Evidence map›Paper›PMID 27550058›Full record

ArticleActa orthopaedica2016

Implant survival of the most common cemented total hip devices from the Nordic Arthroplasty Register Association database.

Mika Junnila, Inari Laaksonen, Antti Eskelinen, Pekka Pulkkinen, Leif Ivar Havelin, Ove Furnes, Anne Marie Fenstad, Alma B Pedersen, Søren Overgaard, Johan Kärrholm and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Acta orthopaedica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
6.9field-weighted citation impact, top 3% 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

51 citing papers in PubMed, 80 citations in OpenAlex.

  1. Trial
  2. Article
  3. Osteoporosis and osteoporosis therapies as determinants of implant fixation failure in arthroplasty and spinal fusion constructs: a position statement from the Fracture Working Group of the Council of Scientific Advisors of the International Osteoporosis Foundation.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
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  9. A comparison of cemented femoral fixation via anterior versus posterior approach total hip arthroplasty: an analysis of 60,739 total hip arthroplasties.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2024
    Article
  10. Experience of an anatomic femoral stem in a UK orthopaedic centre beyond 20 years of follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    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

13 authors at 8 institutions in 5 countries.

Mika Junnilaa Department of Orthopaedics and Traumatology , Turku University Hospital , Turku.
Inari Laaksonena Department of Orthopaedics and Traumatology , Turku University Hospital , Turku.
Antti Eskelinenb Coxa Hospital for Joint Replacement , Tampere.
Pekka Pulkkinend Department of Public Health , Helsinki University , Helsinki , Finland.
Leif Ivar Haveline The Norwegian Arthroplasty Register, Department of Orthopaedic Surgery , Haukeland University Hospital , Bergen.
Ove Furnese The Norwegian Arthroplasty Register, Department of Orthopaedic Surgery , Haukeland University Hospital , Bergen.
Anne Marie Fenstade The Norwegian Arthroplasty Register, Department of Orthopaedic Surgery , Haukeland University Hospital , Bergen.
Alma B Pederseng Competence Centre for Clinical Epidemiology and Biostatistics, North, Department of Clinical Epidemiology , Aarhus University Hospital , Aarhus.
Søren Overgaardh Department of Orthopaedic Surgery and Traumatology , Odense University Hospital, Odense, and Institute of Clinical Research, University of Southern Denmark , Odense.
Johan Kärrholmj The Swedish Hip Arthroplasty Register, Department of Orthopaedics , Institute of Surgical Sciences, Sahlgrenska University Hospital , Gothenburg , Sweden.
Göran Garellickj The Swedish Hip Arthroplasty Register, Department of Orthopaedics , Institute of Surgical Sciences, Sahlgrenska University Hospital , Gothenburg , Sweden.
Henrik Malchauj The Swedish Hip Arthroplasty Register, Department of Orthopaedics , Institute of Surgical Sciences, Sahlgrenska University Hospital , Gothenburg , Sweden.
Keijo T Mäkeläa Department of Orthopaedics and Traumatology , Turku University Hospital , Turku.
Haukeland University Hospital · NOTurku University Hospital · FIThe Swedish Hip Arthroplasty Register · SEAarhus University Hospital · DKCoxa Hospital · FIHarvard University · USUniversity of Helsinki · FIUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - According to previous Nordic Arthroplasty Register Association (NARA) data, the 10-year implant survival of cemented total hip arthroplasties (THAs) is 94% in patients aged 65-74 and 96% in patients aged 75 or more. Here we report a brand-level comparison of cemented THA based on the NARA database, which has not been done previously. Patients and methods - We determined the rate of implant survival of the 9 most common cemented THAs in the NARA database. We used Kaplan-Meier analysis with 95% CI to study implant survival at 10 and 15 years, and Cox multiple regression to assess survival and hazard ratios (HRs), with revision for any reason as endpoint and with adjustment for age, sex, diagnosis, and femoral head material. Results - Spectron EF THA (89.9% (CI: 89.3-90.5)) and Elite THA (89.8% (CI: 89.0-90.6)) had the lowest 10-year survivorship. Lubinus (95.7% survival, CI: 95.5-95.9), MS 30 (96.6%, CI: 95.8-97.4), and C-stem THA (95.8%, CI: 94.8-96.8) had a 10-year survivorship of at least 95%. Lubinus (revision risk (RR) = 0.77, CI: 0.73-0.81), Müller (RR =0.83, CI: 0.70-0.99), MS-30 (RR =0.73, CI: 0.63-0.86), C-stem (RR =0.70, CI: 0.55-0.90), and Exeter Duration THA (RR =0.84, CI: 0.77-0.90) had a lower risk of revision than Charnley THA, the reference implant. Interpretation - The Spectron EF THA and the Elite THA had a lower implant survival than the Charnley, Exeter, and Lubinus THAs. Implant survival of the Müller, MS 30, CPT, and C-stem THAs was above the acceptable limit for 10-year survival.

Indexed as

Bone CementsGraft SurvivalHip ProsthesisRegistriesAgedArthroplasty, Replacement, HipDenmarkFemaleFinlandHumansMaleNorwayOsteoarthritis, HipProsthesis DesignProsthesis FailureReoperationBone Cements

Identifiers

PMID27550058
PMCPMC5119435
OpenAlexW2512662283

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.