ArticleActa orthopaedica2019
The design of the cemented stem influences the risk of Vancouver type B fractures, but not of type C: an analysis of 82,837 Lubinus SPII and Exeter Polished stems.
Article in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Post-operative peri-prosthetic fracture rates following the use of cemented polished taper-slip stems for primary total hip arthroplasty: a systematic review.Archives of orthopaedic and trauma surgery · 2022Pooled it
- The race for the classification of proximal periprosthetic femoral fractures : Vancouver vs Unified Classification System (UCS) - a systematic review.BMC musculoskeletal disorders · 2022Pooled it
- Reduced long-term periprosthetic fracture rates with composite beam versus polished tapered stems in cemented hip arthroplasty : a ten-year observational study.Bone & joint open · 2026Article
- Article
- Mixed Manufacturer Combination With a Cementless Hemispherical Dual Mobility Cup and Polished Taper-Slip Cemented Femoral Stem: Short- to Medium-Term Results in Primary Total Hip Arthroplasty in Elderly Patients.Arthroplasty today · 2025Article
- Risk factors influencing periprosthetic fracture and mortality following total hip arthroplasty with a cemented, collarless, polished taper femoral component : a minimum ten-year follow-up cohort study.Bone & joint open · 2025Article
- Reduced periprosthetic fracture rate for a cemented anatomical versus a tapered polished stem in hip arthroplasty: A 6-year follow-up of a prospective observational cohort study.Journal of experimental orthopaedics · 2025Article
- Evidence for cemented TKA and THA based on a comparison of international register data.Orthopadie (Heidelberg, Germany) · 2024Review
- Experience of an anatomic femoral stem in a UK orthopaedic centre beyond 20 years of follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Experimental periprosthetic fractures with collarless polished tapered cemented stems.International orthopaedics · 2024Article
- Health-related quality of life (EQ-5D) after revision arthroplasty following periprosthetic femoral fractures Vancouver B2 and B3 in geriatric trauma patients.Archives of orthopaedic and trauma surgery · 2024Article
- Outcomes of Exeter cemented total hip arthroplasty in a county hospital: survivorship of eight hundred and ninety four hips with a minimum ten-year follow up.International orthopaedics · 2024Article
- [Register data on cemented arthroplasty : A proof for cementless fixation?]Orthopadie (Heidelberg, Germany) · 2024Review
- Outcome of patients with osteoarthritis aged 90 to 101 years after cemented total hip arthroplasty: 1,385 patients from the Swedish Arthroplasty Register.Acta orthopaedica · 2023Article
- Fracture pattern and risk factors for reoperation after treatment of 156 periprosthetic fractures around an anatomic cemented hip stem.Acta orthopaedica · 2023Article
- Treatment of periprosthetic femoral fractures following total hip arthroplasty: results of an online survey of the European Hip Society.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2023Article
- Vancouver B and C periprosthetic fractures around the cemented Exeter Stem: sex is associate with fracture pattern.Archives of orthopaedic and trauma surgery · 2022Article
- Comparison of periprosthetic femoral fracture torque and strain pattern of three types of femoral components in experimental model.Bone & joint research · 2022Article
- Cohort analysis of two thousand nine hundred forty-three Link Lubinus SP II cemented total hip arthroplasties from a single hospital with surgeon stratification and twenty six thousand, nine hundred and eighty one component-years of follow-up.International orthopaedics · 2022Article
- Treatment Algorithm of Periprosthetic Femoral Fracturens.Geriatric orthopaedic surgery & rehabilitation · 2022Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - In total hip replacements, stem design may affect the occurrence of periprosthetic femoral fracture. We studied risk factors for fractures around and distal to the 2 most used cemented femoral stems in Sweden. Patients and methods - This is a register study including all standard primary Lubinus SPII and Exeter Polished stems operated in Sweden between 2001 and 2009. The outcome was any kind of reoperation due to fracture around (Vancouver type B) or distal to the stem (Vancouver type C), with use of age, sex, diagnosis at primary THR, and year of index operation as covariates in a Cox regression analysis. A separate analysis of the primary osteoarthritis patient group was done in order to evaluate eventual influence of the surgical approach (lateral versus posterior) on the risk for Vancouver type B fractures. Results - The Exeter stem had a 10-times (95% CI 7-13) higher risk for type B fractures, compared with the Lubinus, while no statistically significant difference was noticed for type C fractures. The elderly, and patients with hip fracture or idiopathic femoral head necrosis, had a higher risk for both fracture types. Inflammatory arthritis was a risk factor only for type C fractures. Type B fractures were more common in men, and type C in women. A lateral approach was associated with decreased risk for Type B fracture. Interpretation - Stem design influenced the risk for type B, but not for type C fracture. The influence of surgical approach on the risk for periprosthetic femoral fracture should be studied further.
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