Evidence map›Paper›PMID 36983391›Full record

ArticleJournal of clinical medicine2023

Femoral Anteversion in Total Hip Arthroplasty: Retrospective Comparison of Short- and Straight-Stem Models Using CT Scans.

Sebastian Martin Klim, Patrick Reinbacher, Maria Anna Smolle, Andrzej Hecker, Michael Maier, Joerg Friesenbichler, Andreas Leithner, Lukas Leitner, Alexander Draschl, Jan Lewis and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 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
2.9field-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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Quantifying the anatomical variability of the proximal femur.International journal of computer assisted radiology and surgery · 2026
    Article
  3. Article
  4. Review
  5. 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

12 authors at 1 institution in 1 country.

Sebastian Martin KlimDepartment of Orthopaedics & Traumatology, Medical University of Graz, Augenbruggerplatz 5, 8036 Graz, Austria.
Patrick ReinbacherDivision of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5, 8036 Graz, Austria.ORCID 0000-0003-0786-8956
Maria Anna SmolleDepartment of Orthopaedics & Traumatology, Medical University of Graz, Augenbruggerplatz 5, 8036 Graz, Austria.ORCID 0000-0003-1021-0899
Andrzej HeckerDivision of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5, 8036 Graz, Austria.ORCID 0000-0002-4493-9891
Michael MaierDepartment of Orthopaedics & Traumatology, Medical University of Graz, Augenbruggerplatz 5, 8036 Graz, Austria.
Joerg FriesenbichlerDepartment of Orthopaedics & Traumatology, Medical University of Graz, Augenbruggerplatz 5, 8036 Graz, Austria.
Andreas LeithnerDepartment of Orthopaedics & Traumatology, Medical University of Graz, Augenbruggerplatz 5, 8036 Graz, Austria.ORCID 0000-0002-2598-2325
Lukas LeitnerDepartment of Orthopaedics & Traumatology, Medical University of Graz, Augenbruggerplatz 5, 8036 Graz, Austria.ORCID 0000-0002-5534-7605
Alexander DraschlDepartment of Orthopaedics & Traumatology, Medical University of Graz, Augenbruggerplatz 5, 8036 Graz, Austria.
Jan LewisDepartment of Orthopaedics & Traumatology, Medical University of Graz, Augenbruggerplatz 5, 8036 Graz, Austria.
Kevin BrunnaderDepartment of Orthopaedics & Traumatology, Medical University of Graz, Augenbruggerplatz 5, 8036 Graz, Austria.
Werner Maurer-ErtlDepartment of Orthopaedics & Traumatology, Medical University of Graz, Augenbruggerplatz 5, 8036 Graz, Austria.
Medical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Data on reconstruction of the femoral anteversion (FA) and the center of rotation after total hip arthroplasty (THA) are rare. We aimed to answer whether a short-stem fixation enables improved anatomical reconstruction of the FA compared to a straight-stem.

methodsOne hundred and thirty patients who underwent short- (n = 89, group A, prospective) or straight-stem THA (n = 41, group B, retrospective) were included. CT scans of the hip, knee, and ankle were performed pre- and postoperatively in group A and in group B during the last follow-up. Femoral torsion was determined using three-dimensional models.

resultsThe mean preoperative FA was 22.4° ± 11.0°, and the mean postoperative FA was 23.4° ± 10.1°. The relative difference was -0.8° ± 8°, and the absolute difference was 6.4° ± 4.9°. Gender analysis revealed significant differences in preoperative FA between female (f) and male (m) patients (28.1° ± 11.2° (f) vs. 18.4° ± 8.3° (m);

conclusionsThe study's findings suggest that short-stem THA leads to improved anatomical FA reconstruction; however, a substantial postoperative gender-related FA difference was detectable, which may warrant consideration by surgeons when determining the final stem anteversion. It should be noted that the impact of the postoperative gender-related FA difference on clinical outcomes is not entirely clear, and further research is warranted to elucidate this relationship.

Indexed as

CT-scanfemoral anteversionhip geometry reconstructionshort-stemtotal hip arthroplasty

Identifiers

PMID36983391
PMCPMC10058265
OpenAlexW4327949764

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.