ArticleJournal of orthopaedic case reports2026
Evaluation of Orthopedic Outcomes of Proximal Femoral Nailing for Intertrochanteric Fractures and Predictive Value of Pre-operative Glycemic Status, Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio: A Prospective Study.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Itroduction: Intertrochanteric femur fractures are common in the elderly and are associated with significant morbidity. Proximal femoral nail (PFN) is widely used for fixation; however, outcomes may be influenced by pre-operative metabolic and inflammatory status. This study evaluated functional outcomes of PFN and the predictive value of glycemic control, neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR). Material and Methods: This prospective study included 90 patients with intertrochanteric fractures treated with PFN. Pre-operative Glycated hemoglobin (HbA1c), NLR, and PLR were recorded. Patients were followed for 6 months and assessed using the Harris Hip Score (HHS). Functional outcomes, complications, and predictors of poor outcome were analyzed using t-test, Chi-square test, logistic regression, and receiver operating characteristic analysis. Results: The mean age was 69.4 ± 10.8 years. At 6 months, the mean HHS was 85.2 ± 10.7, with 73.3% patients achieving excellent or good outcomes. Delayed union was the most common complication (6.7%). Patients with fair/poor outcomes had significantly higher HbA1c, NLR, and PLR (P < 0.01). HbA1c ≥7.1%, NLR >4.6, and PLR >168 were independent predictors of poor outcome. NLR showed the highest predictive ability (area under the curve 0.812). Conclusion: PFN provides favorable functional outcomes in intertrochanteric fractures. However, elevated pre-operative HbA1c, NLR, and PLR are associated with poorer outcomes and may serve as useful predictors for risk stratification and perioperative optimization.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.