Evidence map›Paper›PMID 30080985›Full record

ArticleActa orthopaedica2018

Hemiarthroplasty and total hip arthroplasty in 30,830 patients with hip fractures: data from the Dutch Arthroplasty Register on revision and risk factors for revision.

Sophie Moerman, Nina M C Mathijssen, Wim E Tuinebreijer, Anne J H Vochteloo, Rob G H H Nelissen

2 registry-linked trialsAbstract read
In one paragraph

Article in Acta orthopaedica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–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.

NCT05153473 completednot on this mapstarted 2019, after this paper: background citation

Retro-prospective and Observational Study of 120 Patients for the Assessment of the Safety and the Performance of the SAGITTA EVL R Stems in Hip Arthroplasties

TypeobservationalSponsorSociete dEtude, de Recherche et de FabricationRan2019 to 2019Enrolled120ConditionsHip ArthropathyArmsTotal Hip Arthroplasty Revision
NCT05216666 narecruitingnot on this mapstarted 2022, after this paper: background citation

Abductor Insufficiency After Total Hip Arthroplasty; Risk Factors and Diagnosis

TypeinterventionalSponsorSahlgrenska University HospitalRan2022 to 2028Enrolled580ConditionsHip Osteoarthritis, Muscle Weakness, Muscle Atrophy, Muscle InjuryArmsLateral approach, Posterior approach
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Femoral Neck Fractures: Incidence, Reasons, and Risk Factors of Conversion From Hemiarthroplasty to Total Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
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  17. [Hemiarthroplasty for geriatric femoral neck fractures].Operative Orthopadie und Traumatologie · 2021
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  18. Risk factors for dislocation after bipolar hemiarthroplasty: a retrospective case-control study of patients with CT data.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021
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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.

Sophie Moermana Department of Orthopedic Surgery , Reinier de Graaf Gasthuis , Delft ;
Nina M C Mathijssena Department of Orthopedic Surgery , Reinier de Graaf Gasthuis , Delft ;
Wim E Tuinebreijerb Department of Surgery/Traumatology , Erasmus MC , Rotterdam ;
Anne J H Vochtelooc Centre for Orthopedic Surgery OCON , Hengelo ;
Rob G H H Nelissend Department of Orthopedic Surgery , Leiden University Medical Center , Leiden , the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - In the Netherlands about 40% of hip fractures are treated with a hemiarthroplasty (HA) or a total hip arthroplasty (THA). Although these procedures are claimed to have fewer complications than osteosynthesis (i.e., reoperation), complications still occur. Analyses of data from national registries with adequate completeness of revision surgery are important to establish guidelines to diminish the risk for revision. We identified risk factors for revision. Patients and methods - All patients older than 50 years of age with a hip fracture treated with arthroplasty by orthopedic surgeons and registered in the (national) Dutch arthroplasty register (LROI) were included in the study. In this register, patient characteristics and surgical details were prospectively collected. Revision surgery and reasons for revision were evaluated. A proportional hazard ratio model for revision was created using competing risk analysis (with death as competing risk). Results - 1-year revision rate of HA was (cumulative incidence function [CIF] 1.6% (95% CI 1.4-1.8) and THA 2.4% (CI 2.0-2.7). Dislocation was the most common reason for revision in both groups (HA 29%, THA 41%). Male sex, age under 80 years, posterolateral approach, and uncemented stem fixation were risk factors for revision in both THA and HA. THA patients with ASA classification III/IV were revised more often, whereas revision in the HA cohort was performed more often in ASA I/II patients. Interpretation - After arthroplasty of hip fractures, both a posterolateral approach and an uncemented hip stem have higher risks for revision surgery compared with an anterolateral approach and an cemented stem.

Indexed as

AgedAged, 80 and overArthroplasty, Replacement, HipFemaleHemiarthroplastyHip FracturesHip ProsthesisHumansMaleMiddle AgedNetherlandsProsthesis FailureRegistriesReoperationRisk Factors

Identifiers

PMID30080985
PMCPMC6202728

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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.