Evidence map›Paper›PMID 32951120›Full record

SynthesisInternational orthopaedics2021

Dual-mobility cups could yield lesser infections than conventional cups: a meta-analysis of comparative studies.

Chahine Assi, Jad Mansour, Jean Louis Prudhon, Jacques Caton, Kaissar Yammine

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in International orthopaedics, 2021. 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
0.2field-weighted citation impact, top 44% 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, 5 citations in OpenAlex.

  1. Observational
  2. Article
  3. 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

5 authors at 3 institutions in 3 countries.

Chahine AssiDepartment of Orthopedic Surgery, Lebanese American University-Rizk Hospital and Lebanese American University School of Medicine, P.O. Box 11-3288, Beirut, Lebanon.
Jad MansourDepartment of Orthopedic Surgery, Lebanese American University-Rizk Hospital and Lebanese American University School of Medicine, P.O. Box 11-3288, Beirut, Lebanon.
Jean Louis PrudhonChirurgie Orthopédique, Clinique des Cèdres, Echirolles, France.
Jacques CatonInstitut de Chirurgie Orthopedique, Lyon, France.
Kaissar YammineDepartment of Orthopedic Surgery, Lebanese American University-Rizk Hospital and Lebanese American University School of Medicine, P.O. Box 11-3288, Beirut, Lebanon. cesaryam@gmail.com.ORCID 0000-0003-0094-9892
University Medical Center Rizk Hospital · LBCentre Orthopédique Santy · FRClinique des Cèdres · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDual-mobility cups (DMC) are gaining popularity mainly for their reduced rate of dislocation following total hip arthroplasty (THA). Currently, indication for DMC use extends beyond patients with high risk of dislocation or revision THA cases. Many authors reported DMC outcomes in primary THA for all aetiologies. However, some reports claimed that the use of DMC is accompanied with higher rates of infection compared with conventional cups (CC) in both primary and revision THA. RESEARCH QUESTION: Does the use of DMC generate higher rates of infection when compared with conventional cups?

objectivesThe aim of this meta-analysis was to look for significant difference in the rate of post-operative infection between DMC cups and conventional cups. METHODOLOGY: MEDLINE, Embase, Scopus, Web of Science, Cochrane Library, and Google Scholar were searched since inception. Only studies with comparative design reporting the outcome infection rate were included.

resultsSeventeen retrospective comparative studies were located comprising 248,541 patients: 16,020 in the DMC group and 232,521 in the CC group. The mean follow-up period was 37.5 ± 42 and 50.2 ± 48.7 months for the DMC and CC groups, respectively. The meta-analytical results indicated the following: (a) significantly lesser infections following DMC compared with CC in revision THA (odds ratio (OR) = 0.75 (95% CI = 0.653 to 0.874, P = 0.0002, I

conclusionOur results clearly refute the claim that DMC would yield higher rates of infection. On the contrary, the findings demonstrated that the use of DMC reduces the risk of post-operative infection in revision THA and a similar lower infection trend for primary THA when compared with the standard cups.

Indexed as

Arthroplasty, Replacement, HipHip DislocationHip ProsthesisHumansProsthesis DesignProsthesis FailureReoperationRetrospective StudiesConventional cupsDual-mobility cupsPost-operative infectionPrimary total hip arthroplastyRevision total hip arthroplastyStandard cups

Identifiers

PMID32951120
OpenAlexW3087611327

What OpenQuestion holds

Textmetadata
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.