Evidence map›Paper›PMID 35485295›Full record

Trial reportActa orthopaedica2022

Comparison of early migration patterns between a ceramic and polyethylene liner in uncemented Trabecular Titanium cups: a 2-year randomized controlled trial of 52 hips using radiostereometric analysis.

Amanda D Klaassen, Elisabeth A Schäffer, Nienke W Willigenburg, Loes W A H Van Beers, Vanessa A B Scholtes, Victor P M Van der Hulst, Lennard A Koster, Bart L Kaptein, Dirk Jan F Moojen, Rudolf W Poolman

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta orthopaedica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. 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 at 2 institutions in 2 countries.

Amanda D KlaassenDepartment of Orthopedic Surgery, OLVG, Amsterdam. a.d.klaassen@olvg.nl.
Elisabeth A SchäfferDepartment of Orthopedic Surgery, OLVG, Amsterdam. bibian_schaffer@hotmail.com.
Nienke W WilligenburgDepartment of Orthopedic Surgery, OLVG, Amsterdam. n.w.willigenburg@olvg.nl.
Loes W A H Van BeersDepartment of Orthopedic Surgery, OLVG, Amsterdam. L.W.A.H.vanBeers@olvg.nl.
Vanessa A B ScholtesDepartment of Orthopedic Surgery, OLVG, Amsterdam. v.a.b.scholtes@olvg.nl.
Victor P M Van der HulstDepartment of Radiology, OLVG, Amsterdam. v.p.m.vanderhulst@olvg.nl.
Lennard A KosterDepartment of Orthopedic Surgery, RSAcore, LUMC, Leiden. L.A.Koster@lumc.nl.
Bart L KapteinDepartment of Orthopedic Surgery, RSAcore, LUMC, Leiden. b.l.kaptein@lumc.nl.
Dirk Jan F MoojenDepartment of Orthopedic Surgery, OLVG, Amsterdam. d.j.f.moojen@olvg.nl.
Rudolf W PoolmanDepartment of Orthopedic Surgery, OLVG, Amsterdam; Department of Orthopedic Surgery, LUMC, Leiden, The Netherlands. r.w.poolman@olvg.nl.
OLVG · NLLoyola University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeCeramic liners may reduce early stability of uncemented acetabular components due to higher stiffness. However, the bone ingrowth capacities of porous trabecular titanium might compensate for this effect. This prospective randomized trial quantifies migration patterns of the Delta-TT cup, and compares polyethylene and ceramic liners. PATIENTS AND

methodsPatients undergoing primary uncemented total hip arthroplasty with the Delta-TT cup and femoral stem with ceramic head were randomized to a polyethylene (n = 25) or ceramic (n = 28) liner. Radiostereometric analysis (RSA) radiographs, patient-reported hip function (HOOS-PS, OHS), and quality of life (EQ5D) were collected at baseline and 1.5, 3, 6, 12, and 24 months postoperatively. Model-based RSA was used to calculate 3D cup translation and rotation, and mixed models were used to compare effects over time between groups.

resultsAt 2 years follow-up, Delta-TT cups showed similar mean proximal translation of 0.56 mm (95% CI 0.38-0.75) in the ceramic (CE) group and 0.54 mm (0.30-0.77) in the polyethylene (PE) group, with a between group effect of 0.02 mm (-0.20-0.23). Most cup migration occurred in the first 1.5 to 3 months, stabilizing within 6 months. Any between-group effects were ≤ 0.30 mm for translation and ≤ 0.45° for rotation. Improvements in patient-reported hip function and quality of life were similar in both groups.

interpretationRegardless of liner type, Delta-TT cups showed some initial migration and stabilized within 6 months, which seems promising for long-term fixation in both cup-liner constructs.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisCeramicsHumansPolyethyleneProspective StudiesProsthesis DesignProsthesis FailureQuality of LifeRadiostereometric AnalysisTitaniumPolyethyleneTitanium

Identifiers

PMID35485295
PMCPMC9052219
OpenAlexW4225129667

What OpenQuestion holds

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LicenceCC BY-NC
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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.