Evidence map›Paper›PMID 35699746›Full record

ArticleInternational orthopaedics2022

Hip fractures re-operation compared with death at two year in elderly patients: lowest risk of revision with dual mobility total hip arthroplasty than with bipolar hemiarthroplasty or internal fixation of Garden I and II.

Jérome Valcarenghi, Sagi Martinov, Esfandiar Chahidi, Harold Jennart, Emily Bui Quoc, Marie Charlotte Dimanche, Alexandre Hupez, Harkirat Bhogal, Karim Hafez, Antoine Callewier and 2 more

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In one paragraph

Article in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Screw fixation versus hemiarthroplasty for undisplaced femoral neck fractures in the elderly: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. 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

12 authors at 3 institutions in 1 country.

Jérome ValcarenghiOrthopedic Department, Tivoli Hospital, La Louvière, Belgium.
Sagi MartinovOrthopedic Department, EpiCURA Baudour Hornu Ath Hospital, Hainaut, Belgium.
Esfandiar ChahidiOrthopedic Department, Tivoli Hospital, La Louvière, Belgium.
Harold JennartOrthopedic Department, Tivoli Hospital, La Louvière, Belgium.
Emily Bui QuocAnesthetic Department, EpiCURA Baudour Hornu Ath Hospital, Hainaut, Belgium.
Marie Charlotte DimancheUniversité Libre de Bruxelles, Bruxelles, Belgium.
Alexandre HupezOrthopedic Department, EpiCURA Baudour Hornu Ath Hospital, Hainaut, Belgium.
Harkirat BhogalOrthopedic Department, EpiCURA Baudour Hornu Ath Hospital, Hainaut, Belgium.
Karim HafezOrthopedic Department, Tivoli Hospital, La Louvière, Belgium.
Antoine CallewierOrthopedic Department, EpiCURA Baudour Hornu Ath Hospital, Hainaut, Belgium.
Olivier BathOrthopedic Department, EpiCURA Baudour Hornu Ath Hospital, Hainaut, Belgium.
Jacques HernigouOrthopedic Department, EpiCURA Baudour Hornu Ath Hospital, Hainaut, Belgium. jacques.hernigou@gmail.com.
Epicura · BECentre Hospitalier Universitaire de Tivoli · BEUniversité Libre de Bruxelles · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study determined at two year follow-up the lifetime risk of re-operation for elderly patients with hip fractures undergoing internal fixation, dual mobility total hip arthroplasty, or bipolar hemiarthroplasty, using death of the patient as a competing risk. MATERIALS AND

methodsWith the hypothesis that arthroplasties may have less complications without increasing mortality even for Garden I and Garden II fractures, we retrospectively reviewed 317 hips with femoral neck fractures operated between January 2015 and August 2019. The mean age at time of surgical intervention was 82.4 years (range 65 to 105). Sixty patients presented a nondisplaced hip fracture (Garden I or II) treated by internal fixtion (I-F), and 257 were treated by hip arthroplasty: 118 dual mobility total hip arthroplasty (DM-THA) and 139 with a bipolar hemiarthroplaty (B-H). Demographics, surgical and complications data, and mortality were collected and compared for each group.

resultsThe overall mortality rate was 22.4% at two years, and similar (p = 0.98) in all groups, respectively 22%, 22%, and 23% for DM-THA, B-H, and I-F groups. With dual mobility THA, the cumulative incidence of re-operations for any reason was (lower (9%) than with internal fixation (22%) or bipolar hemiarthroplasties (19%).

conclusionUsing a double mobility total prosthesis does not increase the post-operative mortality of the patients, nor does it increase their survival. But, reducing the risk of complications certainly improves their quality of life during the little time they have left .

Indexed as

Arthroplasty, Replacement, HipFemoral Neck FracturesHemiarthroplastyAgedAged, 80 and overHumansQuality of LifeReoperationRetrospective StudiesCannulated screw fixationFemoral neck fracturesHemiarthroplastyTotal hip arthroplastyTriple screw fixation

Identifiers

PMID35699746
OpenAlexW4282943437

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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.