Evidence map›Paper›PMID 40530301›Full record

ArticleArthroplasty today2025

The Anterior-Based Muscle-Sparing Approach for Conversion Total Hip Arthroplasty is Safe and Effective.

Catherine M Call, Johanna Mackenzie, Zoë A Walsh, Bailey Shevenell, George Babikian, Brian J McGrory, Adam J Rana

Abstract read
In one paragraph

Article in Arthroplasty today, 2025. 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

7 authors.

Catherine M CallTufts University School of Medicine, Boston, MA, USA.
Johanna MackenzieMMP Orthopedics & Sports Medicine, Maine Medical Center, Portland, ME, USA.
Zoë A WalshMMP Orthopedics & Sports Medicine, Maine Medical Center, Portland, ME, USA.
Bailey ShevenellMMP Orthopedics & Sports Medicine, Maine Medical Center, Portland, ME, USA.
George BabikianMMP Orthopedics & Sports Medicine, Maine Medical Center, Portland, ME, USA.
Brian J McGroryTufts University School of Medicine, Boston, MA, USA.
Adam J RanaTufts University School of Medicine, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Total hip arthroplasty (THA) after prior hip or acetabular fracture fixation is considered higher risk than primary THA, as studies have shown reduced implant survival and higher infection rates. The anterior-based muscle-sparing (ABMS) approach can potentially reduce some of these risks by utilizing a new surgical interval. The goal of this study is to analyze the efficacy of the ABMS approach for conversion to hip arthroplasty surgery after previous fracture fixation with comparison to posterior approach. Methods: This retrospective cohort study included patients with prior hip surgical intervention requiring hardware then converted to a THA using the ABMS or posterior approach at 1 institution between 2013 and 2020. Outcomes studied included postoperative complications, 30-day emergency department visits, 90-day readmission rates, any reoperation and patient-reported outcome measures. Results: A total of 85 patients (51 male and 34 female) in the ABMS group and 17 patients (9 male and 8 female) in the posterior group were included. Within the ABMS group, the mean age was 65.6 years (±16.2) with a mean body mass index of 27.5 kg/m Conclusions: This study is the first to evaluate outcomes of conversion THA using the ABMS approach, when compared to the posterior approach. Our institution's experience demonstrates that the ABMS approach is safe and effective for conversion THA after prior fracture fixation.

Indexed as

ABLEABMSAcetabular fractureConversion total hip arthroplastyModified watson jonesPeritrochanteric hip fracturePost-traumatic arthritis

Identifiers

PMID40530301
PMCPMC12172332

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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.