Evidence map›Paper›PMID 40606729›Full record

ArticleThe Iowa orthopaedic journal2025

Radiographic Performance of a Novel Femoral Stem Design.

Jacob Hawkins, Emilie N Miley, Kendyll Coxen, Catalina Baez, Justin T Deen, Chancellor F Gray, Hernan A Prieto, Luis Pulido, Hari K Parvataneni

Abstract read
In one paragraph

Article in The Iowa orthopaedic journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Jacob HawkinsOrthopaedic Associates, Destin, Florida, USA.
Emilie N MileyInstitute of Sports Sciences and Medicine, Department of Health, Nutrition, and Food Sciences, Florida State University, Tallahassee, Florida, USA.
Kendyll CoxenCollege of Medicine, University of Florida, Gainesville, Florida, USA.
Catalina BaezDepartment of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville, Florida, USA.
Justin T DeenFlorida Orthopedic Institute, Gainesville, Florida, USA.
Chancellor F GrayFlorida Orthopedic Institute, Gainesville, Florida, USA.
Hernan A PrietoDepartment of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville, Florida, USA.
Luis PulidoFlorida Orthopedic Institute, Gainesville, Florida, USA.
Hari K ParvataneniFlorida Orthopedic Institute, Gainesville, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In the United States, cementless fixation is the gold standard for elective total hip arthroplasty (THA). Many modern cementless stem designs have re-introduced collared stem options in recent years which have demonstrated a lower risk of fracture. Minimal studies, however, outline radiographic performance of this novel stem design. As such, the primary purpose of this single-center study was to determine the radiographic performance, including defining patterns of radiographic incorporation and remodeling, associated with this novel, single stem design. Methods: Data within the institutional data repository was queried for patients who underwent a primary or conversion THA between January 1st, 2016 and July 31st, 2022. Patients were included in the study if they were 18 years of age or older and had a minimum of a one-year follow-up visit. Patients were excluded if they did not have a radiograph at the one-year follow-up or if the stem was placed in a revision setting. Continuous data were reported as means and standard deviations (± SD), and categorical data were reported as number of cases (n) and percentages (%). Results: A total of 592 encounters (562 patients) were included in the final analyses. At the one-year postoperative visit, no stems met the criteria for radiographic loosening, 502 (85.2%) patients had distinct radiographic osseointegration of their stem as defined by at least one radiographic spot weld. There was an 18.7% incidence of calcar-collar gaps on initial radiographs and 66.7% of these filled in by one-year. The intraoperative fracture rate was 0.7% without any cases of secondary stem revision or loosening and only 0.8% of stems showed subsidence (i.e., all less than 5 mm) without loosening or revision. Thigh pain within the first year was reported in 1.7% of patients. The all-cause stem revision at one-year was 0.2%. Conclusion: This study demonstrated excellent rates of healing of this novel stem design. Additionally, this novel stem was associated with low rates of periprosthetic fracture, stem revision, and thigh pain.

Indexed as

Arthroplasty, Replacement, HipFemurHip ProsthesisProsthesis DesignAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedProsthesis FailureRadiographyReoperationRetrospective Studiescollared femoral stemtotal hip arthroplastyuncemented femoral stem

Identifiers

PMID40606729
PMCPMC12212328

What OpenQuestion holds

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Registered trials

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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.