ArticleHealthcare (Basel, Switzerland)2025
Fixation Methods in Primary Hip Arthroplasty: A Nationwide, Registry-Based Observational Study in Romania (2001-2024).
Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Developing Clinical Leadership in Orthopedic Nursing: A Qualitative Study to Identify the Components of a Complex Intervention.Healthcare (Basel, Switzerland) · 2026Article
- Impact of Femoral Morphology and Stem Design on Intraoperative Periprosthetic Femoral Fractures in Cementless Total Hip Arthroplasty.Journal of clinical medicine · 2026Article
- Mid-Term Results of Ceramic Monoblock Acetabular Cups in Primary Total Hip Arthroplasty: A Minimum 5-Year Follow-Up.Journal of clinical medicine · 2026Article
- Total Hip Arthroplasty with the Conservative Cementless MINIMA Size 1 Stem in Patients with a Small Femoral Canal: 3-6 Years of Follow-Up.Journal of clinical medicine · 2026Article
- Ipsilateral Knee Pain After Total Hip Arthroplasty: Pathogenesis and Intervention Strategies-A Narrative Review.Journal of pain research · 2026Review
- Intravenous Tranexamic Acid Reduces the Incidence of Postoperative Delirium in Elderly Patients Undergoing Hip Arthroplasty: A Retrospective Cohort Study.Drug design, development and therapy · 2026Article
- Pathogenic Implications of the THY1/NF-κB Feedback Relationship in Osteoarthritis and Its Potential as a Therapeutic Target.Journal of inflammation research · 2026Article
- Adjusting Iron Markers for Inflammation Reduces Misclassification of Iron Deficiency After Total Hip Arthroplasty.Journal of clinical medicine · 2025Article
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2 authors.
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Abstract
BACKGROUND/
objectivesArthroplasty registries provide a broad database that constitutes evidence for discussions about cemented versus uncemented fixations. The objective of this study is to determine the current trend in fixation of total hip arthroplasties.
methodsFrom the Romanian Arthroplasty Register we extracted data regarding primary hip replacement surgery and revisions. We established evaluation variables and methodologies that contain volumes, variation trends, and gradients for surgical procedures, fixations and revision burdens.
resultsIn the period 2001-2024, the share of uncemented fixations was 56.8%, and that of cemented ones was 43.13%. The uncemented fixation gradient showed an increase from 0.32 in 2001 to 3.43 in 2024. We found an annual increase in the share of uncemented fixations (2.08%), to the detriment of cemented fixations, which decreased (-6.97%). We found that there is an obvious trend towards uncemented fixation, which is also evident in the elderly age group of 80+ years. The results regarding revision burdens remain within a relatively narrow range of 5.09-7.23%. The revision burdens of uncemented fixations are lower, ranging between 4.82% and 5.36%, compared to cemented fixations. Also, the revision burdens of cemented fixations have a decreasing trend of 0.54%.
conclusionsThe variation trend of total uncemented implants is almost double compared to the variation trend of all primary hip joint surgeries. This indicates a trend towards uncemented fixation, and its share is increasing in all age groups. The increase in the proportion of uncemented fixations was associated with a small, non-significant decrease in revision burden.
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