Observational studyBMC musculoskeletal disorders2017
An underlying diagnosis of osteonecrosis of bone is associated with worse outcomes than osteoarthritis after total hip arthroplasty.
Observational study in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 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.
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Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Efficacy of pericapsular nerve group block (PENG) compared to local infiltration analgesia (LIA) after total hip arthroplasty: a systematic review and meta-analysis of randomized controlled trials.Musculoskeletal surgery · 2026Pooled it
- Orthobiologic therapies delay the need for hip arthroplasty in patients with avascular necrosis of the femoral head: A systematic review and survival analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- The outcomes of total hip replacement in osteonecrosis versus osteoarthritis: a systematic review and meta-analysis.International orthopaedics · 2023Pooled it
- Total joint replacement in sub-Saharan Africa: a systematic review.Tropical doctor · 2019Pooled it
- Review
- Arthroscopy-Assisted Core Decompression Combined with Octacalcium Phosphate/Gelatin Composite Implantation for Osteonecrosis of the Femoral Head: A Study Protocol for a Single-Center Externally Controlled Trial.Medical sciences (Basel, Switzerland) · 2026Article
- Geographic characterization of intra-articular pathologies in early-stage avascular necrosis of the hip.BMC musculoskeletal disorders · 2026Article
- Article
- Complications in Osteonecrosis Patients After Shoulder Arthroplasty: A Propensity-Matched Cohort Study.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2025Article
- Soft tissue reconstruction using Trevira tube following proximal femur resection and tumorous endoprosthetic replacement.BMC musculoskeletal disorders · 2025Article
- Article
- Evaluating the Prevalence and Risk Factors for Infection Following Total Hip Arthroplasty in Traumatic Femoral Neck Fracture Patients: A Retrospective Cohort Study.Advanced biomedical research · 2025Article
- Mid-term outcomes of total hip arthroplasty in patients younger than 30 years.Archives of orthopaedic and trauma surgery · 2024Article
- Incidence and risk factors for unplanned readmission after total hip arthroplasty for osteonecrosis of the femoral head.Frontiers in surgery · 2024Article
- Incidence and Clinical Risk Factors of Post-Operative Complications following Primary Total Hip Arthroplasty: A 10-Year Population-Based Cohort Study.Journal of clinical medicine · 2023Article
- One-year unplanned readmission after total hip arthroplasty in patients with osteonecrosis of the femoral head: rate, causes, and risk factors.BMC musculoskeletal disorders · 2023Article
- Relative frequency of avascular necrosis of the hip as indication for primary Total Hip Arthroplasty in the USA vs. India.Journal of orthopaedics · 2023Article
- Postoperative outcomes in total hip arthroplasty following femoral head avascular necrosis in HIV-positive patients.Acta bio-medica : Atenei Parmensis · 2021Article
- Analysis of the following Related Surgeries of Unicompartmental Knee Arthroplasty and Total Knee Arthroplasty: A Taiwanese National Health Insurance Research Database Population-Based Study.BioMed research international · 2020Article
- Hip arthroplasty for osteonecrosis of the femoral head secondary to alcohol abuse.Arthroplasty today · 2019Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWell-designed studies of complications and readmission rates in patients undergoing total hip arthroplasty (THA) with osteonecrosis are lacking. Our objective was to examine if a diagnosis of osteonecrosis was associated with complications, mortality and readmission rates after THA.
methodsWe analyzed prospectively collected data from an integrated healthcare system's Total Joint Replacement Registry of adults with osteonecrosis vs. osteoarthritis (OA) undergoing unilateral primary THA during 2001-2012, in an observational cohort study. We examined mortality (90-day), revision (ever), deep (1 year) and superficial (30-day) surgical site infection (SSI), venous thromboembolism (VTE, 90-day), and unplanned readmission (90-day). Age, gender, race, body mass index, American Society of Anesthesiologists class, and diabetes were evaluated as confounders. We used logistic or Cox regression to calculate odds or hazard ratios (OR, HR) with 95% confidence intervals (CI).
resultsOf the 47,523 primary THA cases, 45,252 (95.2%) had OA, and 2,271 (4.8%) had osteonecrosis. Compared to the OA, patients with osteonecrosis were younger (median age 55 vs. 67 years), and were less likely to be female (42.5% vs. 58.3%) or White (59.8% vs. 77.4%). Compared to the OA, the osteonecrosis cohort had higher crude incidence of 90-day mortality (0.7% vs. 0.3%), SSI (1.2% vs. 0.8%), unplanned readmission (9.6% vs. 5.2%) and revision (3.1% vs. 2.4%). After multivariable-adjustment, patients with osteonecrosis had a higher odds/hazard of mortality (OR: 2.48; 95% CI:1.31-4.72), SSI (OR: 1.67, 95%CI:1.11-2.51), unplanned 90-day readmissions (OR: 2.20; 95% CI:1.67-2.91) and a trend towards higher revision rate 1-year post-THA (HR: 1.32; 95% CI: 0.94-1.84), than OA patients.
conclusionsCompared to OA, a diagnosis of osteonecrosis was associated with worse outcomes post-THA. A detailed preoperative discussion including the risk of complications is needed for informed consent from patients with osteonecrosis.
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