Evidence map›Paper›PMID 28630716›Full record

ReviewJournal of hip preservation surgery2017

Femoral neck fractures as a complication of hip arthroscopy: a systematic review.

Nolan S Horner, Khanduja Vikas, Austin E MacDonald, Jan-Hendrik Naendrup, Nicole Simunovic, Olufemi R Ayeni

Abstract readReview
In one paragraph

Review in Journal of hip preservation surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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.

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

19 citing papers in PubMed.

  1. Audio-biofeedback versus the scale method for improving partial weight-bearing adherence in healthy older adults: a randomised trial.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Trial
  2. Article
  3. Complications in hip Arthroscopy: Recognizing and managing adverse events.Journal of clinical orthopaedics and trauma · 2025
    Review
  4. Article
  5. Article
  6. Identifying Hip Arthroscopy Trends in Turkey.Orthopaedic journal of sports medicine · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Outcomes in Pediatric Hip FAI Surgery: a Scoping Review.Current reviews in musculoskeletal medicine · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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.

Nolan S HornerMichael G. DeGroote School of Medicine, McMaster University, 1280 Main Street West, Room 4E15, Hamilton, ON L8S 4K1, Canada.
Khanduja VikasCambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK.
Austin E MacDonaldMichael G. DeGroote School of Medicine, McMaster University, 1280 Main Street West, Room 4E15, Hamilton, ON L8S 4K1, Canada.
Jan-Hendrik NaendrupDepartment of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA.
Nicole SimunovicCentre for Evidence Based Orthopaedics, Department of Clinical Epidemiology and Biostatistics, McMaster University, 293 Wellington Street North, Suite 110, Hamilton, ON L8L 8E7, Canada.
Olufemi R AyeniDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, 1200 Main Street West, 4E15, ON L8N 3Z5, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to identify the causes and risk factors for hip fractures, a rare but devastating complication, following hip arthroscopy. The electronic databases MEDLINE, EMBASE and PubMed were searched and screened in duplicate for relevant clinical and basic sciences studies and pertinent data was abstracted and analysed in Microsoft Excel. Nineteen studies (12 clinical studies and seven biomechanical studies) with a total of 31 392 patients experiencing 43 hip fractures (0.1% of patients) met the inclusion criteria for this systematic review. Femoral osteochondroplasty was performed in 100% of patients who sustained a hip fracture. Six of the 12 (50%) studies identified early weight bearing (prior to 6 weeks post-operatively) as the cause for the hip fracture. Other causes of this complication included over resection during femoral osteochondroplasty, minor trauma and intensive exercise. The results suggest that early weight bearing is the largest modifiable risk factor for hip fracture after femoral osteochondroplasty. For this reason, an extended period of non-weight bearing or restricted weight bearing should be considered in select patients. Studies report a correlation between risk for post-operative hip fracture and increased age. Increased resection during osteochondroplasty has been correlated with increased risk of fracture in various basic science studies. Resection depth has significantly higher impact on risk of fracture than resection length or width. The reported amounts of resection that depth that can be performed before there is a significantly increased risk of fracture of the femoral neck varies from 10 to 30%.

Identifiers

PMID28630716
PMCPMC5467412

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.