Evidence map›Paper›PMID 36242038›Full record

ArticleBMC musculoskeletal disorders2022

Constrained acetabular liners are a viable option in second-stage re-implantation for chronic infected total hip arthroplasty with abductor or greater trochanter deficiency and large acetabular bone defects.

Qiang Xiao, Tingxian Ling, Kai Zhou, Mingcheng Yuan, Bing Xu, Zongke Zhou

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 2 institutions in 1 country.

Qiang Xiao *Department of Orthopedics, West China School of Medicine, West China Hospital, Sichuan University, 37# Wuhou Guoxue Road, 610041, Chengdu, People's Republic of China.
Tingxian Ling *Department of Orthopedics, West China School of Medicine, West China Hospital, Sichuan University, 37# Wuhou Guoxue Road, 610041, Chengdu, People's Republic of China.
Kai ZhouDepartment of Orthopedics, West China School of Medicine, West China Hospital, Sichuan University, 37# Wuhou Guoxue Road, 610041, Chengdu, People's Republic of China.
Mingcheng YuanDepartment of Orthopedics, West China School of Medicine, West China Hospital, Sichuan University, 37# Wuhou Guoxue Road, 610041, Chengdu, People's Republic of China.
Bing XuDepartment of Orthopedics, Chengdu Second People's Hospital, Chengdu, People's Republic of China.
Zongke ZhouDepartment of Orthopedics, West China School of Medicine, West China Hospital, Sichuan University, 37# Wuhou Guoxue Road, 610041, Chengdu, People's Republic of China. zhouzongke@scu.edu.cn.
Sichuan University · CNChengdu Second People's Hospital · CN

Funding

Key Research & Development program of Science & Technology Department of Sichuan Province 2021YFS0125West China Hospital, Sichuan University 2020HXBH009West China Hospital, Sichuan University ZYGD18029
6 · The paper itself

Abstract

backgroundAbductor mechanism deficiency is a clear indication for using constrained acetabular liners (CALs), and large acetabular bone defects are considered a relative contraindication to CALs. We report the results of using CALs in special cases in which abductor or greater trochanter deficiency was accompanied by large acetabular bone defects at second-stage re-implantation for chronic infected total hip arthroplasty (THA).

methodsBetween January 2010 and January 2018, 19 patients who used CALs at second-stage re-implantation and had abductor or greater trochanter deficiency and large acetabular bone defects were included in this study. We followed up with the clinical and radiological results of these patients. Complications and infection-related information were also recorded.

resultsEight patients, 4 patients, and 7 patients had Paprosky type IIB, type IIC, and type IIIA acetabular bone defects at second-stage re-implantation, respectively. The indication for using CALs was abductor deficiency in 14 patients and greater trochanter deficiency in the other 5 patients. The mean follow-up was 74.4 months (range 50-96). The mean Harris Hip Score (HHS) was 76.3 points (range 62-86) at the last follow-up. Three patients presented acetabular radiolucent lines with no progress: zone 3, zone 3 and zone 2 and 3, respectively. One patient suffered transient sciatic nerve palsy. There was no dislocation, failure of the CALs, reoperation, or recurrence of infection.

conclusionOur results suggested that for screened patients, CALs are a viable option in second-stage re-implantation for chronic infected THA with abductor or greater trochanter deficiency and large bone defects.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisAcetabulumFemurFollow-Up StudiesHumansProsthesis FailureReoperationRetrospective StudiesAbductor mechanism deficiencyConstrained acetabular linersLarge acetabular bone defectsSecond stage re-implantation

Identifiers

PMID36242038
PMCPMC9563789
OpenAlexW4306156488

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.