Evidence map›Paper›PMID 38967771›Full record

ArticleMusculoskeletal surgery2024

Multicenter survey about leg length discrepancy and total hip arthroplasty: preoperative and intraoperative management.

Davide Stimolo, Salvatore Lo Giudice, Fabrizio Matassi, Matteo Innocenti, Roberto Civinini, Filippo Boniforti

Abstract readMulticenter Study
In one paragraph

Article in Musculoskeletal surgery, 2024. 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
–field-weighted citation impact
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.

  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

6 authors.

Davide StimoloUniversity of Florence, School of Human Health Sciences, Largo Brambilla, 3 Florence 50134, Italy. davide.stimolo@unifi.it.ORCID http://orcid.org/0000-0003-0393-4848
Salvatore Lo GiudiceAOUP Paolo Giaccone Palermo, University of Palermo, Via del Vespro 129, 90127, Palermo, Italy.
Fabrizio MatassiUniversity of Florence, School of Human Health Sciences, Largo Brambilla, 3 Florence 50134, Italy.
Matteo InnocentiUniversity of Florence, School of Human Health Sciences, Largo Brambilla, 3 Florence 50134, Italy.ORCID http://orcid.org/0000-0001-9604-2042
Roberto CivininiUniversity of Florence, School of Human Health Sciences, Largo Brambilla, 3 Florence 50134, Italy.
Filippo BonifortiFondazione Istituto G. Giglio, Cefalù, Contrada Pietra Pollastra, 90015, Cefalù, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe created a multicenter survey for Italian orthopedic surgeons on how they approach leg length discrepancy (LLD) when dealing with primary total hip arthroplasty. Aim of the study was to show how surgeons manage LLD and follow the literature recommendations during clinical practice.

methodsThe survey was composed of 25 questions divided into four sections: 1-surgeon's profile, 2-preoperative and 3-intraoperative evaluation, and 4-postoperative management. In this paper, we report results to answer Sects. 1 and 2. Absolute and relative frequencies of answers to Sects. 2 and 3 are reported. We divided the participants in subgroups based on the "surgeon's profile" and evaluated difference in the answers given.

resultsAbsolute and relative frequencies demonstrate low agreement among participants in all phases of LLD management. We demonstrated a statistically significant difference based on the surgeon's profile regarding these questions: radiographic measure of LLD depending on working experience, p = 0.008; digital planning based on surgeons' age, p < 0.001, and workplace, p = 0.026; intraoperative anatomical landmarks based on numbers of procedures per year, p = 0.020; and use of intraoperative X-rays based on working experience, p = 0.002.

conclusionsLLD is a debated topic with no definitive recommendations. Many decisions still depend on tradition and surgeons' preference.

Indexed as

Arthroplasty, Replacement, HipLeg Length InequalityFemaleHumansIntraoperative CareItalyMaleOrthopedic SurgeonsPractice Patterns, Physicians'Preoperative CareSurveys and QuestionnairesComplicationsLeg length discrepancyLLDSurveyTotal hip arthroplasty

Identifiers

PMID38967771
PMCPMC11371848

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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.