Evidence map›Paper›PMID 40828247›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Highly porous 3-D printed tritanium acetabular shell for aseptic revision total hip : Arthroplasty: minimum 2-year prospective follow up of 101 implants.

Nick David Clement, Peter Richard Almeida, James T Patton, Frazer Wade, Ewan Goudie, Philip M S Simpson, Gavin J Macpherson, Paul Gaston

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Article in Archives of orthopaedic and trauma surgery, 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. Review
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

8 authors.

Nick David ClementEdinburgh Orthopaedics, Edinburgh Royal Infirmary, Edinburgh, United Kingdom. nick.clement@nhs.scot.
Peter Richard AlmeidaEdinburgh Orthopaedics, Edinburgh Royal Infirmary, Edinburgh, United Kingdom.
James T PattonEdinburgh Orthopaedics, Edinburgh Royal Infirmary, Edinburgh, United Kingdom.
Frazer WadeEdinburgh Orthopaedics, Edinburgh Royal Infirmary, Edinburgh, United Kingdom.
Ewan GoudieEdinburgh Orthopaedics, Edinburgh Royal Infirmary, Edinburgh, United Kingdom.
Philip M S SimpsonEdinburgh Orthopaedics, Edinburgh Royal Infirmary, Edinburgh, United Kingdom.
Gavin J MacphersonEdinburgh Orthopaedics, Edinburgh Royal Infirmary, Edinburgh, United Kingdom.
Paul GastonEdinburgh Orthopaedics, Edinburgh Royal Infirmary, Edinburgh, United Kingdom.

Funding

Stryker HI 126
6 · The paper itself

Abstract

aimsTo assess the survival, complications, patient-reported outcomes and radiographic integration of the uncemented Trident

methodsA single-centre prospective cohort study of 101 aseptic rTHA in 100 patients was undertaken. Inclusion criteria were patients suitable for the use of the uncemented acetabular component, aged 18-95 years, willing and able to comply with the study protocol, and provide informed consent. Those with inadequate bone stock to support fixation of the prosthesis were excluded. Functional assessments included the Oxford hip score, Forgotten joint score, EQ-5D, EQ-VAS, pain VAS and satisfaction. Radiographic assessment included acetabular lucent lines and lysis according to Delee and Charnley zones and loosening.

resultsThe mean age was 72.5 (standard deviation 11.6) and consisted of 54 females and 46 males. Mean follow-up was 3.1 (range 2 to 4.9) years during which 10 patients died. Indication for rTHA included: loosening of the acetabulum (n = 82), instability (n = 11), broken femoral stem (n = 3), metal on metal with pain and pseudotumour (n = 2), pain (n = 2) and loosening of femoral component (n = 1). There were two re-revisions for deep infection. This resulted in a 1-year all-cause survival of 99.0% (95% CI 97.1 to 100) and 4-year survival of 96.2% (95% CI 90.5 to 100). There was only one case with lucent lines in all three zones and had not osseointegrated, but the component remained stable at 3-years follow-up. All PROMs demonstrated a clinically meaningful improvement, which was significant (p < 0.001) at both 1- and 2-years. Patient satisfaction with their revision THA was 85.6% and 85.3% at 1- and 2-years.

conclusionThe uncemented highly porous 3-dimensional printed Trident

Indexed as

AcetabulumArthroplasty, Replacement, HipHip ProsthesisPrinting, Three-DimensionalProsthesis DesignAdolescentAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesProsthesis Failure3-DArthroplastyHipOutcomeRevisionSurvivalTritanium

Identifiers

PMID40828247

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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.