Evidence map›Paper›PMID 31020019›Full record

ArticleArthroplasty today2019

Asymptomatic intraprosthetic dual mobility cup dislocation with increased metal ion levels.

Maarten Koper, Rob Verdijk, Koen Bos

Abstract readCase Reports
In one paragraph

Article in Arthroplasty today, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Total Hip Arthroplasty: An Update on Navigation, Robotics, and Contemporary Advancements.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2023
    Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

3 authors.

Maarten KoperDepartment of Orthopedics, Erasmus Medical Center, Rotterdam, the Netherlands.
Rob VerdijkDepartment of Pathology, Erasmus Medical Center, Rotterdam, the Netherlands.
Koen BosDepartment of Orthopedics, Erasmus Medical Center, Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the increased use of dual-mobility cups (DMCs) in total-and revision hip arthroplasties, surgeons can expect an increase of known and new complications. During routine follow-up, we observed an asymptomatic patient with an intraprosthetic-dislocation (IPD) and elevated levels of serum metal ions (1.8 ppb of cobalt and 28.0 ppb of chromium). Revision surgery was inevitable. Perioperative metallosis and severe wear of the metal shell and metal femoral head supported the IPD. Literature showed that the modularity of the DMC can result in increased serum metal ions, create excessive wear, and possibly affect implant survival. Our case and review of the literature may form an argument not to consider DMC for primary cases. Furthermore, we advise yearly clinical and radiological follow-up and, on indication, metal ion testing for DMCs.

Indexed as

Dual mobility cupIntraprosthetic dislocationMetal ionsRevision surgeryTotal hip arthroplasty

Identifiers

PMID31020019
PMCPMC6470350

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.