Evidence map›Paper›PMID 30848380›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019

Peri-prosthetic bone remodeling and change in bone mineral density in the femur after cemented polished tapered stem implantation.

Toshiki Iwase, Daigo Morita, Genta Takemoto, Hiroshi Fujita, Naoyuki Katayama, Hiromi Otsuka

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Multi-center study of use of the Exeter stem in Japan: a 10-year follow-up report.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  3. Review
  4. 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 4 institutions in 1 country.

Toshiki IwaseDepartment of Orthopedic Surgery, Hip & Knee Reconstruction and Arthroplasty Center, Hamamatsu Medical Center, 328 Tomitsuka cyo, Naka ku, Hamamatsu, 432-8580, Japan. tossy.iwase@gmail.com.ORCID http://orcid.org/0000-0002-5682-4557
Daigo MoritaDepartment of Orthopedic Surgery, Hip & Knee Reconstruction and Arthroplasty Center, Hamamatsu Medical Center, 328 Tomitsuka cyo, Naka ku, Hamamatsu, 432-8580, Japan.
Genta TakemotoDepartment of Orthopedic Surgery, Hip & Knee Reconstruction and Arthroplasty Center, Hamamatsu Medical Center, 328 Tomitsuka cyo, Naka ku, Hamamatsu, 432-8580, Japan.
Hiroshi FujitaDepartment of Orthopedic Surgery, Institute for Joint Replacement, Kyoto Katsura Hospital, Kyoto, Japan.
Naoyuki KatayamaDepartment of Orthopedic Surgery, Hokkaido Orthopedic Memorial Hospital, Sapporo, Japan.
Hiromi OtsukaJoint Reconstruction Center, Gifu Municipal Hospital, Gifu, Japan.
Hamamatsu Medical Center · JPGifu Municipal Hospital · JPHokkaido Orthopedic Surgery Memorial Hospital · JPKyoto Katsura Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe examined longitudinal changes in bone mineral density (BMD) around the femur for 5 years after total hip arthroplasty (THA) using cemented collarless polished double-tapered stem implantation and investigated the influence of BMD changes on radiological remodeling of the femur. MATERIALS AND

methodsSixty hips from 56 patients who underwent cemented THA with a collarless polished double-tapered stem were included. BMD was measured 2 weeks postoperatively (baseline), 3 months, 6 months, 1 year and annually thereafter until 5 years after surgery using dual-energy X-ray absorptiometry on the lumbar spine and proximal femur of the operated side according to the Gruen's zone classification. We analyzed predictable factors for BMD preservation in the proximal femur and compared radiological remodeling of the femur and changes in BMD.

resultsBMD at 5 years in zone 7 decreased less than 10%, whereas BMD in zone 1 increased to over the baseline (+ 1.9%). Multiple linear regression analyses revealed that body weight was a predictor for positive BMD change in the proximal femur. The frequency of radiolucency of the femur was significantly lower in patients who exhibited an increase in BMD at 5 years compared with BMD at 2 weeks in zone 7.

conclusionBMD preservation of the proximal femur after cemented collarless polished double-tapered stem implantation was more effective in heavier patients. Furthermore, the frequency of radiolucency around the stem was significantly lower in patients who exceeded 100% of the baseline BMD in zone 7 at 5 years.

Indexed as

Arthroplasty, Replacement, HipBone DensityBone RemodelingFemurHip ProsthesisAbsorptiometry, PhotonAgedBody Mass IndexBone CementsFemaleFollow-Up StudiesHumansJapanMaleMiddle AgedPostoperative PeriodBone CementsBone mineral densityCemented collarless polished tapered stemDual-energy X-ray absorptiometryRadiolucencyTotal hip arthroplasty

Identifiers

PMID30848380
OpenAlexW2921015266

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.