Evidence map›Paper›PMID 36545926›Full record

Trial reportActa orthopaedica2022

Cemented and cementless dual mobility cups show similar fixation, low polyethylene wear, and low serum cobalt-chromium in elderly patients: a randomized radiostereometry study with 6 years' follow-up.

Peter Bo Jørgensen, Steffan Tabori-Jensen, Inger Mechlenburg, Morten Homilius, Torben Bæk Hansen, Maiken Stilling

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta orthopaedica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Continuous periprosthetic bone loss around the TOPBMC musculoskeletal disorders · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. Review
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 2 countries.

Peter Bo JørgensenUniversity Clinic for Hand, Hip and Knee Surgery, Department of Orthopaedics, Gødstrup Hospital, Herning; AutoRSA Research Group, Orthopaedic Research Unit, Aarhus University Hospital, Aarhus. pbjr@clin.au.dk.
Steffan Tabori-JensenDepartment of Orthopaedic Surgery, Aarhus University Hospital, Aarhus.
Inger MechlenburgDepartment of Orthopaedic Surgery, Aarhus University Hospital, Aarhus; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Morten HomiliusUniversity Clinic for Hand, Hip and Knee Surgery, Department of Orthopaedics, Gødstrup Hospital, Herning.
Torben Bæk HansenUniversity Clinic for Hand, Hip and Knee Surgery, Department of Orthopaedics, Gødstrup Hospital, Herning; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Maiken StillingUniversity Clinic for Hand, Hip and Knee Surgery, Department of Orthopaedics, Gødstrup Hospital, Herning; AutoRSA Research Group, Orthopaedic Research Unit, Aarhus University Hospital, Aarhus; Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Aarhus University · DKAarhus University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeDual mobility (DM) articulation total hip arthroplasty (THA) is used increasingly to reduce dislocation risk. We investigated cup fixation, polyethylene (PE) wear, serum chromium and cobalt ions, and their correlation to physical activity in patients with DM cups at 6-year follow-up. PATIENTS AND

methodsIn a patient-blinded RCT, 60 patients with hip osteoarthritis at a median age of 74 years (70-82) were randomly allocated to cemented (n = 30) or cementless hydroxyapatite-coated (n = 30) fixation of Avantage DM THA with a highly-crosslinked vitamin-E PE liner. Cup migration and PE wear were measured with radiostereometric analysis (RSA), chromium and cobalt ions were measured in serum, and physical activity was measured with accelerometers.

resultsAt 6-year follow-up, proximal cup migration was similar: 0.14 mm (95% CI 0.01-0.28) for cemented cups and 0.21 mm (0.02-0.39) for cementless cups. The PE wear rate from 1- to 6-year follow-up was also similar: 0.06 mm/year (0.04-0.09) for cemented cups and 0.07 mm/year (0.04-0.11) for cementless cups. Serum metal ion levels were undetectable or very low. Physical activity was mainly low intensity and did not correlate to PE wear rate or cup migration.

conclusionCemented and cementless DM cups with highly crosslinked vitamin-E infused liners have similar cup migration and PE wear when used for primary THA surgery.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisAgedAged, 80 and overChromiumCobaltFollow-Up StudiesHumansPolyethyleneProsthesis DesignProsthesis FailureRadiostereometric AnalysisVitaminsChromiumCobaltPolyethyleneVitamins

Identifiers

PMID36545926
PMCPMC9772923
OpenAlexW4312113366

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.