Evidence map›Paper›PMID 30211362›Full record

ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2017

Multimodal Neuromonitoring During Safe Surgical Dislocation of the Hip for Joint Preservation: Feasibility, Safety, and Intraoperative Observations.

Tobias Hesper, Brian Scalone, Bernd Bittersohl, Silja Karlsson, John Keenan, Harish S Hosalkar

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Tobias HesperThe Hosalkar Institute for Joint Preservation and Injury Care, San Diego, CA (Dr. Hesper and Dr. Hosalkar); the Medical Faculty, Department of Orthopedics, University of Düsseldorf, Düsseldorf, Germany (Dr. Hesper and Dr. Bittersohl); Neurodynamics Inc., San Diego, CA (Dr. Scalone); University of Witten/Herdecke, Witten, Germany (Ms. Karlsson); San Diego Spine & Joint Center, Paradise Valley Hospital, National City, CA (Dr. Keenan); Joint Preservation and Deformity Correction, San Diego Spine and Joint Center, National City, CA (Dr. Hosalkar); and Hip Preservation, Tri-City Medical Center, San Diego (Dr. Hosalkar).
Brian ScaloneThe Hosalkar Institute for Joint Preservation and Injury Care, San Diego, CA (Dr. Hesper and Dr. Hosalkar); the Medical Faculty, Department of Orthopedics, University of Düsseldorf, Düsseldorf, Germany (Dr. Hesper and Dr. Bittersohl); Neurodynamics Inc., San Diego, CA (Dr. Scalone); University of Witten/Herdecke, Witten, Germany (Ms. Karlsson); San Diego Spine & Joint Center, Paradise Valley Hospital, National City, CA (Dr. Keenan); Joint Preservation and Deformity Correction, San Diego Spine and Joint Center, National City, CA (Dr. Hosalkar); and Hip Preservation, Tri-City Medical Center, San Diego (Dr. Hosalkar).
Bernd BittersohlThe Hosalkar Institute for Joint Preservation and Injury Care, San Diego, CA (Dr. Hesper and Dr. Hosalkar); the Medical Faculty, Department of Orthopedics, University of Düsseldorf, Düsseldorf, Germany (Dr. Hesper and Dr. Bittersohl); Neurodynamics Inc., San Diego, CA (Dr. Scalone); University of Witten/Herdecke, Witten, Germany (Ms. Karlsson); San Diego Spine & Joint Center, Paradise Valley Hospital, National City, CA (Dr. Keenan); Joint Preservation and Deformity Correction, San Diego Spine and Joint Center, National City, CA (Dr. Hosalkar); and Hip Preservation, Tri-City Medical Center, San Diego (Dr. Hosalkar).
Silja KarlssonThe Hosalkar Institute for Joint Preservation and Injury Care, San Diego, CA (Dr. Hesper and Dr. Hosalkar); the Medical Faculty, Department of Orthopedics, University of Düsseldorf, Düsseldorf, Germany (Dr. Hesper and Dr. Bittersohl); Neurodynamics Inc., San Diego, CA (Dr. Scalone); University of Witten/Herdecke, Witten, Germany (Ms. Karlsson); San Diego Spine & Joint Center, Paradise Valley Hospital, National City, CA (Dr. Keenan); Joint Preservation and Deformity Correction, San Diego Spine and Joint Center, National City, CA (Dr. Hosalkar); and Hip Preservation, Tri-City Medical Center, San Diego (Dr. Hosalkar).
John KeenanThe Hosalkar Institute for Joint Preservation and Injury Care, San Diego, CA (Dr. Hesper and Dr. Hosalkar); the Medical Faculty, Department of Orthopedics, University of Düsseldorf, Düsseldorf, Germany (Dr. Hesper and Dr. Bittersohl); Neurodynamics Inc., San Diego, CA (Dr. Scalone); University of Witten/Herdecke, Witten, Germany (Ms. Karlsson); San Diego Spine & Joint Center, Paradise Valley Hospital, National City, CA (Dr. Keenan); Joint Preservation and Deformity Correction, San Diego Spine and Joint Center, National City, CA (Dr. Hosalkar); and Hip Preservation, Tri-City Medical Center, San Diego (Dr. Hosalkar).
Harish S HosalkarThe Hosalkar Institute for Joint Preservation and Injury Care, San Diego, CA (Dr. Hesper and Dr. Hosalkar); the Medical Faculty, Department of Orthopedics, University of Düsseldorf, Düsseldorf, Germany (Dr. Hesper and Dr. Bittersohl); Neurodynamics Inc., San Diego, CA (Dr. Scalone); University of Witten/Herdecke, Witten, Germany (Ms. Karlsson); San Diego Spine & Joint Center, Paradise Valley Hospital, National City, CA (Dr. Keenan); Joint Preservation and Deformity Correction, San Diego Spine and Joint Center, National City, CA (Dr. Hosalkar); and Hip Preservation, Tri-City Medical Center, San Diego (Dr. Hosalkar).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNerve injuries can occur from major hip surgeries, and some may be significant. Our goal was to assess the feasibility and safety of neuromonitoring during hip preservation surgery and the incidence of alerting events during such monitoring.

methodsTwenty-five adult patients underwent surgical hip dislocation for femoroacetabular impingement. Upper and lower extremity somatosensory evoked potentials, lower extremity transcranial motor evoked potentials, and lower extremity electromyography were recorded.

resultsWe observed a temporary reduction of the monitored parameters in twelve patients (48%) during surgery. There were no clinically significant neurological deficits postoperatively in any cases. DISCUSSION: Neuromonitoring did demonstrate events during hip surgery in our case series. Although it may not be practical to use neuromonitoring in all major hip surgeries, it may be prudent from the perspective of patient safety to use it in high-risk cases, including those requiring prolonged surgical time; in patients with high body mass index, excessive deformity correction, and preexisting neuropathy; and in revision cases, among others.

Identifiers

PMID30211362
PMCPMC6132301

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LicenceCC BY-NC-ND
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Registered trials

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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.