Evidence map›Paper›PMID 30306217›Full record

ArticleInternational orthopaedics2019

Customized implants for acetabular Paprosky III defects may be positioned with high accuracy in revision hip arthroplasty.

Markus Weber, Lena Witzmann, Jan Wieding, Joachim Grifka, Tobias Renkawitz, Benjamin Craiovan

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Article 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

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  20. [Infected endoprosthesis in patients with rheumatism].Zeitschrift fur Rheumatologie · 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

6 authors at 1 institution in 1 country.

Markus WeberDepartment of Orthopaedic Surgery, Regensburg University, Medical Center, Asklepios Klinikum Bad Abbach Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Germany. markus.weber@klinik.uni-regensburg.de.ORCID 0000-0001-8203-0382
Lena WitzmannDepartment of Orthopaedic Surgery, Regensburg University, Medical Center, Asklepios Klinikum Bad Abbach Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Germany.
Jan WiedingAQ Implants GmbH, Ahrensburg, Germany.
Joachim GrifkaDepartment of Orthopaedic Surgery, Regensburg University, Medical Center, Asklepios Klinikum Bad Abbach Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Germany.
Tobias RenkawitzDepartment of Orthopaedic Surgery, Regensburg University, Medical Center, Asklepios Klinikum Bad Abbach Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Germany.
Benjamin CraiovanDepartment of Orthopaedic Surgery, Regensburg University, Medical Center, Asklepios Klinikum Bad Abbach Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Germany.
Asklepios Kliniken Bad Abbach · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn revision hip arthroplasty, custom-made implants are one option in patients with acetabular Paprosky III defects.

methodsIn a retrospective analysis, we identified 11 patients undergoing cup revision using a custom-made implant. The accuracy of the intended position of the implant was assessed on post-operative 3D CT and compared to the pre-operative 3D planning in terms of inclination, anteversion, and centre of rotation. In addition, the accuracy of post-operative plain radiographs for measuring implant position was evaluated in relation to the 3D CT standard.

resultsWe found a mean deviation between the planned and the final position of the custom-made acetabular implant on 3D CT of 3.6° ± 2.8° for inclination and of - 1.2° ± 7.0° for anteversion, respectively. Restoration of center of rotation succeeded with an accuracy of 0.3 mm ± 3.9 mm in the mediolateral (x) direction, - 1.1 mm ± 3.8 mm in the anteroposterior (y) direction, and 0.4 mm ± 3.2 mm in the craniocaudal (z) direction. The accuracy of the post-operative plain radiographs in measuring the position of the custom-made implant in relation to 3D CT was 1.1° ± 1.7° for implant inclination, - 2.6° ± 1.3° for anteversion and 1.3 mm ± 3.5 mm in the x-direction, and - 0.9 mm ± 3.8 mm in the z-direction for centre of rotation.

conclusionCustom-made acetabular implants can be positioned with good accuracy in Paprosky III defects according to the pre-operative planning. Plain radiographs are adequate for assessing implant position in routine follow-up.

Indexed as

Hip ProsthesisAcetabulumAgedAged, 80 and overArthroplasty, Replacement, HipBone MalalignmentBone ResorptionComputer SimulationFemaleHumansImaging, Three-DimensionalMaleMiddle AgedPerioperative CareProsthesis DesignReoperation3D CTAcetabular Paprosky III defectsCustom-made implantRevisionTotal hip arthroplasty

Identifiers

PMID30306217
OpenAlexW2896827540

What OpenQuestion holds

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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.