Evidence map›Paper›PMID 30669904›Full record

ArticleThe Journal of international medical research2019

Poor outcomes for osteoporotic patients undergoing conversion total hip arthroplasty following prior failed dynamic hip screw fixation: a nationwide retrospective cohort study.

Qian Xu, Jiajie Lai, Fan Zhang, Yangkai Xu, Fugui Zhu, Jinluan Lin, Mingdong Zhao, Junxing Ye, Liming Wen

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

9 authors at 6 institutions in 1 country.

Qian Xu1 Department of Anesthesiology, Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Qiaokou District, Wuhan, China.
Jiajie Lai2 Department of Gynaecology and Obstetrics, The First Affiliated Hospital, Sun Yat-sen University, Yuexiu District, Guangzhou, China.
Fan Zhang3 Department of Radiology, The First Affiliated Hospital, Sun Yat-sen University, Yuexiu District, Guangzhou, China.
Yangkai Xu4 Department of Orthopeadics, Fuzhou Second Hospital Affiliated to Xiamen University, Cangshan District, Fuzhou, China.
Fugui Zhu4 Department of Orthopeadics, Fuzhou Second Hospital Affiliated to Xiamen University, Cangshan District, Fuzhou, China.
Jinluan Lin5 Department of Orthopaedics, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.
Mingdong Zhao6 Department of Orthopaedics, Jinshan Hospital, Fudan University, Jinshan District, Shanghai City, China.ORCID https://orcid.org/0000-0002-6960-9856
Junxing Ye7 Department of Orthopaedics, The Third People's Hospital of Wuxi, Jiangsu Province; The Affiliated Hospital, of Jiangnan University, Liangxi District, Wuxi, Jiangsu 214000, China.
Liming Wen1 Department of Anesthesiology, Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Qiaokou District, Wuhan, China.
Sun Yat-sen University · CNWuhan Puai Hospital · CNXiamen University · CNFujian Medical University · CNJinshan Hospital of Fudan University · CNWuxi Fourth People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study was performed to compare the long-term clinical and radiological outcomes of conversion total hip arthroplasty (CTHA) following prior failed InterTan nail (IT) fixation or dynamic hip screw (DHS) fixation in Asian patients with osteoporotic intertrochanteric hip fractures (IHFs) and to clarify which implant tends to be more favourable for CTHA.

methodsRecords of consecutive Asian patients with osteoporosis who underwent conversion of failed primary unilateral IT or DHS fixation to THA from 2010 to 2013 were extracted from the comprehensive database of the China Pacific Insurance Company Ltd. All consecutive procedures were managed by high-volume surgeons. The primary endpoint was the clinical outcome. The secondary endpoint was the radiological outcome.

resultsIn total, 447 Asian patients with osteoporotic IHFs (DHS, n = 223; IT, n = 224) were assessed during a median follow-up of 46 months (range, 39-53 months). The two groups showed a significant difference in the Harris hip score at final follow-up and in the orthopaedic complication rate (DHS, 20.2%; IT, 9.8%).

conclusionConversion to THA following prior failed DHS fixation tends to be associated with poorer clinical and radiological outcomes in Asian patients with osteoporotic IHFs than that following prior failed IT fixation.

Indexed as

Bone ScrewsPostoperative ComplicationsAgedArthroplasty, Replacement, HipFemaleFollow-Up StudiesFracture Fixation, InternalHumansMaleMiddle AgedOsteoporosisPrognosisRetrospective Studiescomplicationconversiondynamic hip screwInterTan nailIntertrochanteric hip fracturetotal hip arthroplasty

Identifiers

PMID30669904
PMCPMC6460592
OpenAlexW2914707659

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.