Evidence map›Paper›PMID 30039197›Full record

SynthesisInternational orthopaedics2019

The use of non-vascularized bone grafts to treat osteonecrosis of the femoral head: indications, techniques, and outcomes.

Assem A Sultan, Anton Khlopas, Peter Surace, Linsen T Samuel, Mhamd Faour, Nipun Sodhi, Viktor E Krebs, Kim L Stearns, Robert M Molloy, Michael A Mont

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  10. Outcomes of free vascularized iliac bone flap for severe traumatic osteonecrosis of femoral head in young adults.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
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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

10 authors at 2 institutions in 1 country.

Assem A SultanDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Anton KhlopasDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Peter SuraceDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Linsen T SamuelDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Mhamd FaourDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Nipun SodhiDepartment of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY, USA.
Viktor E KrebsDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Kim L StearnsDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Robert M MolloyDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Michael A MontDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA. montm@ccf.org.
Cleveland Clinic · USLenox Hill Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteonecrosis of the femoral head (ONFH) is a multi-factorial disease with relatively unknown aetiology and unclear pathogenetic mechanism. Left untreated, the natural history of the disease is progressive collapse of the femoral head and destruction of the joint with substantial pain and disability. The disease primarily affects younger individuals, in whom many surgeons will typically prefer to delay performing total hip arthroplasty (THA). Therefore, increasing attention has been given to a wide variety of femoral head-preserving procedures. The use of non-vascularized bone grafting (NVBG) to treat ONFH has mainly been advocated for pre-collapse and select, early post-collapse lesions. Currently, multiple studies reported on various non-vascularized bone grafting techniques of treating ONFH. Clinical outcomes have varied widely, with success rates reported between 55 and 87% in the short- to mid-term, with long-term results lacking. Due to the current paucity of studies, in this review we aimed to discuss (1) indications, (2) techniques, and (3) outcomes of non-vascularized bone grafting used to treat osteonecrosis of the femoral head.

Indexed as

Bone TransplantationArthroplasty, Replacement, HipFemur HeadFemur Head NecrosisHumansBone graftFemoral headHip oseonecrosisNon-vascularizedSystematic reviewTreatment

Identifiers

PMID30039197
OpenAlexW2884268982

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.