Evidence map›Paper›PMID 32677980›Full record

ArticleJournal of orthopaedic surgery and research2020

Risk factors for iliopsoas impingement after total hip arthroplasty using a collared femoral prosthesis.

Jiandi Qiu, Xiurong Ke, Shanxi Chen, Liben Zhao, Fanghui Wu, Guojing Yang, Lei Zhang

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

Article in Journal of orthopaedic surgery and research, 2020. 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
1.2field-weighted citation impact, top 20% 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, 14 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 1 institution in 1 country.

Jiandi QiuDepartment of Adult Reconstruction, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325200, Zhejiang Province, China.
Xiurong KeDepartment of Adult Reconstruction, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325200, Zhejiang Province, China.
Shanxi ChenDepartment of Radiology, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325200, Zhejiang Province, China.
Liben ZhaoDepartment of Adult Reconstruction, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325200, Zhejiang Province, China.
Fanghui WuDepartment of Adult Reconstruction, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325200, Zhejiang Province, China.
Guojing YangDepartment of Adult Reconstruction, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325200, Zhejiang Province, China.
Lei ZhangDepartment of Adult Reconstruction, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325200, Zhejiang Province, China. zhanglei@wmu.edu.cn.ORCID https://orcid.org/0000-0001-6302-8383
Wenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between collar design of a femoral component and iliopsoas impingement (IPI) after total hip arthroplasty (THA) is still underrecognized. The purpose of our study was to determine the possible risk factors for IPI related to the femoral component, when using a collared femoral prosthesis.

methodsA total of 196 consecutive THA patients (206 hips) using a collared femoral prosthesis were reviewed retrospectively after exclusion of the factors related to acetabular component and femoral head. The patients were divided into +IPI and -IPI group according to the presence of IPI. Radiological evaluations were performed including femoral morphology, stem positioning, and collar protrusion length (CPL). Multivariate regression analysis was performed to assess the risk factors for IPI.

resultsAt a minimum follow-up of 1 year, IPI was observed in 15 hips (7.3%). Dorr type C proximal femur was found in nine hips (60%) in the +IPI group and in 28 hips in the -IPI group (14.7%, p < 0.001). The mean stem anteversion in the +IPI group was significantly greater than that in the -IPI group (19.1° vs. 15.2°, p < 0.001), as well as the mean CPL (2.6 mm vs. - 0.5 mm, p < 0.001). The increased stem anteversion (OR = 1.745, p = 0.001) and CPL (OR = 13.889, p = 0.001) were potential risk factors for IPI.

conclusionsThe incidence of IPI after THA is higher than expected when using a collared femoral prosthesis. Among the factors related to collared femoral prosthesis, excessively increased stem anteversion and prominent collar protrusion are independent predictors for IPI. In addition, high risk of IPI should be carefully considered in Dorr type C bone, despite that femoral morphology is not a predictive factor. LEVEL OF EVIDENCE: Level IV, clinical cohort study.

Indexed as

Psoas MusclesAgedAged, 80 and overArthroplasty, Replacement, HipFemaleFemurFollow-Up StudiesHip ProsthesisHumansIncidenceMaleMiddle AgedMuscular DiseasesPostoperative ComplicationsProsthesis DesignRegression AnalysisArthroplastyCollared femoral prosthesisComplicationHipIliopsoas impingementRisk factor

Identifiers

PMID32677980
PMCPMC7364523
OpenAlexW3042264675

What OpenQuestion holds

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LicenceCC BY
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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.