Evidence map›Paper›PMID 34738592›Full record

ArticleActa bio-medica : Atenei Parmensis2021

Postoperative outcomes in total hip arthroplasty following femoral head avascular necrosis in HIV-positive patients.

Alfonso Manzotti, Marco Larghi, Emanuele Placenza, Francesca Susini, Miriam Grassi

Open access · greenAbstract 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.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 1 country.

Alfonso ManzottiOrthopaedic and Trauma Department, "Luigi Sacco" Hospital, ASST FBF-Sacco, Milan, (Italy). alf.manzotti@libero.it.
Marco LarghiSchool of Medicine and Residency Program in Orthopaedics, Università degli studi di Milano, Milan (Italy). mm.larghi@gmail.com.
Emanuele PlacenzaSchool of Medicine and Residency Program in Orthopaedics, Università degli studi di Milano, Milan (Italy). emanuele.placenza@asst-fbf-sacco.it.
Francesca SusiniSchool of Medicine and Residency Program in Orthopaedics, Università degli studi di Milano, Milan (Italy). francesca.susini@asst-fbf-sacco.it.
Miriam GrassiOrthopaedic and Trauma Department, "Luigi Sacco" Hospital, ASST FBF-Sacco, Milan, (Italy). miriam.grassi@asst-fbf-sacco.it.
University of Milan · ITLuigi Sacco Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew clinical studies have been published reporting the clinical outcomes of total hip replacement (THA) in HIV-positive patients affected by femoral head avascular necrosis (AVN) often with controversial results and often without any correlation with the immunological patient status. Our study aim is to retrospectively review the outcome of a HIV-positive patient series. MATERIAL AND

methods24 THAs perfomed between 2007 and  2017 were assessed in the study. All patients have been classified with Charlson Comorbidity Index (CCI) and the CDC (Center for Disease Control and Prevention) HIV classification.  At the latest follow-up each patient have been evaluated using Harris Hip Score (HHS), WOMAC score, a numerical pain rating scale (NRS) and procedure-related complications were collected.

resultsAt a mean mean follow up of 96,41 months the mean WOMAC score was 91,66  and the mean Harris Hip Score was 86,77 with  excellent results in 18 hips, good in 1 and poor in the 5. Post-operative complications were reported in 7 hips, 3 patients developed a periprosthetic joint infection (PJI) in patients with low CD4+ count and history of intravenous drug consumption.

conclusionWe registered a good outcome in HIV patient with femoral head AVN treated with Total Hip replacement. However, we reported a significant increase in complications and revision rate especially referred to PJI, in patient with history of intravenous drug consumption and low CD4+ count. The authors advocate further prospective multicentric studies with larger population in the future. (www.actabiomedica.it).

Indexed as

Arthroplasty, Replacement, HipFemur Head NecrosisHIV InfectionsFemur HeadHumansRetrospective StudiesTreatment Outcome

Identifiers

PMID34738592
PMCPMC8689344
OpenAlexW3211336675

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.