Evidence map›Paper›PMID 35906493›Full record

ArticleArchives of orthopaedic and trauma surgery2023

Twenty-year results of a neck-preserving short-stem prosthesis in primary total hip arthroplasty.

Pongsiri Piakong, Michel Pahl, Giorgio Delgado, Mustafa Akkaya, Sophia-Marlene Busch, Jochen Salber, Thorsten Gehrke, Mustafa Citak

Abstract read
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Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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, 7 citations in OpenAlex.

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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 4 institutions in 4 countries.

Pongsiri Piakong *Department of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany.
Michel Pahl *Department of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany.
Giorgio DelgadoDepartment of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany.
Mustafa AkkayaDepartment of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany.
Sophia-Marlene BuschDepartment of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany.
Jochen SalberDepartment of Surgery, Ruhr-University Bochum, Bochum, Germany.
Thorsten GehrkeDepartment of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany.
Mustafa CitakDepartment of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany. mcitak@gmx.de.ORCID http://orcid.org/0000-0003-3207-7101
Helios Endo-Klinik Hamburg · DELerdsin Hospital · THPhilippine General Hospital · PHRuhr University Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe use of short-stemmed femoral components with preservation of the femoral neck has been advocated for younger and more active patients undergoing joint replacement. This study reports the long-term outcomes of the Collum Femoris-Preserving (CFP) prosthesis on a previous report.

methodsBetween January 1999 and December 2000, a total of 149 patients underwent total hip arthroplasty procedure using the CFP stem in a single institution. At latest follow-up, 79 patients were available and were included in this study. The mean age of the cohort was 73.4 (range, 44-92 years) with a mean follow-up of 20.7 years (range 20-21). The average age was 52.1 years at index procedure (range, 21-71 years).

resultsThe Kaplan-Meier survivorship free from revision for any cause at 5, 10 and 20 years was 93.2% (87.8-96.3%), 93.2% (87.8-96.3%) and 83.0% (75.7-88.3%), respectively. At 20 years follow-up, the revision for any cause occurred in 26.6% (21 of 79) of patients. The most common causes for revision surgery were aseptic loosening, dislocation, and polyethylene wear with 6.3% (5 out of 79), respectively. Periprosthetic fracture occurred in four patients (5.1%) followed by periprosthetic joint infection in two patients (2.5%). Revision surgery of the femoral stem was required in four patients (5.1%). There was a statistically significant improvement of the Harris Hip Scores from 53 to 83.7 (range 56-91).

conclusionThe long-term outcomes of the CFP stem are excellent, demonstrating a low rate of aseptic loosening with an excellent survivorship within 2 decades.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisAdultAgedAged, 80 and overFemurFemur NeckFollow-Up StudiesHumansMiddle AgedProsthesis DesignProsthesis FailureReoperationRetrospective StudiesTreatment OutcomeBone-preserving implantCFPLong termShort stemTotal hip arthroplasty

Identifiers

PMID35906493
OpenAlexW4288691978

What OpenQuestion holds

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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.