Evidence map›Paper›PMID 26951069›Full record

Observational studyJournal of orthopaedic surgery and research2016

Influence of patient-related characteristics on early migration in calcar-guided short-stem total hip arthroplasty: a 2-year migration analysis using EBRA-FCA.

Karl Philipp Kutzner, Mark Predrag Kovacevic, Tobias Freitag, Andreas Fuchs, Heiko Reichel, Ralf Bieger

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of orthopaedic surgery and research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% of its field
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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Ten-year migration analysis of a cementless metaphyseal-anchored short femoral stem in total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  3. Article
  4. Article
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  6. Article
  7. [Short-stem THA-complications and therapy options].Orthopadie (Heidelberg, Germany) · 2025
    Article
  8. Same same but different: Introduction of a classification system in calcar-guided short-stem total hip arthroplasty.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2025
    Article
  9. Article
  10. Article
  11. Ten-Year Results of the FitmoreJournal of clinical medicine · 2024
    Article
  12. Review
  13. Article
  14. Observational
  15. Observational
  16. Article
  17. Article
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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 at 3 institutions in 1 country.

Karl Philipp KutznerDepartment of Orthopaedic Surgery and Traumatology, St. Josefs Hospital Wiesbaden, Beethovenstr. 20, 65189, Wiesbaden, Germany. kkutzner@joho.de.
Mark Predrag KovacevicClinic of Traumatology, Hand- and Orthopaedic Surgery, HELIOS Dr. Horst Schmidt Clinic Wiesbaden, Ludwig-Erhard-Str. 100, 65199, Wiesbaden, Germany. mark.kovacevic@gmx.de.
Tobias FreitagDepartment of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany. Tobias.Freitag@rku.de.
Andreas FuchsDepartment of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany. dea.fuchs@me.com.
Heiko ReichelDepartment of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany. Heiko.Reichel@rku.de.
Ralf BiegerDepartment of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany. Ralf.Bieger@rku.de.
Universität Ulm · DEHelios Dr. Horst Schmidt Kliniken Wiesbaden · DESt. Josefs Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShort stems have gained popularity in recent years. Because of encouraging clinical results, indications have been expended from young to elderly and obese patients. However, long-term results are lacking. The purpose of this study was to evaluate the influence of gender, age, body weight, body mass index (BMI), and offset version on short-stem migration in correlation to the clinical outcome.

methodsThe implant migration of 202 metaphyseal-anchoring, calcar-guided short stems in 151 patients was assessed by "Einzel-Bild-Roentgen-Analyse" femoral component analysis (EBRA-FCA, femoral component analysis) in a 2-year follow-up. Full weight bearing was allowed directly after surgery. Patients were divided into groups regarding gender, age, body weight, BMI, and offset version. The Harris hip score (HHS) and satisfaction on visual analogue scale (VAS) were analyzed.

resultsAfter 2 years, mean axial subsidence of all 202 implants was 1.43 mm (standard deviation, SD 1.45 mm). A continuous reduction of initially pronounced subsidence over time could be observed. None of the stems had to be revised. Statistically significant increased rates of subsidence were seen in male (1.68 mm; SD 1.56 mm; p = 0.005) and heavy patients (1.54 mm; SD 1.48 mm; p = 0.022). No differences in implant migration were found regarding age, BMI, and different offset versions. HHS improved markedly from 45.8 (SD 15.9) to 98.1 (SD 4.7) while satisfaction on VAS improved from 1.8 (SD 2.2) to 9.7 (SD 0.9) after 2 years.

conclusionsThe results suggest a migration pattern with initially pronounced subsidence followed by subsequent stabilization. Male and obese patients show a slightly increased initial subsidence without any signs of sustained micromovement. No correlation was found concerning clinical results and pronounced initial subsidence above the threshold of 1.5 mm. No aseptic loosening or other signs of implant failure were seen within the observation period of 2 years.

trial registrationGerman Clinical Trials Register, DRKS00009834.

Indexed as

Hip ProsthesisProsthesis FailureAdultAgedAged, 80 and overAge FactorsArthroplasty, Replacement, HipBody Mass IndexBody WeightFemaleFollow-Up StudiesHip JointHumansMaleMiddle AgedPostoperative Period

Identifiers

PMID26951069
PMCPMC4782512
OpenAlexW2293541282

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.