Evidence map›Paper›PMID 41503340›Full record

ReviewCureus2025

Rope Traction Techniques in the Management of Humeral Shaft Fractures: A Systematic Review and Meta-Analysis of Functional and Radiological Outcomes.

Rana Ahmed, Ibrahim Altayar, Ahmed A Ali, Abdul Mueed Shaikh, Shenouda R Shehata Abdelmesih, Shashwat Shetty, Nipa Barai, Mohammed Abutalib Elmobark Gafar, Shahmeen Rasul, Abdullah Khan

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

10 authors.

Rana AhmedEmergency, The Hillingdon Hospital NHS Trust, London, GBR.
Ibrahim AltayarOrthopedics, Fakeeh University Hospital, Dubai, ARE.
Ahmed A AliEmergency, Mubarak Al Kabeer Hospital, Jabriya, KWT.
Abdul Mueed ShaikhOrthopaedics, Liaquat National Hospital, Karachi, PAK.
Shenouda R Shehata AbdelmesihOrthopaedics and Traumatology, Royal Gwent Hospital, Gwent, GBR.
Shashwat ShettyOrthopaedics, Hillingdon Hospital, Uxbridge, GBR.
Nipa BaraiNeurosurgery, Tairunnessa Memorial Medical College and Hospital, Dhaka, BGD.
Mohammed Abutalib Elmobark GafarGeneral Surgery, University of EI imam EI Mahdi, Kosti, SDN.
Shahmeen RasulTrauma and Orthopaedics, University Hospitals of Derby and Burton (UHDB), Burton-on-Trent, GBR.
Abdullah KhanGeneral Medicine, Shaikh Zayed Hospital, Rahim Yar Khan, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rope traction remains a traditional conservative method for managing humeral shaft fractures. However, comprehensive evidence regarding its functional and radiological efficacy compared with modern methods is limited. To evaluate the functional and radiological outcomes of rope traction techniques in humeral shaft fractures, a systematic review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Databases (PubMed, Embase, Scopus, Cochrane Library) were searched up to October 2025 for studies reporting outcomes of rope traction or hanging arm cast in adults. Pooled union rates were calculated using a random-effects model with 95% confidence intervals (CIs). Five studies (n = 469) were included. The pooled union rate was 94.5% (95% CI: 91.3-97.1%) with low-to-moderate heterogeneity (Q = 7.42, p = 0.19, I² = 32%). Over 80% of patients achieved a full or near-full range of motion, and radiographs showed early callus formation, preserved alignment, and negligible malunion. Rope traction techniques achieve high union rates and excellent functional recovery, representing a safe, cost-effective alternative for patients where surgical fixation is contraindicated or unavailable.

Indexed as

conservative managementfunctional outcomehanging arm casthumeral shaft fractureradiological healingrope traction

Identifiers

PMID41503340
PMCPMC12771061

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.