Evidence map›Paper›PMID 30370452›Full record

ArticleInternational orthopaedics2019

Revision total hip arthroplasty with a Kerboull plate: comparative outcomes using standard versus dual mobility cups.

Chahine Assi, Jacques Caton, Wissam Fawaz, Camille Samaha, Kaissar Yammine

Abstract readComparative Study
PubMed Publisher
In one paragraph

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. 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

5 authors at 2 institutions in 3 countries.

Chahine AssiDepartment of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Achrafieh, Beirut, Lebanon.
Jacques CatonInstitut de Chirurgie Orthopedique, Lyon, France.
Wissam FawazDepartment of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Achrafieh, Beirut, Lebanon.
Camille SamahaDepartment of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Achrafieh, Beirut, Lebanon.
Kaissar YammineDepartment of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Achrafieh, Beirut, Lebanon. cesaryam@gmail.com.ORCID 0000-0003-0094-9892
University Medical Center Rizk Hospital · LBCentre Orthopédique Santy · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInstability is a major complication in revision total hip arthroplasty (THA). Dual mobility (DM) cups were shown to reduce the risk of post-operative implant dislocation. Few case-series studies assessed the outcomes of cemented DM cups when associated to acetabular reconstruction antiprotrusio cages. No published comparative studies were found to look for outcome differences between standard cups (SC) and DM cups in first revision THA associated with a Kerboull plate (KP) and acetabular bone grafting. MATERIALS AND

methodsThis is a retrospective comparative study of two groups of patients in two institutions. All cases were first revision THA with KP reconstruction; a cemented standard cup (SC) was used in one institution (THA-SC group) while a cemented DM cup was used in the second institution (THA-DM group). The posterolateral approach and the same technique for KP placement, the cross technique, were performed in both groups. Primary outcomes were dislocation and revision rates. Survivorship and clinical and radiological results were set to be secondary outcomes. There were ten patients (13 hips) in the first group and 16 patients (16 hips) in the second with a mean follow-up clinical and radiological evaluation of 74.2 ± 47.9 months.

resultsBesides age, no significant demographic differences were present between both groups. There were three dislocations (23%) in the first group treated with close reduction compared to none in the second (p = 0.04). No further episode of dislocation or revision surgery occurred until the last follow-up in both groups. The mean Harris Hip Scores for the THA-SC and THA-DM groups were 87.5 ± 10.9 and 87.4 ± 12.1, respectively. When present, radiolucent lines were less than 1 mm thick and were non-progressive in both groups. In all patients, complete trabeculation remodeling or cortical repair of the graft was observed.

conclusionThe cup type was the single variable which could account for the observed dislocation rate difference. The mid-term results of using DM cups with KP in first revision THA seem very encouraging. Our findings add to the previously published results on the excellent outcomes in terms of stability in revision THA when using DM cups.

Indexed as

Bone PlatesHip ProsthesisAcetabulumAgedAged, 80 and overArthroplasty, Replacement, HipFemaleHip DislocationHumansJoint InstabilityMaleMiddle AgedProsthesis DesignProsthesis FailureRadiographyRange of Motion, ArticularDislocationDual mobilityRevision total hip arthroplastyTotal hip arthroplasty

Identifiers

PMID30370452
OpenAlexW2899442409

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.