Evidence map›Paper›PMID 39317786›Full record

ReviewOrthopadie (Heidelberg, Germany)2024

[Risk factors and prevention strategies for periprosthetic femoral fractures in hip arthroplasty].

Assil-Ramin Alimy, Pauline Julie Soltys, Jan Hubert, Christian Ries, Frank Timo Beil, Tim Rolvien

Abstract readEnglish AbstractReview
In one paragraph

Review in Orthopadie (Heidelberg, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. 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.

Assil-Ramin AlimyKlinik für Unfallchirurgie und Orthopädie, Lehrstuhl für Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
Pauline Julie SoltysKlinik für Unfallchirurgie und Orthopädie, Lehrstuhl für Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
Jan HubertKlinik für Unfallchirurgie und Orthopädie, Lehrstuhl für Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
Christian RiesKlinik für Unfallchirurgie und Orthopädie, Lehrstuhl für Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
Frank Timo BeilKlinik für Unfallchirurgie und Orthopädie, Lehrstuhl für Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
Tim RolvienKlinik für Unfallchirurgie und Orthopädie, Lehrstuhl für Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland. t.rolvien@uke.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriprosthetic fractures represent a major complication following joint replacement surgery, particularly total hip arthroplasty (THA). Due to demographic changes, a rising number of THAs is expected to lead to an increase in periprosthetic femoral fractures (PPF) in the coming decades. Despite the resulting high clinical relevance, there is as yet no comprehensive overview of risk factors and possible preventive approaches to PPF.

objectivesThe aim of this review is to present current findings and data from various studies and to derive evidence-based recommendations for clinical practice.

methodsNarrative review.

resultsVarious factors, such as advanced age, female sex, and rheumatic conditions, can increase the risk of PPF. In the presence of risk factors, a comprehensive assessment of bone health, including DXA osteodensitometry, should be considered prior to surgery.

conclusionsAn individualized approach is essential in the planning and execution of THAs to minimize the risk of PPF. In cases of confirmed osteoporosis or for women aged ≥ 70 years and men aged ≥ 75 years, cemented stem fixation should be chosen, as uncemented stems are associated with an increased risk of PPF. Overall, the clinical risk profile should be considered in preoperative planning and postoperative care to reduce this complication and improve patient care.

Indexed as

Arthroplasty, Replacement, HipFemoral FracturesPeriprosthetic FracturesAgedAged, 80 and overComorbidityEvidence-Based MedicineFemaleHumansMaleMiddle AgedRisk FactorsBone mineral densityDXAOsteoporosisPeriprosthetic fractureTotal hip arthroplasty

Identifiers

PMID39317786
PMCPMC11604801

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.