ArticleArthroplasty today2022
Relationship Between Acetabular Hounsfield Unit Values and Periprosthetic Fractures in Cementless Total Hip Arthroplasty: A Matched Case-Control Study.
Article in Arthroplasty today, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.
- CT Hounsfield Unit Measurements Around the Hip and Their Utility for Opportunistic Screening: A Systematic Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Pooled it
- Pooled it
- Low glenoid neck Hounsfield units predict patients at high risk of mechanical complication after total shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026Article
- Can Preoperative Hounsfield Unit Measurement Help Predict Mechanical Failure in Metastatic Spinal Tumor Surgery?Journal of clinical medicine · 2024Article
- Incidence and outcomes of intraoperative periprosthetic acetabular fractures during cementless total hip arthroplasty: a prospective three-dimensional computer tomography-based study.International orthopaedics · 2024Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The association between regional bone status around the acetabulum and the incidence of intraoperative acetabulum fractures has not been extensively studied. We investigated the association of Hounsfield unit (HU) values on computed tomography in the regions of the acetabulum with periprosthetic fractures. Methods: We retrospectively reviewed records of 301 consecutive patients who underwent cementless total hip arthroplasty between October 2016 and December 2020. Using preoperative computed tomography taken in the 4 weeks preceding total hip arthroplasty, we measured HU values in 4 different acetabulum regions (anterior, medial, posterior, and superior). After identifying fracture cases, we identified a control group-matched in terms of sex, age, and preoperative diagnosis-selected in a 1:3 ratio among nonfracture patients treated in the same inclusive period. As the average HU values differed by region, we used the standardized value to compare fracture-site HUs. We ranked the standardized HU values for each acetabular site and compared the fracture site rank between the groups. Results: Intraoperative acetabular fractures were observed in 10 hips (3.2%), occurring most frequently in the superior region (40%). The standardized HU values of the fracture site were statistically lower in the fracture group ( Conclusions: Periprosthetic fractures tended to occur at relatively weak parts of the acetabulum.
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Registered trials
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.