Evidence map›Paper›PMID 31192026›Full record

ArticleGeriatric orthopaedic surgery & rehabilitation2019

Dual Mobility Acetabular Cup Versus Hemiarthroplasty in Treatment of Displaced Femoral Neck Fractures in Elderly Patients: Comparative Study and Results at Minimum 3-Year Follow-up.

Skender Ukaj, Osman Zhuri, Fatime Ukaj, Vlora Podvorica, Kushtrim Grezda, Jacques Caton, Jean Louis Prudhon, Shaip Krasniqi

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Geriatric orthopaedic surgery & rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 6 pooled it
4.0field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 6 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  7. Article
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  11. Barriers and facilitators of weight bearing after hip fracture surgery among older adults. A scoping review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Article
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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

8 authors at 4 institutions in 4 countries.

Skender UkajOrthopedic and Traumatology Department, University of Ljubljana, Ljubljana, Slovenia.
Osman ZhuriOrthopedic and Traumatology Department, Regional Hospital of Prizren, Prishtina, Albania.
Fatime UkajNational Institute of Public Health Prishtina, Prishtina, Republic of Kosova.
Vlora PodvoricaOrthopedic and Traumatology Department, University Clinical Center of Prishtina, Pristina, Republic of Kosova.
Kushtrim GrezdaOrthopedic and Traumatology Department, University Clinical Center of Prishtina, Pristina, Republic of Kosova.
Jacques CatonInstitut de Chirurgie Orthopédique Lyon-Caluire, Lyon, France.
Jean Louis PrudhonCentre Osteo Articulaire, Echirolles, France.
Shaip KrasniqiFaculty of Medicine, University of Prishtina, Pristina, Republic of Kosovo.
University Clinical Center of Kosovo · XKUniversity of Prishtina · XKCentre Orthopédique Santy · FRUniversity of Ljubljana · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHip fractures are serious injuries associated with relatively high mortality rates and disabilities, commonly seen in elderly persons. There is an ongoing debate regarding the advantages of various hip arthroplasty devices. This study aimed to analyze the long-term advantages of 2 different surgical procedures and assess if the dislocation rate, Harris Hip Score (HHS), and functional independence measure (FIM) are more favorable in dual mobility (DM) than those in hemiarthroplasty (HA). HYPOTHESIS: Dual mobility procedures provide better postoperative outcomes than HA in terms of HHS, FIM, and dislocation rate. MATERIALS AND

methodsThe survey was a prospective, comparative interventional single-blinded study performed at the University Clinical Center of Kosovo, a tertiary health-care institution. A total of 94 patients underwent DM or conventional bipolar HA for repair of displaced femoral neck fractures within 2 weeks of injury. Primary outcomes were postoperative dislocation rate, FIM, and HHS. Secondary outcomes included duration of surgery, estimated intraoperative blood loss, time to first postoperative full weight-bearing, time to walking ability with and without crutches, mortality rate, and postoperative infection rate.

resultsThere were no significant differences for most parameters between the groups. We found a significant difference in the dislocation rate between the 2 groups, wherein there were no dislocations in the DM group and 3 dislocations in the HHS group (0% vs 6.4%). In terms of postoperative HHS at 12 months and 3 years, DM provided better outcomes (<0.034 and <0.014, respectively). DISCUSSION: Dual mobility compares favorably to HA in terms of dislocation rate and HHS, while no difference was found for FIM. In order to have a more complete overview, we recommend more intense long-term studies including several heterogeneous parameters to compare the clinical outcomes between DM and HA. LEVEL OF EVIDENCE WITH STUDY

designLevel II.

Indexed as

elderly patientsfemoral neck fracturesHarris Hip Scorehemi-arthroplastytotal hip arthroplasty

Identifiers

PMID31192026
PMCPMC6540477
OpenAlexW2945379407

What OpenQuestion holds

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LicenceCC BY-NC
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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.