Evidence map›Paper›PMID 21561308›Full record

ArticleActa orthopaedica2011

Perioperative mortality after hemiarthroplasty related to fixation method.

Darren J Costain, Sarah L Whitehouse, Nicole L Pratt, Stephen E Graves, Philip Ryan, Ross W Crawford

Abstract readComparative Study
In one paragraph

Article in Acta orthopaedica, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 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

40 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Guideline
  5. Topical tranexamic acid in hip fractures: a randomized, placebo-controlled double-blinded study.Canadian journal of surgery. Journal canadien de chirurgie · 2021
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  9. Cardiopulmonary collapse in frail patients treated with cemented and uncemented hemiarthroplasty.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
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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

6 authors.

Darren J CostainInstitute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.
Sarah L Whitehouse
Nicole L Pratt
Stephen E Graves
Philip Ryan
Ross W Crawford

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe appropriate fixation method for hemiarthroplasty of the hip as it relates to implant survivorship and patient mortality is a matter of ongoing debate. We examined the influence of fixation method on revision rate and mortality.

methodsWe analyzed approximately 25,000 hemiarthroplasty cases from the AOA National Joint Replacement Registry. Deaths at 1 day, 1 week, 1 month, and 1 year were compared for all patients and among subgroups based on implant type.

resultsPatients treated with cemented monoblock hemiarthroplasty had a 1.7-times higher day-1 mortality compared to uncemented monoblock components (p < 0.001). This finding was reversed by 1 week, 1 month, and 1 year after surgery (p < 0.001). Modular hemiarthroplasties did not reveal a difference in mortality between fixation methods at any time point.

interpretationThis study shows lower (or similar) overall mortality with cemented hemiarthroplasty of the hip.

Indexed as

AgedAged, 80 and overArthroplasty, Replacement, HipAustraliaCementationFemaleFracture Fixation, InternalHip FracturesHip ProsthesisHumansMalePostoperative ComplicationsProsthesis FailureRegistriesReoperation

Identifiers

PMID21561308
PMCPMC3235304

What OpenQuestion holds

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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.