Evidence map›Paper›PMID 33732832›Full record

ArticleArthroplasty today2021

Outcomes of Total Hip Arthroplasty Via the Direct Anterior vs Alternative Approaches for Acute Femoral Neck Fractures.

Zachary M Elstad, Jeannie F Buckner, Michael J Taunton, Courtney E Sherman, Cameron K Ledford, Benjamin K Wilke

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Arthroplasty today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Zachary M ElstadInvestigation Performed at the Department of Orthopedic Surgery, Mayo Clinic Florida Campus, Jacksonville, FL, USA.
Jeannie F BucknerInvestigation Performed at the Department of Orthopedic Surgery, Mayo Clinic Florida Campus, Jacksonville, FL, USA.
Michael J TauntonInvestigation Performed at the Department of Orthopedic Surgery, Mayo Clinic Florida Campus, Jacksonville, FL, USA.
Courtney E ShermanInvestigation Performed at the Department of Orthopedic Surgery, Mayo Clinic Florida Campus, Jacksonville, FL, USA.
Cameron K LedfordInvestigation Performed at the Department of Orthopedic Surgery, Mayo Clinic Florida Campus, Jacksonville, FL, USA.
Benjamin K WilkeInvestigation Performed at the Department of Orthopedic Surgery, Mayo Clinic Florida Campus, Jacksonville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal hip arthroplasty (THA) performed for displaced femoral neck fractures (FNF) is becoming a more frequent treatment in the active elderly population. The complication profiles associated with THA surgical approaches in the fracture setting are unclear. The purpose of this study was to compare a series of THA for FNF performed via the direct anterior (DA) approach vs alternative approaches (anterolateral and posterolateral).

methodsA retrospective review identified 52 patients who underwent primary THA for FNF between 2009 and 2018, including 20 via the DA approach and 32 by alternative approaches. All procedures were exclusively performed by high-volume arthroplasty surgeons. Perioperative results, complications, and clinical outcomes were compared with those of routine statistical methods. Mean follow-up duration was 3 years (range, 1-8).

resultsThe average age was 74 years (range, 57-92) with similar baseline characteristics between the 2 groups (

conclusionThe DA approach to THA performed for FNF appears safe with improved outcomes compared with alternative approaches. Larger studies are needed to verify these results.

Indexed as

Direct anterior approachFemoral neck fractureTotal hip arthroplasty

Identifiers

PMID33732832
PMCPMC7943958

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