Evidence map›Paper›PMID 37155507›Full record

ArticleWorld journal of orthopedics2023

Clinical outcomes of cemented distal femur replacements with all-polyethylene tibial components for oncologic indications.

Alexander B Christ, Brian C Chung, Matthew Urness, Lucas W Mayer, Brandon S Gettleman, Nathanael D Heckmann, Lawrence R Menendez

Open access · diamondAbstract read
In one paragraph

Article in World journal of orthopedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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 2 institutions in 1 country.

Alexander B ChristDepartment of Orthopedic Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA 90033, United States. alexander.b.christ@gmail.com.
Brian C ChungDepartment of Orthopedic Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA 90033, United States.
Matthew UrnessDepartment of Orthopedic Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA 90033, United States.
Lucas W MayerDepartment of Orthopedic Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA 90033, United States.
Brandon S GettlemanUniversity of South Carolina School of Medicine, Columbia, SC 29209, United States.
Nathanael D HeckmannDepartment of Orthopedic Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA 90033, United States.
Lawrence R MenendezDepartment of Orthopedic Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA 90033, United States.
University of Southern California · USUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoprosthetic distal femoral replacement (DFR) is a well-established salvage procedure following resection of malignant tumors within the distal femur. Use of an all-polyethylene tibial (APT) component is cost-effective and avoids failure due to locking-mechanism issues and backside wear, but limits modularity and the option for late liner exchange. Due to a paucity of literature we sought to answer three questions: (1) What are the most common modes of implant failure for patients undergoing cemented DFR with APT for oncologic indications? (2) What is the survivorship, rate of all-cause reoperation, and rate of revision for aseptic loosening of these implants? And (3) Is there a difference in implant survivorship or patient demographics between cemented DFRs with APT performed as a primary reconstruction

aimTo assess outcomes of cemented DFRs with APT components used for oncologic indications.

methodsAfter Institutional Review Board approval, a retrospective review of consecutive patients who underwent DFR between December 2000 to September 2020 was performed using a single-institutional database. Inclusion criteria consisted of all patients who underwent DFR with a GMRS

results55 DFRs (55 patients) with an average age of 50.9 ± 20.7 years and average body mass index of 29.7 ± 8.3 kg/m

conclusionThis study demonstrates modest short-term survivorship following cemented DFR with APT components for oncologic indications. Soft tissue failure and endoprosthetic infection were the most common postoperative complications in our cohort.

Indexed as

DislocationDistal femoral replacementModularOncologicRevision

Identifiers

PMID37155507
PMCPMC10122776
OpenAlexW4366084954

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.