Evidence map›Paper›PMID 41694910›Full record

ArticleCureus2026

Clinical-Radiological Outcomes of Early Versus Delayed Weight-Bearing Following Proximal Femoral Nail Antirotation 2 Fixation for Intertrochanteric Fractures: A Prospective Randomized Comparative Study.

Anup Kumar, Rupendra Jhariya, Sudeep Kumar, Ritesh Pandey, Shikhar Yadav

Abstract read
In one paragraph

Article in Cureus, 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

5 authors.

Anup KumarOrthopaedics, All India Institute of Medical Sciences, Patna, Patna, IND.
Rupendra JhariyaOrthopaedics, All India Institute of Medical Sciences, Patna, Patna, IND.
Sudeep KumarOrthopaedics, All India Institute of Medical Sciences, Patna, Patna, IND.
Ritesh PandeyOrthopaedics, All India Institute of Medical Sciences, Patna, Patna, IND.
Shikhar YadavOrthopaedics, All India Institute of Medical Sciences, Patna, Patna, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Intertrochanteric fractures commonly occur in elderly patients following minor trauma due to osteoporosis, arthritic hip changes, and balance disorders. Early mobilization is crucial to prevent complications of prolonged bed rest. This study compared Modified Harris Hip Scores (mHHS) between early and delayed weight-bearing protocols following proximal femoral nail antirotation 2 (PFNA2) fixation. Methodology This prospective randomized comparative study was conducted at a tertiary care center, where patients with intertrochanteric fractures treated with PFNA2 were randomly allocated before surgery into the following two groups: Group 1 (early weight-bearing within 24 hours post-surgery) and Group 2 (delayed weight-bearing after four weeks). Outcomes were assessed using mHHS and radiographs over 24 weeks. Results Of the 55 enrolled patients, 46 completed follow-up (21 in the early weight-bearing group, 25 in the delayed weight-bearing group; nine were lost to follow-up). At 24 weeks, mean mHHS was 82.28 ± 12.29 in the delayed group versus 84.95 ± 15.82 in the early group (p = 0.523). The tip-apex distance was 18.13 ± 4.04 mm versus 22.11 ± 9.68 mm (p = 0.068), and Parker's ratio was 0.56 ± 0.10 in both groups (p = 0.90). Conclusions Functional improvement and failure risk are independent of postoperative weight-bearing protocols. Early weight-bearing appears safe and effective, potentially facilitating faster patient mobilization without compromising outcomes. No statistically significant differences were found in mHHS between groups, indicating similar functional recovery. Radiological parameters (tip-apex distance and Parker's ratio) also showed no significant differences at union.

Indexed as

delayed weight-bearingearly weight-bearinghip fracture rehabilitationintertrochanteric fracturesmodified harris hip scorepfna2weight-bearing protocols

Identifiers

PMID41694910
PMCPMC12904305

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.