDepartment of Orthopaedic Surgery, University of California San Francisco (UCSF)-Fresno, Fresno, CA.

Spencer WoolwineDepartment of Orthopaedic Surgery, University of California San Francisco (UCSF)-Fresno, Fresno, CA.

Motasem RefaatDepartment of Orthopaedic Surgery, University of California San Francisco (UCSF)-Fresno, Fresno, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare perioperative complications of patients with tibial shaft fractures treated with intramedullary implants in methamphetamine abusers and abstainers. Design: Retrospective data analysis. Setting: Level 1 academic trauma facility, 2014‒2019. Patients/Participants: One hundred forty-eight patients who underwent intramedullary nail fixation for tibial shaft fractures, 22 (14.9%) of whom abused methamphetamines. Intervention: Tibial intramedullary nail. Main Outcome Measurements: Postoperative complications include infection, nonunion, malunion, reoperation. Results: In orthopaedic trauma patients with tibial shaft fractures, methamphetamine use was associated with higher rates of infection ( Conclusion: Methamphetamine use is associated with risk of postoperative infection, nonunion, and multiple reoperations in orthopaedic trauma patients with tibial shaft fractures. Level of Evidence: Level III.

Indexed as

complicationsmethamphetaminetibia shaft fractures

Identifiers

PMID41368599

DOI10.1097/OI9.0000000000000455

PMCPMC12685390

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LicenceCC BY-NC-ND

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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.