Evidence map›Paper›PMID 37092432›Full record

ArticleOrthopaedic surgery2023

Total Hip Arthroplasty or Arthroscopy for Pigmented Villonodular Synovitis of the Hip: A Retrospective Study with 3-Year Follow-Up at Minimum.

Tao Li, Lu Mei, Yang Xu, YuanYiNuo Cao, XiaoJun Shi, Gang Chen, Jian Li

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. 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

7 authors at 1 institution in 1 country.

Tao Li *Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Sichuan, P. R. China.
Lu Mei *West China School of Nursing, Sichuan University/Department of Orthopedics, West China Hospital, Sichuan University, Sichuan, P. R. China.
Yang XuDepartment of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Sichuan, P. R. China.
YuanYiNuo CaoDepartment of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Sichuan, P. R. China.
XiaoJun ShiDepartment of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Sichuan, P. R. China.
Gang ChenDepartment of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Sichuan, P. R. China.ORCID https://orcid.org/0000-0002-7303-4530
Jian LiDepartment of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Sichuan, P. R. China.
Sichuan University · CN

Funding

Natural Science Foundation of Sichuan Province 2022NSFSC1427Sichuan University HXHL20012
6 · The paper itself

Abstract

objectivePigment Villonodular synovitis of the hip, a rare pain proliferation of the synovium, was treated successfully with total hip arthroplasty and arthroscopy. Most recent results come from small case series with no study comparing arthroscopy and arthroplasty. In this study, we aimed to show and compare the clinical outcomes of arthroscopy and total hip arthroplasty (THA) in pigment Villonodular synovitis of the hip.

methodsThis was a retrospective clinical trial with data from patients with pigment Villonodular synovitis of the hip between 2010 and 2019. The study included 17 patients in the THA group, and 20 patients in the arthroscopy group. The clinical outcomes were evaluated at 3, 6, and 12 months, at 1 and 2 years, and every 5 years afterward. The clinical efficacy was measured using the Harris hip scores (HHSs) and visual analogue scale (VAS) score.

resultsThe mean HHS improved from 45.24 ± 10.36 to 78.94 ± 19.11 in the THA group (t = -6.394, P = 0.000) and 45.30 ± 11.08 to 71.60 ± 19.78 (t = -5.187, P = 0.000) in the arthroscopy group from pre-operation to the final follow-up. There is no significant difference between the two groups (t = 1.051, P = 0.301). The mean VAS improved from 3.65 ± 0.79 to 0.35 ± 0.70 (t = 12.890, P = 0.000) in the THA group and 4.05 ± 0.94 to 1.35 ± 1.79 (t = 5.979, P = 0.001) in the arthroscopy group postoperatively. There is no significant difference between the two groups (t = 1.329, P = 0.193). Recurrence of PVNS was diagnosed in four patients (20%) of the arthroscopy group and they underwent THA after arthroscopy, and the mean interval was 44.25 ± 6.98 months. All patients reached level 5 muscle strength by the final follow-up. All the patients' buckling ranges were over 105 degrees. Their internal and external hip rotation was over 15 degrees. Their hip adduction was over 20 degrees, and abduction over 30 degrees.

conclusionBoth THA and arthroscopy in the setting of PVNS can improve patients' function and lead to a low rate of local recurrence. By selecting patients well for each approach, one can expect a reasonable result.

Indexed as

Arthroplasty, Replacement, HipSynovitis, Pigmented VillonodularArthroscopyFollow-Up StudiesHip JointHumansRetrospective StudiesTreatment OutcomeArthroscopyPigmented villonodular synovitisTotal hip arthroplasty

Identifiers

PMID37092432
PMCPMC10235177
OpenAlexW4366822187

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.