Evidence map›Paper›PMID 33687529›Full record

ArticleArchives of orthopaedic and trauma surgery2022

Anterior hip replacement: lower dislocation rates despite less restrictions?

Anna Jungwirth-Weinberger, Tom Schmidt-Braekling, Kilian Rueckl, Bernhard Springer, Friedrich Boettner

Abstract read
PubMed Publisher
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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.

Anna Jungwirth-WeinbergerHospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Tom Schmidt-BraeklingUniklinikum Münster, Domagkstraße 5, 48149, Münster, Germany.
Kilian RuecklJulius-Maximilians-Universität Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.
Bernhard SpringerAKH Wien, Währinger Gürtel 18-20, 1090, Wien, Austria.
Friedrich BoettnerHospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA. boettnerf@hss.edu.ORCID http://orcid.org/0000-0002-7906-9486

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDislocation in Total hip arthroplasty (THA) is a common postoperative complication and reason for revision surgery. The direct anterior approach has become more popular over the last decade. The purpose of this study was to compare postoperative dislocation rates of the direct anterior and the posterior approach at a one-year follow-up. MATERIAL AND

methods797 consecutive hips operated through a posterior approach [698 patients (307 male, 391 female)] between 2009 and 2012, were compared to 690 selected THA [610 patients (423 female, 187 male)] operated since 2012. Anterior hip replacement surgery was primarily indicated for patients demanding increased flexibility after surgery (Yoga) or were considered a higher risk for dislocation.

resultsDuring a one-year follow-up there were eight dislocations out of 797 THA (1%) in the posterior group and none in the 690 THA (0%) in the anterior group (p-value of 0.008). Average time to dislocation was 7.5 weeks in the posterior group. Five of eight patients with dislocations needed revision surgery due to persistent instability.

conclusionEven in a higher-risk patient population, the direct anterior approach showed a lower dislocation rate compared to the posterior approach in the first year after surgery.

Indexed as

Arthroplasty, Replacement, HipHip DislocationHip ProsthesisJoint DislocationsFemaleHumansMaleReoperationRetrospective StudiesAnterior ApproachComplicationDislocationPrimary total hipTotal hip arthroplasty

Identifiers

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.