Evidence map›Paper›PMID 31019942›Full record

ArticleAnnals of translational medicine2019

Mid-term outcomes of titanium modular neck femoral stems in revision total hip arthroplasty.

Hervé Ouanezar, Thomas Jalaguier, Florent Franck, Vincent Pibarot, Hugo Bothorel, Mo Saffarini, Jean-Pierre Piton

Open access · diamondAbstract read
In one paragraph

Article in Annals of translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 7 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

7 authors at 2 institutions in 2 countries.

Hervé OuanezarDepartment of Orthopaedic Surgery, Pavillon T, Hôpital Universitaire Edouard Herriot, Lyon, France.
Thomas JalaguierDepartment of Orthopaedic Surgery, Pavillon T, Hôpital Universitaire Edouard Herriot, Lyon, France.
Florent FranckDepartment of Orthopaedic Surgery, Pavillon T, Hôpital Universitaire Edouard Herriot, Lyon, France.
Vincent PibarotDepartment of Orthopaedic Surgery, Pavillon T, Hôpital Universitaire Edouard Herriot, Lyon, France.
Hugo BothorelReSurg SA, Nyon, Switzerland.
Mo SaffariniReSurg SA, Nyon, Switzerland.
Jean-Pierre PitonDepartment of Orthopaedic Surgery, Hôpital Belle-Isle, Hôpitaux Privés de Metz, Metz, France.
Hôpital Edouard Herriot · FRFederal Roads Office · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundModular stems have been widely studied as they allow intraoperative adjustments (offset, anteversion, limb length) to better restore hip biomechanics. Many authors reported outcomes of revision total hip arthroplasty (THA) using modular stems with metaphyseal-diaphyseal junctions, however, little is known about modular neck femoral stems (MNFS) with metaphyseal-epiphyseal junctions. We therefore aimed to report outcomes and implant survival of a MNFS in a consecutive series of revision THA at a minimum follow-up of 5 years.

methodsWe reviewed a consecutive series of 28 revision THAs performed between February 2010 and March 2012 using an uncemented MNFS. The final study cohort included 25 patients living with their original components, at a mean follow-up of 68.4±7.4 months and aged 67.7±11.6 years at index operation.

resultsThe Harris Hip Score (HHS) improved from 39.1±19.2 pre-operatively to 78.1±18.3 post-operatively, and the Postel Merle d'Aubigné score (PMA) improved from 9.8±3.0 pre-operatively to 14.8±2.8 post-operatively. The postoperative limb length discrepancy (LLD) was >10 mm in 18% of the hips. There were no significant differences of femoral offset and neck shaft angle (NSA) between operated and contralateral hips. Two hips (8.0%) showed new periprosthetic radiolucent lines. Periprosthetic fractures (PPF) occurred in 3 hips (12%). No subluxations, dislocations or implant breakages were reported. One revision (3.6%) was performed with retrieval of the revision stem for infection. The Kaplan-Meier (KM) survival at 5 years, using stem revision as endpoint, was 96.0%.

conclusionsThe Optimal

Indexed as

clinical and radiographic outcomeimplant survivalmodular neckmodular stemRevision total hip arthroplasty (revision THA)

Identifiers

PMID31019942
PMCPMC6462653
OpenAlexW2911800905

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.