Evidence map›Paper›PMID 33385049›Full record

ArticleArthroplasty today2020

Impingement Resulting in Femoral Notching and Elevated Metal-Ion Levels After Dual-Mobility Total Hip Arthroplasty.

Chelsea Matzko, Brandon Naylor, Ryan Cummings, Yevgeniy Korshunov, H John Cooper, Matthew S Hepinstall

Open access · goldAbstract readCase Reports
In one paragraph

Article in Arthroplasty today, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Technical Considerations and Avoiding Complications in Total Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022
    Article
  5. Article
  6. 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

6 authors at 4 institutions in 1 country.

Chelsea MatzkoDepartment of Orthopedic Surgery, Lenox Hill Hospital, Northwell Health, New York, NY, USA.
Brandon NaylorDepartment of Orthopedic Surgery, Lenox Hill Hospital, Northwell Health, New York, NY, USA.
Ryan CummingsSUNY Downstate College of Medicine, Brooklyn, NY, USA.
Yevgeniy KorshunovDepartment of Orthopedic Surgery, Lenox Hill Hospital, Northwell Health, New York, NY, USA.
H John CooperDepartment of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Matthew S HepinstallDepartment of Orthopedic Surgery, Lenox Hill Hospital, Northwell Health, New York, NY, USA.
Lenox Hill Hospital · USNorthwell Health · USColumbia University Irving Medical Center · USSUNY Downstate Health Sciences University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 60-year-old woman underwent revision total hip arthroplasty with a modular dual-mobility articulation for recurrent dislocation. At 1-year follow-up, the patient reported no dislocations but had occasional clicking and discomfort with extreme motion. A Dunn radiograph identified notching of the femoral stem, attributed to impingement. Metal ions were elevated without adverse local-tissue reaction. After 4.5 years of observation, the notch size remained stable. She denied pain. Neither stem fracture nor prosthetic dislocation occurred. Impingement against cobalt-chromium acetabular bearing surfaces can result in notching of titanium femoral components after total hip arthroplasty. Increased anteversion intended to protect against posterior dislocation may be a risk factor. Posterior notching is best visualized on Dunn views, so incidence may be underestimated. No associated femoral implant fractures were identified on literature review.

Indexed as

Dual mobilityFemoral notchHip arthroplastyHip revisionImpingementMetal ions

Identifiers

PMID33385049
PMCPMC7772443
OpenAlexW3106636021

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.