ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2018
The effect of flexion alignment in total hip arthroplasty with a cementless tapered-wedge femoral stem.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis 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.
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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role of the femoral component orientation on dislocations in THA: a systematic review.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Mid-Term to Long-Term Outcomes of Total Hip Arthroplasty Using a Cementless Trochanteric Sparing Short Stem Through Direct Anterior Approach: A Single-Center Study.Arthroplasty today · 2025Article
- Influence of stem length on sagittal alignment in total hip arthroplasty: a comparison between short and standard stems.BMC musculoskeletal disorders · 2025Article
- Complete Joint Capsule-Preserving Posterior Approach in Hemiarthroplasty for Femoral Neck Fractures: A Technical Note and Learning Curve Analysis of Trainee Surgeons.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- AI-assisted direct anterior approachFrontiers in bioengineering and biotechnology · 2025Article
- Impact of surgical approaches on stem position and hidden blood loss in total hip arthroplasty: minimally invasive vs. posterolateral.BMC musculoskeletal disorders · 2024Article
- A double tapered fully hydroxyapatite-coated stem has less contact area to femoral cortical bone than a tapered-wedge stem: a three-dimensional computed tomography-based density mapping analysis.Archives of orthopaedic and trauma surgery · 2023Article
- Clinical and radiographic outcomes of primary total hip arthroplasty with the revelation hip system using density mapping.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- The association of postoperative global femoral offset with total hip arthroplasty outcomes.Scientific reports · 2023Article
- Imaging in Hip Arthroplasty Management-Part 1: Templating: Past, Present and Future.Journal of clinical medicine · 2022Review
- Difference in tapered wedge stem alignment between supine and lateral position in cementless total hip arthroplasty via modified Watson-Jones anterolateral approach.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Limited effects on patient outcomes of conjoint tendon release in anterolateral muscle-sparing total hip arthroplasty.Journal of orthopaedic surgery and research · 2021Article
- Correlation between lag screw route and the ideal insertion point of the intramedullary nail.Scientific reports · 2021Article
- Achievement of optimal implant alignment using taper wedge stems with cup-first THA through the MIS antero-lateral approach.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- Anatomic stem inserted according to native anteversion could reproduce the native anterior distance of the femoral head and decrease bony impingement in total hip arthroplasty.International orthopaedics · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe influence of stem sagittal alignment on clinical outcomes is unclear in total hip arthroplasty (THA). The purpose of this study is to assess the relationship between stem sagittal alignment and clinical and radiographic outcomes using 3D-CT. MATERIALS AND
methodsWe performed 370 consecutive primary THAs between 2009 and 2013. After exclusion, 102 hips in 89 patients using single tapered-wedge stem were included. Mean follow-up was 4.7 years. Stem sagittal alignment was measured using CT, and patients were divided into flexion and neutral alignment groups. Clinical and radiographic outcomes were compared between two groups. Furthermore, we evaluated the anterior femoral offset and initial contact state.
resultsThere were no significant differences in clinical or radiographic outcomes between two groups. CT data analysis and multiple regression analysis showed flexion alignment increased anterior femoral offset (AFO) and Gruen zone 4 contact area.
conclusionsThere was no significant difference in clinical or radiographic outcomes between flexion and neutral alignment of the tapered-wedge stem at an average of 4.7 years of follow-up. The increase of AFO and distal contact area in flexion alignment could affect the improvement of impingement-free range of flexion and intraoperative fracture.
Indexed as
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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.