Evidence map›Paper›PMID 38217640›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Mid-term results of a cementless hip stem in femoral revision: how much diaphyseal press-fit do we need?

Dirk Herold, Axel Kuttner, Lutz Dreyer, Christoph Eingartner

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04833634 (Retrospective Follow-Up of the Prevision® Hip Stem in a Consecutive Case Series), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 38% 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.

NCT04833634 completednot on this map

Retrospective Follow-Up of the Prevision® Hip Stem in a Consecutive Case Series

TypeobservationalSponsorAesculap AGRan2021 to 2022Enrolled46ConditionsPeriprosthetic Fracture Around Prosthetic Joint Implant, Aseptic Loosening of Prosthetic Joint
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 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

4 authors at 2 institutions in 2 countries.

Dirk HeroldCaritas Hospital, Bad Mergentheim, Germany.
Axel KuttnerCaritas Hospital, Bad Mergentheim, Germany.
Lutz DreyerAesculap AG, Tuttlingen, Germany. lutz.dreyer@aesculap.de.ORCID http://orcid.org/0000-0003-4380-890X
Christoph EingartnerCaritas Hospital, Bad Mergentheim, Germany.
Caritas-Krankenhaus Bad Mergentheim · DEAesculap (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this retrospective study was to analyze the clinical and functional outcome of a modular tapered revision hip stem after mid-term follow-up with a special focus on the length of the distal bicortical fixation of the cementless hip stem. MATERIALS AND

methodsFollow-up examination was carried out for all patients with implantation of the Prevision hip stem between 2014 and 2019 to collect demographic, functional, and radiographic data.

results44 patients with stem in situ were examined, and 61 patients could be included in the Kaplan-Meier survival analysis. Oxford's hip score was 37.3 at the mean follow-up of 4.0 years. Two hip stem revisions were performed due to periprosthetic infection, which resulted in a hip stem survival rate of 96.7% (CI: 87.4-99.1%) at the final follow-up of 7.5 years. No aseptic hip stem revision was required. The length of bicortical distal fixation was in the interquartile range of 6.8 to 9.0 cm, which was associated with good bone healing and a low rate of subsidence (4.5%). Implant-associated complications were observed in 10 cases (21.7%).

conclusionsThe modular revision hip stem provides promising results at medium-term follow-up, with satisfactory clinical and functional outcomes comparable to other modular revision hip stems. The presented length of bicortical distal fixation shows the practice of the study center and was associated with good implant survival, bone healing and radiological results. REGISTRATION: Clinicaltrials.gov registration: NCT04833634 registered on April 6, 2021.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisFollow-Up StudiesHumansPostoperative ComplicationsProsthesis DesignProsthesis FailureReoperationRetrospective StudiesTreatment OutcomeBicortical fixation lengthBone healingModular cementless revision hip stemRevision hip arthroplasty

Identifiers

PMID38217640
PMCPMC10965576
OpenAlexW4390840600

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.