ArticleArchives of orthopaedic and trauma surgery2026
Time-zero stability of uncemented standard versus intermediate revision stems after extended trochanteric osteotomy (ETO): a biomechanical study.
Article in Archives of orthopaedic and trauma surgery, 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
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis time-zero biomechanical study investigates femoral stem stability after extended trochanteric osteotomy (ETO) without fragment refixation, representing a worst-case scenario. ETO is used in complex femoral revisions to improve exposure while preserving soft tissue and neurovascular structures. In the setting of a short ETO, surgeons may choose between standard (STD) and intermediate revision (REV) stems, although their primary stability remains unclear. Clinically, STD are still used after short ETO with low rates of aseptic loosening, aiming for proximal bone loading to reduce stress shielding. We therefore hypothesized that STD would demonstrate non-inferior axial and torsional stability compared with REV in a short open ETO model. MATERIALS AND
methodsA biomechanical model using SYNBONE
resultsREV showed higher axial stiffness (297.5 ± 39.7 N/mm) than STD (245.9 ± 33.2 N/mm, p = 0.035) and greater axial failure load (1228.1 ± 86.8 vs. 1002.5 ± 114.1 N, p = 0.003). Torsional stiffness and peak torque were comparable between groups. Axial failure with REV occurred at the distal stem tip, while STD fractured through the ETO. Torsional failure produced spiral fractures from the distal ETO in both groups.
conclusionsUnder time-zero worst-case conditions without ETO refixation, the REV demonstrated higher axial stability, while torsional stability was comparable. The STD provided sufficient primary stability after short open ETO, supporting its potential use when revision stem implantation is not required.
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.