Evidence map›Paper›PMID 34101017›Full record

SynthesisArchives of orthopaedic and trauma surgery2022

The role of the femoral component orientation on dislocations in THA: a systematic review.

Joost H J van Erp, Thom E Snijders, Harrie Weinans, René M Castelein, Tom P C Schlösser, Arthur de Gast

Abstract readSystematic Review
In one paragraph

Synthesis 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 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

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  9. [Feasibility study on measuring anteversion angle of acetabular prosthesis after total hip arthroplasty using arbitrary point method].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
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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.

Joost H J van ErpDepartment of Orthopedics, Diakonessenhuis, Utrecht, Zeist, The Netherlands. jverp@diakhuis.nl.ORCID http://orcid.org/0000-0002-0189-1728
Thom E SnijdersDepartment of Orthopedics, Diakonessenhuis, Utrecht, Zeist, The Netherlands.
Harrie WeinansDepartment of Orthopedics, UMC Utrecht, Utrecht, The Netherlands.
René M CasteleinDepartment of Orthopedics, UMC Utrecht, Utrecht, The Netherlands.
Tom P C SchlösserDepartment of Orthopedics, UMC Utrecht, Utrecht, The Netherlands.
Arthur de GastDepartment of Orthopedics, Diakonessenhuis, Utrecht, Zeist, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDislocation remains a major complication in total hip arthroplasty (THA), in which femoral component orientation is considered a key parameter. New imaging modalities and definitions on femoral component orientation have been introduced, describing orientation in different planes. This study aims to systematically review the relevance of the different orientation parameters on implant stability.

methodsA systematic review was performed according to the PRISMA guidelines to identify articles in the PubMed and EMBASE databases that study the relation between any femoral component orientation parameters and implant stability in primary THA.

resultsAfter screening for inclusion and exclusion criteria and quality assessment, nine articles were included. Definitions to describe the femoral component orientation and methodologies to assess its relevance for implant stability differed greatly, with lack of consensus. Seven retrospective case-control studies reported on the relevance of the transversal plane orientation: Low femoral- or low combined femoral and acetabular anteversion was statistical significantly related with more posterior dislocations, and high femoral- or combined femoral and acetabular anteversion with anterior dislocations in two studies. There were insufficient data on sagittal and coronal component orientation in relation to implant stability.

conclusionBecause of incomparable definitions, limited quality and heterogeneity in methodology of the included studies, there is only weak evidence that the degree of transverse component version is related with implant stability in primary THA. Recommendations about the optimal orientation of the femoral component in all three anatomical planes cannot be provided. Future studies should uniformly define the three-dimensional orientation of the femoral component and systematically describe implant stability.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisJoint DislocationsAcetabulumHumansRetrospective StudiesAnteversionDislocationFemoral componentInstabilityOrientationSagittal tiltTHATotal Hip arthroplasty

Identifiers

PMID34101017
PMCPMC9110501

What OpenQuestion holds

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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.