Evidence map›Paper›PMID 34659488›Full record

ArticleShoulder & elbow2021

Hematoma following total elbow arthroplasty: incidence, management, and outcomes.

Benjamin Zmistowski, Talia Chapman, Mihir Sheth, Charles L Getz, Matthew L Ramsey, Surena Namdari

Open access · greenAbstract read
In one paragraph

Article in Shoulder & elbow, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 51% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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 at 2 institutions in 1 country.

Benjamin ZmistowskiRothman Orthopaedic Institute, Philadelphia, USA.ORCID https://orcid.org/0000-0001-7360-3775
Talia ChapmanRothman Orthopaedic Institute, Philadelphia, USA.
Mihir ShethBaylor College of Medicine, Houston, USA.
Charles L GetzRothman Orthopaedic Institute, Philadelphia, USA.
Matthew L RamseyRothman Orthopaedic Institute, Philadelphia, USA.
Surena NamdariRothman Orthopaedic Institute, Philadelphia, USA.ORCID https://orcid.org/0000-0002-8222-554X
Rothman Orthopaedics · USBaylor College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study investigates the incidence, risk factors for, and clinical outcomes of hematoma following total elbow arthroplasty.

methodsWe retrospectively reviewed patient and surgical characteristics as predictors of post-operative hematoma in 382 total elbow arthroplasty (196 primary, 157 revision, and 29 conversion) between May 2004 and February, 2017. For comparison of outcomes, cases were matched (1:2) with controls by age, gender, type of surgery, and surgical indication.

resultsNineteen post-operative hematomas (5.0%; 19/382) were identified. Total elbow arthroplasty for post-traumatic arthritis (6.7%; 4/60), aseptic loosening (7.9%; 3/38), sequelae of periprosthetic joint infection (6.1%; 5/81), and non-union (28.6%; 2/7) had the highest incidence of hematoma. Clinic aspiration and compressive wrap was performed in 14 patients and avoided a return to the operating room in 78.6% (11/14). Seven patients (36.8%) required a return to the operating room, of which five (71.4%) had positive cultures and required treatment for prosthetic joint infection. Compared to the matched controls, hematoma formation predicted a higher rate of reoperation (36.8% versus 7.9%; p = 0.007) and a higher rate of subsequent prosthetic joint infection (35.7% versus 0%; p = 0.008).

conclusionHematoma formation is associated with both prosthetic joint infection and return to the operating room after total elbow arthroplasty. Strategies to prevent hematoma formation after total elbow arthroplasty may reduce complication rates.

Indexed as

hematomaosteoarthritisperiprosthetic joint infectiontotal elbow arthoplastywound complications

Identifiers

PMID34659488
PMCPMC8512970
OpenAlexW3000390021

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.