Evidence map›Paper›PMID 30522476›Full record

ArticleBMC musculoskeletal disorders2018

A ceramic bone substitute containing gentamicin gives good outcome in trochanteric hip fractures treated with dynamic hip screw and in revision of total hip arthroplasty: a case series.

Mindaugas Stravinskas, Sarunas Tarasevicius, Simonas Laukaitis, Malin Nilsson, Deepak Bushan Raina, Lars Lidgren

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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. A New Augmentation Method for Improved Screw Fixation in Fragile Bone.Frontiers in bioengineering and biotechnology · 2022
    Article
  7. Article
  8. Article
  9. Nanotechnology-based drug delivery systems in orthopedics.Joint diseases and related surgery · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. 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 2 institutions in 2 countries.

Mindaugas StravinskasLithuanian University of Health, Kaunas, Lithuania.
Sarunas TaraseviciusLithuanian University of Health, Kaunas, Lithuania.
Simonas LaukaitisLithuanian University of Health, Kaunas, Lithuania.
Malin NilssonDepartment of Orthopedics, Lund University Hospital, Lund, Sweden. malin@lalit.se.ORCID http://orcid.org/0000-0002-6952-5070
Deepak Bushan RainaDepartment of Orthopedics, Lund University Hospital, Lund, Sweden.
Lars LidgrenDepartment of Orthopedics, Lund University Hospital, Lund, Sweden.
Lithuanian University of Health Sciences · LTLund University · SE

Funding

VINNOVA innovation agency in Sweden 2017-00269VR-Research funding agency in Sweden 2015-06717
6 · The paper itself

Abstract

backgroundThe primary objective was to investigate the clinical and radiological outcome in patients undergoing major hip surgery using a novel antibiotic containing bone substitute for local augmentation in trochanteric fracture fixation or revision of total hip arthroplasty (THA).

methodsWe implanted a novel biphasic bone substitute CERAMENT™|G consisting of hydroxyapatite, calcium sulphate and gentamicin for bone regeneration and local antibiotic delivery in 20 patients treated surgically for trochanteric femoral fracture or uncemented hip revision. Preoperative, postoperative, 3 months and 1 year clinical and radiological assessment were performed including registration of any complications. In one trochanteric fracture patient, histological analyses were performed of bone biopsies taken at removal of hardware.

resultsNone of the trochanteric fractures or revision of THA showed any large migration. No local wound disturbances were seen and no infection was observed at one year follow-up. All trochanteric fractures healed at 3 months with a minimal sliding screw displacement on average 3 mm. Radiological analysis showed signs of bone remodeling and new bone formation in the substitute, illustrated also by histology in the biopsies taken from one trochanteric fracture at one year post-op.

conclusionsLocal CERAMENT™|G was shown to be safe in a limited prospective major hip surgery study. Remodeling of the bone graft substitute was observed in all patients.

trial registrationEU-CTR2018-004414-18 Retrospectively registered on November 20, 2018.

Indexed as

Bone SubstitutesCalcium SulfateDurapatiteAgedAged, 80 and overAnti-Bacterial AgentsArthroplasty, Replacement, HipBone RemodelingBone ScrewsDrug CombinationsFeasibility StudiesFemaleFollow-Up StudiesFracture Fixation, InternalGentamicinsHipAnti-Bacterial AgentsBone SubstitutesCalcium SulfateceramentDrug CombinationsDurapatiteGentamicinsAntibioticsBone remodelingCeramic bone substituteGentamicinHip surgeryInfection

Identifiers

PMID30522476
PMCPMC6284312
OpenAlexW2902507436

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.