Evidence map›Paper›PMID 41844258›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Clinical outcomes of revision arthroplasty with a modular taper fluted titanium stem for the treatment of Vancouver B2 and B3 periprosthetic femur fractures.

Jeremy Kubik, Margaret S Juryn, Sahil Kooner, Oleg Safir, Allan Gross, Paul Kuzyk

Abstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Jeremy KubikFrom the Granovsky Gluskin Division of Orthopedic Surgery, Mount Sinai Hospital, Sinai Health (Kubik, Juryn, Kooner, Safir, Gross, Kuzyk); Temerty Faculty of Medicine, University of Toronto, Toronto, Ont. (Safir, Gross, Kuzyk).; Faculty of Medicine & Dentistry, University of Alberta, Walter C. MacKenzie Health Sciences Centre, Edmonton, Alta. (Juryn).
Margaret S JurynFrom the Granovsky Gluskin Division of Orthopedic Surgery, Mount Sinai Hospital, Sinai Health (Kubik, Juryn, Kooner, Safir, Gross, Kuzyk); Temerty Faculty of Medicine, University of Toronto, Toronto, Ont. (Safir, Gross, Kuzyk).; Faculty of Medicine & Dentistry, University of Alberta, Walter C. MacKenzie Health Sciences Centre, Edmonton, Alta. (Juryn) juryn@ualberta.ca.
Sahil KoonerFrom the Granovsky Gluskin Division of Orthopedic Surgery, Mount Sinai Hospital, Sinai Health (Kubik, Juryn, Kooner, Safir, Gross, Kuzyk); Temerty Faculty of Medicine, University of Toronto, Toronto, Ont. (Safir, Gross, Kuzyk).; Faculty of Medicine & Dentistry, University of Alberta, Walter C. MacKenzie Health Sciences Centre, Edmonton, Alta. (Juryn).
Oleg SafirFrom the Granovsky Gluskin Division of Orthopedic Surgery, Mount Sinai Hospital, Sinai Health (Kubik, Juryn, Kooner, Safir, Gross, Kuzyk); Temerty Faculty of Medicine, University of Toronto, Toronto, Ont. (Safir, Gross, Kuzyk).; Faculty of Medicine & Dentistry, University of Alberta, Walter C. MacKenzie Health Sciences Centre, Edmonton, Alta. (Juryn).
Allan GrossFrom the Granovsky Gluskin Division of Orthopedic Surgery, Mount Sinai Hospital, Sinai Health (Kubik, Juryn, Kooner, Safir, Gross, Kuzyk); Temerty Faculty of Medicine, University of Toronto, Toronto, Ont. (Safir, Gross, Kuzyk).; Faculty of Medicine & Dentistry, University of Alberta, Walter C. MacKenzie Health Sciences Centre, Edmonton, Alta. (Juryn).
Paul KuzykFrom the Granovsky Gluskin Division of Orthopedic Surgery, Mount Sinai Hospital, Sinai Health (Kubik, Juryn, Kooner, Safir, Gross, Kuzyk); Temerty Faculty of Medicine, University of Toronto, Toronto, Ont. (Safir, Gross, Kuzyk).; Faculty of Medicine & Dentistry, University of Alberta, Walter C. MacKenzie Health Sciences Centre, Edmonton, Alta. (Juryn).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExisting literature on Vancouver B2 and B3 periprosthetic fracture management with modular tapered fluted stems (MTFS) is limited by lack of patient-reported outcomes, small samples, and unseparated inclusion of multiple implant models. This study examines the outcomes of Vancouver B2 and B3 fractures treated with a single MTFS hip system, the Zimmer Modular Revision (ZMR), with a minimum 1-year follow-up.

methodsWe conducted a retrospective review of all patients who received a femoral revision with a ZMR taper stem to treat a Vancouver B2 or B3 fracture at our centre between 2006 and 2020. The primary outcome was all-cause reoperation, with secondary outcomes including the Harris Hip Score (HHS), the Oxford Hip Score (OHS), stem subsidence, and mortality.

resultsWe included 44 patients (mean age 71.6 yr) in the final analysis, with a mean follow-up of 50.2 months. The all-cause reoperation rate was 11.9% (

conclusionManagement of Vancouver B2 and B3 periprosthetic femur fractures with the ZMR MFTS option resulted in an acceptable complication profile and good functional outcome with a minimum 1-year follow-up.

Indexed as

Arthroplasty, Replacement, HipFemoral FracturesHip ProsthesisPeriprosthetic FracturesReoperationAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedProsthesis DesignRetrospective StudiesTitaniumTreatment OutcomeTitanium

Identifiers

PMID41844258
PMCPMC12999225

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LicenceCC BY-NC-ND
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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.