Evidence map›Paper›PMID 29728733›Full record

SynthesisInternational orthopaedics2018

What is the rate of patients undergoing a total hip arthroplasty after core decompression and insertion of a tantalum rod in osteonecrosis of the femoral head: a systematic review.

Jean-Charles Aurégan, Benoît Villain, Thierry Bégué

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-weighted citation impact, top 18% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Review
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  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. [Treatment of osteonecrosis of the femoral head with vascularized bone grafting].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
    Article
  10. Article
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  12. The Comparative Analysis of Antegrade Versus Retrograde Approach for a Failed Porous Tantalum Rod Removal During Conversion to Total Hip Arthroplasty.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  13. Article
  14. 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

3 authors at 1 institution in 1 country.

Jean-Charles AuréganDepartment of Orthopedic Surgery and Traumatology, Antoine Béclère Hospital, AP-HP, Paris Sud Saclay University, 157 rue de la Porte de Trivaux, 92140, Clamart, France. aureganjc@yahoo.fr.ORCID http://orcid.org/0000-0001-6545-153X
Benoît VillainDepartment of Orthopedic Surgery and Traumatology, Antoine Béclère Hospital, AP-HP, Paris Sud Saclay University, 157 rue de la Porte de Trivaux, 92140, Clamart, France.
Thierry BéguéDepartment of Orthopedic Surgery and Traumatology, Antoine Béclère Hospital, AP-HP, Paris Sud Saclay University, 157 rue de la Porte de Trivaux, 92140, Clamart, France.
Assistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCore decompression (CD) may be effective when performed during the early stages of osteonecrosis of the femoral head (ONFH). Tantalum may be added as a rod that would allow putting some mechanical constraints on the femoral head. We aimed to estimate the rate of total hip arthroplasty after CD and insertion of a tantalum rod during early stages of OFNH.

methodsWe searched systematically Medline via PubMed and the Cochrane Library. Our primary endpoint was the rate of patients undergoing a total hip arthroplasty after CD and insertion of a tantalum rod. Secondary endpoints were the delay between the initial surgery and the arthroplasty, the functional improvement, and the rate of complications.

resultsWe included seven  studies reporting the results of 232 patients (297 hips) that were operated on by CD and insertion of a tantalum rod. At a mean follow-up of 26.97 months, 24.63% of the included hips underwent a hip arthroplasty (6-56%, SD = 17.34%). The mean delay between the initial surgery and the arthroplasty was 14.94 months (10.20-22.90; SD = 5.25), the mean improvement of Harris Hip Score was 27.66 (20.20-36.90; SD = 6.48), and the mean rate of femoral fracture was 2.43% (0-13%, SD = 4.89%).

conclusionCD and insertion of a tantalum rod may represent a solution in order to improve the mechanical support and to give a rate of conversion in arthroplasty that is acceptable.

Indexed as

AdultArthroplasty, Replacement, HipDecompression, SurgicalFemaleFemur Head NecrosisHip ProsthesisHumansMaleMiddle AgedPostoperative ComplicationsTantalumTreatment OutcomeTantalumCore decompressionOsteonecrosis of the femoral headTantalum rods

Identifiers

PMID29728733
OpenAlexW2799925780

What OpenQuestion holds

Textmetadata
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.