ReviewArthroplasty (London, England)2026
Clinical outcomes of the single-stage revision technique in conversion total hip arthroplasty after failed femoral neck fractures: a two-year follow-up study.
Review in Arthroplasty (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConversion to total hip arthroplasty (THA) is associated with higher rates of infection. The purpose of this study is to determine whether applying the surgical technique of single-stage revision can effectively reduce the infection rate of conversion THA after failed femoral neck fractures.
methodsA retrospective cohort study was conducted on patients who underwent conversion THA after failed femoral neck fracture between January 2019 and December 2022, with a minimum follow-up of 2 years. From January 2019 to March 2020, patients undergoing conversion THA were managed as a primary procedure without synovial fluid culture (Group A). From April 2020 to December 2022, patients undergoing conversion THA were managed with the single-stage revision technique and routine intraoperative synovial fluid culture (Group B). The patients in Group B were matched 1:1 to patients in Group A. Unexpected positive intraoperative culture (UPIC) results were recorded, and PJIs were monitored during the minimum 2-year follow-up period.
resultsAs intraoperative cultures were only performed in Group B, the unexpected positive intraoperative culture (UPIC) results presented were solely for Group B. Among the patients in Group B who underwent conversion THA, 91% had no UPIC (90 of 99), 7% had a single (either anaerobic bottle or aerobic bottle) UPIC (7 of 99), and 2% had two (both anaerobic and aerobic bottles) UPICs (2 of 99). In Group A, 7 patients (7/99, 7%) experienced PJIs, compared to 1 patient (1/99, 1%) in Group B, showing a significant difference between the two groups (P = 0.030).
conclusionAs a novel method for conversion to THA after failed femoral neck fracture, the single-stage revision technique is potentially associated with a lower incidence of PJI. Further evaluation of this technique in larger comparative series is warranted. Video Abstract.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.