Evidence map›Paper›PMID 28702750›Full record

ArticleInternational orthopaedics2018

Function and activity after minimally invasive total hip arthroplasty compared to a healthy population.

Eberhard von Rottkay, Lars Rackwitz, Maximilian Rudert, Ulrich Nöth, Johannes Christian Reichert

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06057428 (Activity Levels Amongst Elderly Patients With Symptomatic Lumbar Spinal Stenosis Before and After Decompressive Surgery), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% 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.

NCT06057428 recruitingnot on this mapstarted 2023, after this paper: background citation

Activity Levels Amongst Elderly Patients With Symptomatic Lumbar Spinal Stenosis Before and After Decompressive Surgery

TypeobservationalSponsorRegion ZealandRan2023 to 2028Enrolled80ConditionsLumbar Spinal StenosisArmsDecompressive surgery
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Eberhard von RottkayDepartment of Orthopaedic and Trauma Surgery, Evangelisches Waldkrankenhaus Spandau, Stadtrandstraße 555, 13589, Berlin, Germany.
Lars RackwitzDepartment of Orthopaedic and Trauma Surgery, Evangelisches Waldkrankenhaus Spandau, Stadtrandstraße 555, 13589, Berlin, Germany.
Maximilian RudertDepartment of Orthopaedic Surgery, König-Ludwig-Haus, Center for Musculoskeletal Research, Julius-Maximilians-University, Brettreichstraße 11, 97074, Würzburg, Germany.
Ulrich NöthDepartment of Orthopaedic and Trauma Surgery, Evangelisches Waldkrankenhaus Spandau, Stadtrandstraße 555, 13589, Berlin, Germany. ulrich.noeth@pgdiakonie.de.
Johannes Christian ReichertDepartment of Orthopaedic and Trauma Surgery, Evangelisches Waldkrankenhaus Spandau, Stadtrandstraße 555, 13589, Berlin, Germany.
Waldkrankenhaus Protestant Hospital · DEKlinik König-Ludwig Haus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the present study was to compare the daily activity and functionality in a patient cohort 12 months after total hip arthroplasty (THA) using a direct anterior approach with a healthy non-operated control population.

methodsSixty-four patients who underwent THA and 59 healthy individuals (control) were assessed regarding their daily activity and joint functionality utilizing the Harris hip score (HHS), the extra short musculoskeletal functional assessment questionnaire (XSFMA), the Short Form 36 (SF-36) health survey and a Stepwatch™ Activity Monitor (SAM). Post-operative x-ray images after THA were analysed regarding inclination and stem positioning.

resultsTwelve months after surgery, the average HHS showed no significant difference between both groups equalling 90.7 points in the THA patient group and 90.8 in the healthy volunteer group. The XSFMA functional index scores were 11.0 (THA) and 5.0 (control) while the bother index summed up to a score of 15.3 (THA) and 7.6 (control) respectively thus differing significantly (p < 0.001). Daily activity equalled 4227 (THA) and 4687 (control) load cycles per day (p = 0.327) while a number of 5658 (THA) and 6417 (control) steps per day (p = 0.011) was recorded. The SF-36 physical component scores were 47.3 (THA) and 50.6 (control) points while the psychometric properties added up to a score of 56.1 (THA) and 55.9 (control). The physical component was determined to be significantly different (p < 0.001) whereas no statistically significant difference could be shown for the psychometric properties (p = 0.511). The radiographic analysis revealed an average cup inclination of 39.9° without signs of migration. Stem positioning was neutral in 53% of all cases while 36% were graded varus and 11% valgus.

conclusionIn summary, our short-term results show an activity, functionality and quality of life for patients one year after THA comparable to healthy control individuals.

Indexed as

Activities of Daily LivingAdultAgedAged, 80 and overArthroplasty, Replacement, HipCohort StudiesFemaleHip JointHumansMaleMiddle AgedOsteoarthritis, HipPostoperative PeriodProspective StudiesPsychometricsQuality of LifeDirect anterior approachHealthy populationMinimally invasiveOutcomeTotal hip arthroplasty

Identifiers

PMID28702750
OpenAlexW2736089096

What OpenQuestion holds

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Read underepoch 390

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.