ArticleJournal of orthopaedic surgery and research2025
Proximal femur replacement in oncologic lesion: hemiarthroplasty vs total hip arthroplasty-a multicentric retrospective study.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Comparison of Mobility and Health-Related Quality of Life Between Hemiarthroplasty and Total Hip Arthroplasty for Femoral Neck Fractures in the Elderly: A Post Hoc Analysis of a Prospective Cohort Study.Orthopaedic surgery · 2026Article
- Cancer and total hip arthroplasty: a narrative review of clinical intersections, challenges and outcomes.Orthopedic reviews · 2026Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis study aimed to evaluate the outcomes and complications associated with proximal femur replacement (PFR) in patients undergoing treatment for primary bone tumors or metastatic lesions. This research specifically compared modular hemiarthroplasty (HA) and total hip arthroplasty (THA) to ascertain the optimal approach regarding functionality and postoperative complications. MATERIALS AND
methodsA retrospective multicenter review was conducted involving 85 patients who underwent prosthetic femoral reconstruction (PFR) between the years 2015 and 2022 at two specialized medical centers. The patients were classified into two groups: 69 individuals received HA (Group A), while 16 individuals underwent THA (Group B). Outcomes were appraised utilizing the Harris Hip Score (HHS) and the Musculoskeletal Tumor Society (MSTS) score at three months post-surgery. Furthermore, the study assessed the rates of complications.
resultsThe overall complication rate was significantly lower in HA, at 24.6%), compared to THA, at 56.3% (p = 0.03). Infection rates were substantially higher in THA, reaching 37%, as opposed to HA, which recorded a rate of 6% (p = 0.002). Although dislocation rates were elevated in THA at 25%, compared to HA at 13%, this difference did not attain statistical significance (p = 0.2). Functional outcomes revealed no significant discrepancies, with HHS and MSTS scores being comparable across both groups (HHS: HA 62 ± 25 versus THA 61 ± 16, p = 0.9; MSTS: HA 17 ± 9 versus THA 14 ± 6, p = 0.5). Logistic regression analysis identified THA as a significant risk factor for infection (odds ratio [OR] = 45.3, p = 0.008) and dislocation (OR = 6.4, p = 0.05).
conclusionsProximal femur replacement with modular hemiarthroplasty appears to provide a safer alternative to total hip arthroplasty, characterized by a lower incidence of complications and comparable functional outcomes.
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