Long versus short cephalomedullary femoral nail for treatment of unstable intertrochanteric fractures: A single-blinded randomized controlled study.

Abdelrahman Amir AbouelEla, Haytham Abdel-Azim, Ahmed Sayed Kotb

Abstract read

In one paragraph

Article in SICOT-J, 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

3 authors.

Abdelrahman Amir AbouelElaOrthopaedic Surgery Department, Faculty of Medicine, Ain Shams University, 38 Abbassia, 11591 Cairo, Egypt.ORCID 0000-0001-5573-5926

Haytham Abdel-AzimOrthopaedic Surgery Department, Faculty of Medicine, Ain Shams University, 38 Abbassia, 11591 Cairo, Egypt.

Ahmed Sayed KotbOrthopaedic Surgery Department, Faculty of Medicine, Ain Shams University, 38 Abbassia, 11591 Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundITF are extracapsular proximal femoral fractures that occur in both younger and older populations, with a higher prevalence among females. They account for most hip fractures, reaching 44.1%. The Elderly are at risk with an increased first-year mortality risk reaching up to 30%. This research aimed to compare the functional outcomes, effectiveness, and safety profile of long as opposed to short cephalomedullary nails (CMNs) in the management of unstable ITF in elderly individuals aged >60 years.

methodsThis single-blinded randomized controlled research was carried out on 30 participants aged >60 years old, both sexes, with unstable ITF. Participants were categorized into two groups (GPs): GP A: had a long cephalomedullary nail (LCMN), and GP B: had short cephalomedullary nail.

resultsMean hospital stay length, period of surgery, operative blood loss, and the incidence of transfusion requirements were higher in GP A, yet no significant difference was observed. Functional outcomes, union and complication rates were comparable between the two GPs.

conclusionsIrrespective of the length, CMNs are suitable for the treatment of unstable ITF, aiming to achieve early mobility and satisfactory functional outcome. Further large-sampled RCTs need to be conducted comparing both GPs based on more recent CT-based classification systems with osteoporosis considered.

Indexed as

AO/OTA classificationCephalomedullary femoral nailsHarris hip scoreIntertrochanteric fractures

Identifiers

PMID41988651

DOI10.1051/sicotj/2025065

PMCPMC13082745

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.