Evidence map›Paper›PMID 30885178›Full record

ArticleBMC musculoskeletal disorders2019

Non-contemporaneous bilateral stem fractures occurring after staged bilateral hip revision using extensively porous-coated cylindrical femoral stems: a case report.

Leibo Zhu, Rongxin He

Abstract readCase Reports
In one paragraph

Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

2 authors.

Leibo ZhuDepartment of Orthopaedics, The Second Affiliated Hospital, School of Medicine, Zhejiang University, No.88 Jiefang Road, Shangcheng Disctrict, Hangzhou, 310009, Zhejiang, People's Republic of China. 20618408@zju.edu.cn.ORCID http://orcid.org/0000-0003-1222-5808
Rongxin HeDepartment of Orthopaedics, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDistally fixed cylindrical femoral stems extensively coated with porous materials are widely used in revision and total hip arthroplasty surgeries. Stem fracture is an uncommon complication; few case reports have been published. CASE PRESENTATION: We report the case of a 51-year-old male exhibiting extensively porous-coated cylindrical femoral stems fracture after staged bilateral hip revision. His body mass index was 24.22 kg/m

conclusionsCertain patients are at high risk of non-contemporaneous, bilateral femoral stem fractures. It remains unclear whether fracture of the contralateral femoral stem is an inevitable fatigue fracture or reflects the increased weight imposed on the contralateral hip after the first revision. We recommend that a strut bone graft be placed to support the proximal bone, and that non-modular tapered femoral stems be employed in such patients.

Indexed as

Prosthesis FailureArthroplasty, Replacement, HipFemurHumansMaleMiddle AgedProsthesis DesignReoperationHip revisionPorous-coated stemStem fracture

Identifiers

PMID30885178
PMCPMC6421697

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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.