Evidence map›Paper›PMID 26471772›Full record

Trial reportActa orthopaedica2016

Association between changes in global femoral offset after total hip arthroplasty and function, quality of life, and abductor muscle strength. A prospective cohort study of 222 patients.

Sarwar S Mahmood, Sebastian S Mukka, Sead Crnalic, Per Wretenberg, Arkan S Sayed-Noor

Registry-linked trialAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Acta orthopaedica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02399670 (The Influence of Global Femoral-offset Changes After Total Hip Arthroplasty on Function, Quality of Life and Abductor Muscle Strength), which is not on this map. Cited by 96 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 1 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.

NCT02399670 completednot on this map

The Influence of Global Femoral-offset Changes After Total Hip Arthroplasty on Function, Quality of Life and Abductor Muscle Strength: a Prospective Cohort Study

TypeobservationalSponsorSundsvall HospitalRan2010 to 2014Enrolled222ConditionsCoxarthrosis
3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 1 synthesis or guideline pooled it.

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36 more citing papers are in PubMed but not listed here.

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

5 authors.

Sarwar S Mahmooda Department of Surgical and Perioperative Sciences (Orthopedics) , Sundsvall and Norrland University Hospitals, Umeå University , Stockholm , Sweden.
Sebastian S Mukkaa Department of Surgical and Perioperative Sciences (Orthopedics) , Sundsvall and Norrland University Hospitals, Umeå University , Stockholm , Sweden.
Sead Crnalica Department of Surgical and Perioperative Sciences (Orthopedics) , Sundsvall and Norrland University Hospitals, Umeå University , Stockholm , Sweden.
Per Wretenbergb Department of Molecular Medicine and Surgery , Karolinska Institute , Stockholm , Sweden.
Arkan S Sayed-Noora Department of Surgical and Perioperative Sciences (Orthopedics) , Sundsvall and Norrland University Hospitals, Umeå University , Stockholm , Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThere is no consensus on the association between global femoral offset (FO) and outcome after total hip arthroplasty (THA). We assessed the association between FO and patients' reported hip function, quality of life, and abductor muscle strength. PATIENTS AND

methodsWe included 250 patients with unilateral hip osteoarthritis who underwent a THA. Before the operation, the patient's reported hip function was evaluated with the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index and quality of life was evaluated with EQ-5D. At 1-year follow-up, the same scores and also hip abductor muscle strength were measured. 222 patients were available for follow-up. These patients were divided into 3 groups according to the postoperative global FO of the operated hip compared to the contralateral hip, as measured on plain radiographs: the decreased FO group (more than 5 mm reduction), the restored FO group (within 5 mm restoration), and the increased FO group (more than 5 mm increment).

resultsAll 3 groups improved (p < 0.001). The crude results showed that the decreased FO group had a worse WOMAC index, less abductor muscle strength, and more use of walking aids. When we adjusted these results with possible confounding factors, only global FO reduction was statistically significantly associated with reduced abductor muscle strength. The incidence of residual hip pain and analgesics use was similar in the 3 groups.

interpretationA reduction in global FO of more than 5 mm after THA appears to have a negative association with abductor muscle strength of the operated hip, and should therefore be avoided.

Indexed as

Quality of LifeAgedAged, 80 and overArthroplasty, Replacement, HipCohort StudiesFemaleFemurFemur HeadFollow-Up StudiesHip JointHumansMaleMiddle AgedMuscle StrengthOsteoarthritis, HipPostoperative Complications

Identifiers

PMID26471772
PMCPMC4940589

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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.