Evidence map›Paper›PMID 35241894›Full record

ArticleJournal of orthopaedics

Short-term results of total hip arthroplasty using a tapered cone stem for patients with previous femoral osteotomy.

Kosei Sakamoto, Goro Motomura, Satoshi Hamai, Satoshi Ikemura, Masanori Fujii, Shinya Kawahara, Yusuke Ayabe, Yasuharu Nakashima

Open access · greenAbstract read
In one paragraph

Article in Journal of orthopaedics. 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
0.7field-weighted citation impact, top 33% 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

8 authors at 1 institution in 1 country.

Kosei SakamotoDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu Universit 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Goro MotomuraDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu Universit 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Satoshi HamaiDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu Universit 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Satoshi IkemuraDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu Universit 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Masanori FujiiDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu Universit 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Shinya KawaharaDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu Universit 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Yusuke AyabeDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu Universit 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Yasuharu NakashimaDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu Universit 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Kyushu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn total hip arthroplasty (THA) for patients with previous femoral osteotomy, we hypothesized that a tapered cone stem may be an option due to the altered morphology of the proximal femur. The purpose of this study was to assess the short-term results of THA after femoral osteotomy using a tapered cone stem, and to identify issues that require further attention.

methodsTwenty-two hips in 21 consecutive patients who underwent THA after femoral osteotomy using a Wagner Cone tapered cone stem were retrospectively reviewed, with a mean follow-up period of 34.4 (range, 24-50) months. Clinical information was obtained from medical records. On preoperative radiographs, the Dorr type was classified based on the anteroposterior cortical index. On postoperative radiographs, the degree of stem subsidence and the stem location with the highest canal fill ratio were assessed.

resultsThe mean Harris hip score significantly improved from 55.2 at baseline to 84.8 at final follow-up. Radiologically, stem subsidence (>3 mm) was observed in seven hips, and it stabilized within 1 year after THA in all cases. In five of seven hips with stem subsidence, the highest postoperative canal fill ratio was observed in the distal third of the stem. The proportions of males and Dorr type A were significantly higher among hips with stem subsidence than among those without. During the follow-up period, no hips showed implant loosening or required revision surgery.

conclusionsThe occurrence of stem subsidence should be noted when using Wagner Cone stems for Dorr type A femurs after femoral osteotomy.

Indexed as

Dorr classificationPrevious osteotomyStem subsidenceTapered cone stemTotal hip arthroplastyWagner cone

Identifiers

PMID35241894
PMCPMC8881525
OpenAlexW4213347803

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.