Evidence map›Paper›PMID 41695727›Full record

ArticleWorld journal of orthopedics2026

Effect of teriparatide on improving fracture union in osteoporotic intertrochanteric fractures: A systematic review and meta-analysis.

Kumar Keshav, Kumar Kaustubh, Prabhaker Mishra

Abstract read
In one paragraph

Article in World journal of orthopedics, 2026. 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

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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

3 authors.

Kumar KeshavDepartment of Orthopedics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, Uttar Pradesh, India. keshav4700@yahoo.co.in.
Kumar KaustubhDepartment of Anesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, Uttar Pradesh, India.
Prabhaker MishraDepartment of Biostatistics and Health Informatics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, Uttar Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntertrochanteric or pertrochanteric fractures are common among the elderly population. They are primarily treated by internal fixation. Malunion, delayed union, and implant-related complications are often seen in this population due to osteoporosis, which leads to inadequate bone stock and delayed healing of bone. Teriparatide is an established first-line anabolic treatment for osteoporosis that increases bone turnover and promotes new bone formation. Recent papers have shown its role in fracture union in which it enhanced the callus formation and bridged the fractured ends of the bones.

aimTo determine the effect of subcutaneous injection of teriparatide on osteoporotic intertrochanteric fractures.

methodsWe searched PubMed, EMBASE, Scopus, and Cochrane Library for English language articles that were published by June 3, 2025. We selected articles that compared the use of teriparatide injection with either no injection or placebo in patients with osteoporosis who experienced an intertrochanteric fracture that was treated with internal fixation. Relevant data, including union time (primary outcome variable) and other radiological and functional outcome parameters, were extracted from the included studies. The web version of Cochrane's Review Manager was used for meta-analysis.

resultsSix studies (four randomized controlled trials and two non-randomized studies) met the inclusion criteria for this systematic review. A total of 393 patients [teriparatide (

conclusionThe meta-analysis showed that teriparatide reduced union time, varus collapse, and complications in osteoporotic intertrochanteric fractures. However, these findings should be interpreted cautiously due to limited evidence and small sample size.

Indexed as

Bony unionHip fracturesIntertrochantericOsteoporosisTeriparatideTrochanteric

Identifiers

PMID41695727
PMCPMC12898158

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