Evidence map›Paper›PMID 30185196›Full record

ArticleBMC musculoskeletal disorders2018

Lantern-shaped screw loaded with autologous bone for treating osteonecrosis of the femoral head.

Dasheng Lin, Lei Wang, Zhaoliang Yu, Deqing Luo, Xigui Zhang, Kejian Lian

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today?: A 5-Year Update.The Journal of bone and joint surgery. American volume · 2020
    Review
  8. 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

6 authors at 3 institutions in 3 countries.

Dasheng LinOrthopaedic Center of People's Liberation Army, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou, 363000, China. linds@xmu.edu.cn.ORCID http://orcid.org/0000-0003-4568-2044
Lei WangOrthopaedic Center of People's Liberation Army, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou, 363000, China.
Zhaoliang YuWeigao Orthopaedic Device Co., Ltd, Weihai, 264200, China.
Deqing LuoOrthopaedic Center of People's Liberation Army, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou, 363000, China.
Xigui ZhangDouble Engine Medical Material Co., Ltd, Xiamen, 361000, China.
Kejian LianOrthopaedic Center of People's Liberation Army, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou, 363000, China.
174th hospital of the People's Liberation Army · CNInstitute of New Materials · CNWeihai Science and Technology Bureau · CN

Funding

The key projects from the Nanjing Military Region during the 12th Five-Year Plan Period 10MA073The key projects from the Nanjing Military Region during the 12th Five-Year Plan Period 12MA067
6 · The paper itself

Abstract

backgroundTreatment for osteonecrosis of the femoral head (ONFH) in young individuals remains controversial. We developed a lantern-shaped screw, which was designed to provide mechanical support for the femoral head to prevent its collapse, for the treatment of ONFH. The purpose of this study was to investigate the efficacy and safety of the lantern-shaped screw loaded with autologous bone for the treatment of pre-collapse stages of ONFH.

methodsThirty-two patients were randomly divided into two groups: the lantern-shaped screw group (core decompression and lantern-shaped screw loaded with autogenous bone) and the control group (core decompression and autogenous bone graft). During 36 months follow-up after surgery, treatment results in patients were assessed by X-ray and computed tomography (CT) scanning as well as functional recovery Harris hip score (HHS).

resultsSuccessful clinical results were achieved in 15 of 16 hips (94%) in the lantern-shaped screw group compared with 10 of 16 hips (63%) in the control group (p = 0.0325). Successful radiological results were achieved in 14 of 16 hips (88%) in the lantern-shaped screw group compared with 8 of 16 hips (50%) in the control group (P = 0.0221).

conclusionThe lantern-shaped screw loaded with autologous bone for the treatment of pre-collapse stages of ONFH is effective and results in preventing progression of ONFH and reducing the risk of femoral head collapse.

trial registrationThe trial registration number: ChiCTR-TRC-13004078 (retrospectively registered at 2013-11-28).

Indexed as

Bone ScrewsAdolescentAdultBone RemodelingBone TransplantationFemaleFemur Head NecrosisFollow-Up StudiesHumansMaleMiddle AgedRandom AllocationTomography, X-Ray ComputedTransplantation, AutologousTreatment OutcomeYoung AdultAutogenous bone graftCore decompressionLantern-shaped screwOsteonecrosis of the femoral head

Identifiers

PMID30185196
PMCPMC6123930
OpenAlexW2891559830

What OpenQuestion holds

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LicenceCC BY
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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.