ReviewInternational orthopaedics2014
The incidence of implant fractures after total hip arthroplasty.
Review in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implant breakage after shoulder arthroplasty: a systematic review of data from worldwide arthroplasty registries and clinical trials.BMC musculoskeletal disorders · 2023Pooled it
- Bisphosphonate Use and Risk of Implant Revision after Total Hip/Knee Arthroplasty: A Meta-Analysis of Observational Studies.PloS one · 2015Pooled it
- Catastrophic Failure of a Prosthetic Femoral Stem due to Component Malposition: A Case Report.Case reports in orthopedics · 2026Article
- The projected economic burden and complications of revision hip and knee arthroplasties: Insights from national registry studies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Review
- Periprosthetic femur fractures of the hip in elderly patients: early surgery reduces operative time, hospitalization, and mortality.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Observational
- Article
- [Particle disease and its effects on periarticular tissue].Orthopadie (Heidelberg, Germany) · 2023Review
- Adverse Soft-Tissue Reaction After Ceramic-On-Ceramic Bearing Fracture Mimicking a Periprosthetic Joint Infection.Arthroplasty today · 2022Article
- A New Type of Periprosthetic Fracture: Is It the Time to Update the Unified Classification System?Indian journal of orthopaedics · 2021Article
- Analysis of the Exeter V40 femoral stem prosthesis fracture : systematic review and single centre case series.Bone & joint open · 2021Article
- A bicentric approach evaluating the combination of a hemispheric cup with a novel ceramic head in total hip arthroplasty.Orthopedic reviews · 2021Article
- Fatigue fracture of an uncemented Zweymüller femoral stem at the neck-shoulder junction.BMJ case reports · 2020Article
- Bilateral Femoral Component Fractures After Primary Total Knee Arthroplasty With Cruciate-Retaining Femoral Component.Arthroplasty today · 2020Article
- Is patient satisfaction related to patient reported sounds from ceramic on ceramic total hip arthroplasty? A study of 265 hips.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- [Partial exchange in total hip arthroplasty : What can we combine?]Der Orthopade · 2017Review
- The incidence of implant fractures after knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Review
- Revision total hip arthroplasty in the United States: national trends and in-hospital outcomes.International orthopaedics · 2016Article
- Fracture of Fully-coated Femoral Stem after Primary Total Hip Arthroplasty for Nonunion of Intertrochanteric Fracture: A Case Report.Hip & pelvis · 2015Article
- [Damage to implants due to high-frequency electrocautery : analysis of four fractured hip endoprostheses shafts].Der Orthopade · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeImplant fractures after total hip arthroplasty (THA) are considered as rare in clinical practice. Nevertheless they are relevant complications for patients, physicians, and the public health system leading to high socioeconomic burdens. The aim of this study was to assess the incidence of fractures after THAs in a comparative analysis of clinical studies and worldwide arthroplasty register datasets.
methodsWe calculated the pooled incidence of revision operations after fractures of THAs in a comparison of clinical studies published in Medline-listed journals and annual reports of worldwide arthroplasty registers in a structured literature analysis based on a standardised methodology.
resultsIncluded clinical studies (sample-based datasets) were mono-centre trials comprising a cumulative number of approximately 70,000 primary implantations whereas worldwide national arthroplasty register datasets referred to 733,000 primary implantations, i.e. approximately ten times as many as sample-based datasets. In general, sample-based datasets presented higher revision rates than register datasets with a maximum deviation of a 14.5 ratio for ceramic heads, respectively. The incidence of implant fractures in total hip arthroplasty in pooled worldwide arthroplasty register datasets is 304 fractures per 100,000 implants. In other words, one out of 323 patients has to undergo revision surgery due to an implant fracture after THA in their lifetime.
conclusionsImplant fractures in total hip arthroplasty occur in a relevant number of patients. The authors believe that comprehensive arthroplasty register datasets allow more general evaluations and conclusions on that topic in contrast to clinical studies.
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