Evidence map›Paper›PMID 38970678›Full record

ArticleInternational orthopaedics2024

Clinical outcomes of total hip arthroplasty after femoral neck fractures vs. osteoarthritis at one year follow up-A comparative, retrospective study.

Bogdan Obada, Vlad Georgeanu, Madalina Iliescu, Andrei Popescu, Lucian Petcu, Dan Ovidiu Costea

Abstract readComparative Study
In one paragraph

Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  9. Which side should be taken care of when positioning a lag screw in intertrochanteric femoral fracture: right or left?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Bogdan ObadaOrthopaedic Traumatology Clinic, Ovidius" University of Constanta, Constanta, Romania. bogdanobada@yahoo.com.ORCID 0000-0001-8746-7401
Vlad GeorgeanuOrthopaedic Traumatology Clinic, UMF "Carol Davila, Bucharest, Romania.
Madalina IliescuMedical Rehabilitation Clinic, Ovidius" University of Constanta, Constanta, Romania.
Andrei PopescuRomanian Shoulder Institute, Bucharest, Romania.
Lucian PetcuOvidius" University of Constanta, Constanta, Romania.
Dan Ovidiu CosteaGeneral Surgery Clinic, Ovidius" University of Constanta, Constanta, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of the study is to determine if there was a difference in medical complications and in-hospital mortality among the patients who underwent THA for femoral neck fracture relative to same procedure for elective patients with coxarthrosis.

methodsWe compared characteristics and short-term outcomes during the rehabilitative postsurgical period. We included all patients older than 45 years who underwent THA for primary/secondary hip arthritis and displaced femoral neck fractures type Garden III and IV. Clinical examination, functional outcome and radiographic evaluation were performed during follow-up. Patients were evaluated at the following time points: preoperatively, postoperatively at three days, six weeks, 12 weeks and one year and we registered Visual Analogue Scale (VAS) pain score, Harris Hip Score (HHS), the Western Ontario McMaster Osteoarthritis Index (WOMAC), internal and external rotation of the hip and operated limb length compared with the opposite.

resultsThere is no significant statistically differences between the two groups regarding the preoperative comorbidities. The frequencies of patients experiencing in-hospital and 30-day postoperative complications were generally low and same in groups we studied. The mean quantity of surgical blood loos during the operation was significantly higher in the hip fracture group compared with elective patient group with OA (340.09 ± 86.03 vs 309.43 ± 102.52). With respect to postoperative recovery the patients with THA after FNF were mobilized by active walking a little bit faster as the patient with OA (2.77 ± 1.18 days vs 3.1 ± 1.14 days). The average inpatient hospital length of stay after THA for OA was 11.07 days compared to 13.41 days following a THA for FNF.

conclusionOur study showed that THA for treatment of an acute fracture of the femoral neck in an elderly patient can provide results comparable to those of patients who received THA for OA and we found that the results are similar.

Indexed as

Arthroplasty, Replacement, HipFemoral Neck FracturesOsteoarthritis, HipPostoperative ComplicationsAgedAged, 80 and overFemaleFollow-Up StudiesHospital MortalityHumansMaleMiddle AgedPain MeasurementRetrospective StudiesTreatment OutcomeFemoral neck fracturesOsteoarthritisOutcomesTotal hip arthroplasty

Identifiers

PMID38970678
PMCPMC11347475

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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.