Evidence map›Paper›PMID 34738584›Full record

ArticleActa bio-medica : Atenei Parmensis2021

Outcome of surgical treatment of 54 Periprosthetic femoral fractures after total hip arthroplasty at mid term follow-up.

Ibrahim Akkawi, Daniele Fabbri, Matteo Romantini, Massimo Laus, Alfonso Calogero

Abstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Ibrahim AkkawiVilla Erbosa Hospital 50/2, 40129, Bologna, Italy. i.akkawi@libero.it.
Daniele FabbriHip Resurfacing Service, IRCCS Galeazzi Orthopaedic Institute, San Siro Clinical Institute, Milan, Italy. daniele.fabbri@ior.com.
Matteo RomantiniRizzoli Orthopaedic Institute, Via Pupilli 1, 40136, Bologna, Italy. matteo.romantini@ior.com.
Massimo LausOrthopaedics e Traumatology, Department for Special Surgery and Anesthesiology, S. Orsola-Malpighi Hospital, Via Albertoni, 15, 40138, Bologna, Italy. massimo.laus@aosp.bo.com.
Alfonso CalogeroOrthopaedics e Traumatology, Department for Special Surgery and Anesthesiology, S. Orsola-Malpighi Hospital, Via Albertoni, 15, 40138, Bologna, Italy. calogero.alfonso@aosp.bo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the present study was to review the outcome of the surgical treatment of 54 periprosthetic femoral fractures (PFF) after total hip arthroplasty at a mean follow-up of 45 months. At final follow-up, the clinical outcome was measured using the Harris Hip score (HHS), the Karnofsky score (KS), while, the radiographic results were evaluated using the Beals and Tower's criteria.

resultsThere were 13 post-operative complications that occurred in 10 patients with an overall re-operation rate of 11%. At final follow-up the mean HHS was 64 (range 20-100) and the mean KS was 66 (range 30-100). The radiological results were excellent in 89%, good in 9% and poor 2% of patients. The mortality rate was 0% at 3 months and 3.7% at one year post-operatively. The mean last HHS and KS of patients older than 75 years or with comorbidities were lower than that of patients younger than 75 years or without comorbidities.

conclusionsAlthough this study have shown that the surgical treatment of PFF was associated with a low re-operative rate, a good to excellent radiological results and a low mortality rate at 3 months and 1 year postoperatively, there was a marked functional deterioration in many patients. This decline of function could be attributed to the advanced age of patients and the presence of comorbidities.

Indexed as

Arthroplasty, Replacement, HipFemoral FracturesHip ProsthesisPeriprosthetic FracturesFollow-Up StudiesHumansReoperationRetrospective StudiesTreatment Outcome

Identifiers

PMID34738584
PMCPMC8689337

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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.