Evidence map›Paper›PMID 33809713›Full record

ArticleJournal of clinical medicine2021

Abductor Muscle Force after Straight-Stem Compared to Short-Stem Total Hip Arthroplasty through a Modified Direct Lateral Approach: Functional Assessment of 70 Consecutive Patients of a Randomized Controlled Clinical Trial.

Michael Fuchs, Marie-Anne Hein, Martin Faschingbauer, Mirco Sgroi, Ralf Bieger, Heiko Reichel, Tobias Freitag

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. 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
–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

4 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. 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

7 authors.

Michael FuchsDepartment of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Baden Württemberg, Germany.ORCID 0000-0002-5557-682X
Marie-Anne HeinDepartment of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Baden Württemberg, Germany.
Martin FaschingbauerDepartment of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Baden Württemberg, Germany.
Mirco SgroiDepartment of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Baden Württemberg, Germany.
Ralf BiegerDepartment of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Baden Württemberg, Germany.
Heiko ReichelDepartment of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Baden Württemberg, Germany.
Tobias FreitagDepartment of Orthopaedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Baden Württemberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Because of preservation of proximal femoral bone stock and minimized soft tissue trauma, short-stem implants are becoming increasingly important in total hip arthroplasty (THA). The postulated advantage regarding the functional outcome has not been verified. We hypothesized an increased abductor muscle strength by the use of a short-stem design. Seventy consecutive patients of a randomized clinical trial were included. Of these, 67 patients met the inclusion criteria after 12 months. Thirty-five patients received a standard straight stem and 32 patients a short-stem femoral component. All surgeries were performed by a modified direct lateral approach. Isometric muscle strength of the hip abductors was evaluated preoperatively 3 and 12 months after surgery. Harris hip score (HHS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were evaluated. After three months, there were no differences between the two groups; the abductor force was comparable to the preoperative initial values. After 12 months, a significant increase in muscle strength for the short stem patient group compared to preoperative baseline values was measured (straight-stem THA, 0.09 Nm/kg ± 0.4,

Indexed as

abductor muscle functionmuscle forceshort stemsoft tissue damagetotal hip replacement

Identifiers

PMID33809713
PMCPMC8002373

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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.