Evidence map›Paper›PMID 36017764›Full record

ArticleOrthopaedic surgery2022

Impaction Bone Grafting with Low Dose Irradiated Freeze-Dried Allograft Bone for Acetabular Reconstruction.

Hongxing Li, Kelvin Guoping Tan, Zhiling Li, Xiaoxin Wu, Guangping Cai, Weihong Zhu, Tianlong Huang, Wanchun Wang, Ross Crawford, Xinzhan Mao

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Orthopaedic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

10 authors at 4 institutions in 3 countries.

Hongxing LiDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, China.
Kelvin Guoping TanDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
Zhiling LiCenter of Health Management, The Central Hospital of Shaoyang, Shaoyang, China.
Xiaoxin WuDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, China.
Guangping CaiDepartment of endocrinology, The Xiangya Hospital, Central South University, Changsha, China.
Weihong ZhuDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0000-0002-8469-4980
Tianlong HuangDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0000-0001-9278-2350
Wanchun WangDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, China.
Ross CrawfordDepartment of Orthopedic, Prince Charles Hospital, Brisbane, Queensland, Australia.
Xinzhan MaoDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0000-0002-1835-6043
Central South University · CNPrince Charles Hospital · AUTan Tock Seng Hospital · SGThe Central Hospital of Shaoyang · CN

Funding

Hunan Provincial Health and Family Planning Commission Research Project 20180343Hunan Science and Technology Innovation Program 2020SK53422
6 · The paper itself

Abstract

objectiveReconstruction of acetabular defects has been extremely challenging in both primary and revision total hip arthroplasty (THA). Impaction bone grafting (IBG) can restore the acetabulum bone mass and anatomically reconstruct the acetabulum. Our study aimed to report the short and medium-term clinical and radiographic outcomes of IBG for acetabular reconstruction in the cemented THA in the Chinese population.

methodsThis was a single-center retrospective review enrolling 57 patients between May 2013 and July 2019. The patients with acetabular defects were treated with IBG, using low dose irradiated freeze-dried allograft bone with or without autograft bone, in the cemented THA performed by one senior surgeon. Harris hip score (HHS), standard pelvis anterior-posterior radiograph and lateral hip radiograph were obtained before operation and at 1 week, 3 months, 12 months, and yearly. Graft osteointegration was evaluated by Oswestry's criteria, and complication was documented at the last follow-up. Independent sample ANOVA test and Pearson chi-square tests are used for statistical analysis.

resultsThere were 61 hips in 57 patients. The average follow-up time was 35.59 months (5-77 months). According to AAOS classification, a total of 18 hips were identified as segmental bone deficiency (type I), with 21 and 22 hips for cavitary bone deficiency (type II) and the combined bone deficiency (type III), respectively. The average HHS was improved from 44.49 (range: 32-58) preoperatively to 86.98 (range: 78-93) postoperatively. Graft osteointegration was satisfactory (Oswestry score ≥2) in all patients. No dislocation occurred in the 57 patients (61 hips) during follow-up. Although one cup migrated, no revision, re-revision, radiographic loosening, graft bone lysis, or postoperative complications were detected at the final follow-up.

conclusionsIBG with low-dose irradiated freeze-dried allograft bone in acetabular bone defect reconstruction is a reliable technique for restoring acetabular bone defects in THA.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisAcetabulumAllograftsBone TransplantationFollow-Up StudiesHumansProsthesis FailureReoperationRetrospective StudiesTreatment OutcomeAcetabular bone defectAcetabular reconstructionImpaction bone graftingLow dose irradiated freeze-dried allograft boneTotal hip arthroplasty

Identifiers

PMID36017764
PMCPMC9531074
OpenAlexW4293194428

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.