Evidence map›Paper›PMID 34989673›Full record

ArticleSICOT-J2022

The impact of stem fixation method on Vancouver Type B1 periprosthetic femoral fracture management.

Katherine Wang, Eustathios Kenanidis, Zakareya Gamie, Khurram Suleman, Mark Miodownik, Mahsa Avadi, David Horne, Jonathan Thompson, Eleftherios Tsiridis, Mehran Moazen

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Article in SICOT-J, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Katherine WangDepartment of Mechanical Engineering, University College London, Torrington Place, London WC1E 7JE, UK.
Eustathios KenanidisDepartment of Mechanical Engineering, University College London, Torrington Place, London WC1E 7JE, UK - Academic Orthopaedics Department, Papageorgiou General Hospital & CORE Lab at CIRI AUTH, Aristotle University Medical School, University Campus 54 124, Thessaloniki, Greece.
Zakareya GamieNorthern Institute for Cancer Research, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK.
Khurram SulemanDepartment of Mechanical Engineering, University College London, Torrington Place, London WC1E 7JE, UK.
Mark MiodownikDepartment of Mechanical Engineering, University College London, Torrington Place, London WC1E 7JE, UK.
Mahsa AvadiDePuy Synthes, St. Anthony's Road, Leeds LS11 8DT, UK.
David HorneDePuy Synthes, St. Anthony's Road, Leeds LS11 8DT, UK.
Jonathan ThompsonDePuy Synthes, St. Anthony's Road, Leeds LS11 8DT, UK.
Eleftherios TsiridisDepartment of Mechanical Engineering, University College London, Torrington Place, London WC1E 7JE, UK - Academic Orthopaedics Department, Papageorgiou General Hospital & CORE Lab at CIRI AUTH, Aristotle University Medical School, University Campus 54 124, Thessaloniki, Greece.
Mehran MoazenDepartment of Mechanical Engineering, University College London, Torrington Place, London WC1E 7JE, UK.

Funding

Engineering and Physical Sciences Research Council 539270/173067
6 · The paper itself

Abstract

introductionOur understanding of the impact of the stem fixation method in total hip arthroplasty (THA) on the subsequent management of periprosthetic femoral fractures (PFF) is still limited. This study aimed to investigate and quantify the effect of the stem fixation method, i.e., cemented vs. uncemented THA, on the management of Vancouver Type B1 periprosthetic femoral fractures with the same plate.

methodsEight laboratory models of synthetic femora were divided into two groups and implanted with either a cemented or uncemented hip prosthesis. The overall stiffness and strain distribution were measured under an anatomical one-legged stance. All eight specimens underwent an osteotomy to simulate Vancouver type B1 PFF's. Fractures were then fixed using the same extramedullary plate and screws. The same measurements and fracture movement were taken under the same loading conditions.

resultsHighlighted that the uncemented THA and PFF fixation constructs had a lower overall stiffness. Subsequently, the mechanical strain on the fracture plate for the uncemented construct was higher compared to the cemented constructs.

conclusionPFF fixation of a Vancouver type B1 fracture using a plate may have a higher risk of failure in uncemented THAs.

Indexed as

BiomechanicsCementedPeriprosthetic femoral fracture (PFF)Total hip arthroplasty (THA)Uncemented

Identifiers

PMID34989673
PMCPMC8734436

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