Evidence map›Paper›PMID 35961659›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Modes of failure of hip hemiarthroplasty for femoral neck fracture.

Taranjit Tung, Trevor C Gascoyne, Elly Trepman, Carole H Stipelman, Sarah Tran, Eric R Bohm, Colin D Burnell, David R Hedden, Thomas R Turgeon

Erratum issuedOpen access · diamondAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Femoral Neck Fractures: Incidence, Reasons, and Risk Factors of Conversion From Hemiarthroplasty to Total Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Correction: Modes of failure of hip hemiarthroplasty for femoral neck fracture.Canadian journal of surgery. Journal canadien de chirurgie
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Taranjit TungFrom the Department of Surgery, Section of Orthopaedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Orthopaedic Innovation Centre, Winnipeg, Man. (Gascoyne, Tran); the Departments of Pediatrics and Medical Informatics, University of Utah School of Medicine, Salt Lake City, UT (Stipelman); the Concordia Joint Replacement Group, Concordia Hip & Knee Institute, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman); and the University of South Alabama College of Medicine, Mobile, AL (Trepman).
Trevor C GascoyneFrom the Department of Surgery, Section of Orthopaedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Orthopaedic Innovation Centre, Winnipeg, Man. (Gascoyne, Tran); the Departments of Pediatrics and Medical Informatics, University of Utah School of Medicine, Salt Lake City, UT (Stipelman); the Concordia Joint Replacement Group, Concordia Hip & Knee Institute, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman); and the University of South Alabama College of Medicine, Mobile, AL (Trepman).
Elly TrepmanFrom the Department of Surgery, Section of Orthopaedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Orthopaedic Innovation Centre, Winnipeg, Man. (Gascoyne, Tran); the Departments of Pediatrics and Medical Informatics, University of Utah School of Medicine, Salt Lake City, UT (Stipelman); the Concordia Joint Replacement Group, Concordia Hip & Knee Institute, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman); and the University of South Alabama College of Medicine, Mobile, AL (Trepman).
Carole H StipelmanFrom the Department of Surgery, Section of Orthopaedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Orthopaedic Innovation Centre, Winnipeg, Man. (Gascoyne, Tran); the Departments of Pediatrics and Medical Informatics, University of Utah School of Medicine, Salt Lake City, UT (Stipelman); the Concordia Joint Replacement Group, Concordia Hip & Knee Institute, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman); and the University of South Alabama College of Medicine, Mobile, AL (Trepman).
Sarah TranFrom the Department of Surgery, Section of Orthopaedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Orthopaedic Innovation Centre, Winnipeg, Man. (Gascoyne, Tran); the Departments of Pediatrics and Medical Informatics, University of Utah School of Medicine, Salt Lake City, UT (Stipelman); the Concordia Joint Replacement Group, Concordia Hip & Knee Institute, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman); and the University of South Alabama College of Medicine, Mobile, AL (Trepman).
Eric R BohmFrom the Department of Surgery, Section of Orthopaedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Orthopaedic Innovation Centre, Winnipeg, Man. (Gascoyne, Tran); the Departments of Pediatrics and Medical Informatics, University of Utah School of Medicine, Salt Lake City, UT (Stipelman); the Concordia Joint Replacement Group, Concordia Hip & Knee Institute, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman); and the University of South Alabama College of Medicine, Mobile, AL (Trepman).
Colin D BurnellFrom the Department of Surgery, Section of Orthopaedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Orthopaedic Innovation Centre, Winnipeg, Man. (Gascoyne, Tran); the Departments of Pediatrics and Medical Informatics, University of Utah School of Medicine, Salt Lake City, UT (Stipelman); the Concordia Joint Replacement Group, Concordia Hip & Knee Institute, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman); and the University of South Alabama College of Medicine, Mobile, AL (Trepman).
David R HeddenFrom the Department of Surgery, Section of Orthopaedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Orthopaedic Innovation Centre, Winnipeg, Man. (Gascoyne, Tran); the Departments of Pediatrics and Medical Informatics, University of Utah School of Medicine, Salt Lake City, UT (Stipelman); the Concordia Joint Replacement Group, Concordia Hip & Knee Institute, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman); and the University of South Alabama College of Medicine, Mobile, AL (Trepman).
Thomas R TurgeonFrom the Department of Surgery, Section of Orthopaedic Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Orthopaedic Innovation Centre, Winnipeg, Man. (Gascoyne, Tran); the Departments of Pediatrics and Medical Informatics, University of Utah School of Medicine, Salt Lake City, UT (Stipelman); the Concordia Joint Replacement Group, Concordia Hip & Knee Institute, Winnipeg, Man. (Tung, Trepman, Bohm, Burnell, Hedden, Turgeon); the Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man. (Trepman); and the University of South Alabama College of Medicine, Mobile, AL (Trepman) tturgeon@cjrg.ca.
Concordia Hospital · CAUniversity of South Alabama · USUniversity of Manitoba · CAOrthopaedic Innovation Centre · CA

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
NCATS NIH HHS UL1 TR002538
6 · The paper itself

Abstract

backgroundHemiarthroplasty is a common treatment for displaced femoral neck fractures, but limited Canadian data are available about hemiarthroplasty failure. We evaluated the frequency and predictors of hemiarthroplasty failure in Manitoba.

methodsIn this retrospective multicentre province-wide study, billing and joint registry databases showed 4693 patients who had hemiarthroplasty for treatment of femoral neck fracture in Manitoba over an 11-year period (2005-2015), including 155 hips with subsequent reoperations (open or closed) for treatment of hemiarthroplasty failure. Hospital records were reviewed to identify modes of hemiarthroplasty failure, comorbidities and reoperations. Data were analyzed using χ

resultsDuring our study period, 155 hips (154 patients [3%]) underwent 230 reoperations. Of these, 131 hips (85%) initially had an uncemented unipolar modular implant. Indications for first-time reoperation included periprosthetic femur fracture (49 hips [32%]), dislocation (45 hips [29%]), acetabular wear (28 hips [18%]) and infection (26 hips [17%]). There were 46 hips (30%) that had 2 or more reoperations. Reoperation for dislocation was associated with presence of dementia; acetabular wear was associated with absence of dementia. Time from hemiarthroplasty to reoperation was associated inversely with age at hemiarthroplasty, dislocation and dementia and was directly associated with acetabular wear. The risk of having 2 or more reoperations was associated independently with dislocation, infection, and alcohol abuse.

conclusionHemiarthroplasty for femoral neck fracture in Manitoba had a low frequency of failure. Risk factors for multiple reoperations included dislocation, infection and alcohol abuse.

Indexed as

AlcoholismArthroplasty, Replacement, HipDementiaFemoral Neck FracturesHemiarthroplastyHip ProsthesisPeriprosthetic FracturesCanadaHumansReoperationTreatment Outcome

Identifiers

PMID35961659
PMCPMC9377542
OpenAlexW4291143800

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.