Evidence map›Paper›PMID 37017738›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Metal-on-metal metaphyseal and ceramic-on-ceramic femoral neck arthroplasty: the impact on clinical results, oxidative stress and concentration of metal ions in serum and blood.

Tomasz Stołtny, Michał Dobrakowski, Aleksander Augustyn, Sławomir Kasperczyk, Dominika Rokicka, Rafał Skowroński, Krzysztof Strojek, Bogdan Koczy

Open access · hybridAbstract read
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. 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
1.3field-weighted citation impact, top 21% of its field
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, 4 citations in OpenAlex.

  1. Review
  2. Article
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 at 3 institutions in 2 countries.

Tomasz StołtnyDistrict Hospital of Orthopaedics and Trauma Surgery in Piekary Śląskie. Bytomska, St. 62, 41-940, Piekary Śląskie, Poland.
Michał DobrakowskiDepartment of Biochemistry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Jordana St. 19, 41-808, Zabrze, Poland.
Aleksander AugustynDistrict Hospital of Orthopaedics and Trauma Surgery in Piekary Śląskie. Bytomska, St. 62, 41-940, Piekary Śląskie, Poland. all.augustyn@gmail.com.ORCID http://orcid.org/0000-0002-5811-0937
Sławomir KasperczykDepartment of Biochemistry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Jordana St. 19, 41-808, Zabrze, Poland.
Dominika RokickaDepartment of Internal Diseases, Diabetology, and Cardiometabolic Diseases, School of Medicine With the Division of Dentistry in Zabrze, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia in Katowice, M. Curie-Skłodowskiej 9, 41-800, Zabrze, Poland.
Rafał Skowroński"ALFA" Orthopaedics and Traumatology Center Ul. Ogrodniczki, 51 15-763, Białystok, Poland.
Krzysztof StrojekDepartment of Internal Diseases, Diabetology, and Cardiometabolic Diseases, School of Medicine With the Division of Dentistry in Zabrze, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia in Katowice, M. Curie-Skłodowskiej 9, 41-800, Zabrze, Poland.
Bogdan KoczyDistrict Hospital of Orthopaedics and Trauma Surgery in Piekary Śląskie. Bytomska, St. 62, 41-940, Piekary Śląskie, Poland.
Medical University of Silesia · PLDemetrix (Poland) · PLNizhny Novgorod Research Institute of Traumatology and Orthopedics · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGrowing number of hip arthroplasty in Poland performed with the use of metaphyseal stems results from the decreasing age of patients qualified for procedures and is consistent with the corresponding trends in European countries. To this day, a significant population functions after undergoing hip replacement using metal-on-metal implant. This study was aimed at the assessment of the variability of the oxidative system, as well as the concentrations of chromium and cobalt ions in serum and blood and their potential impact on postoperative clinical status. MATERIAL AND

methodsThe analysis included 58 men. The first group-operated using J&J DePuy ASR metal-on-metal implant with metaphyseal stem Proxima

resultsIn the first group, significantly higher concentrations of Cr (p = 0.028) and Co (p = 0.002) were demonstrated compared to the group of femoral neck arthroplasty. The mean concentrations of Cr and Co, 10.45 and 9.26 μg/l, respectively, were higher in patients operated bilaterally. In the ASR group, greater pain intensity in the operated hip and higher indicators of oxidative stress were found.

conclusionsMetal-on-metal articulation of the hip significantly increases the concentration of Cr and Co in blood, induces oxidative stress and modifies function of the antioxidant system and generates greater pain in the operated hip.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisMetal-on-Metal Joint ProsthesesAntioxidantsCeramicsChromiumCobaltFemur NeckHumansIonsMaleMetalsOxidative StressProsthesis DesignAntioxidantsChromiumCobaltIonsMetalsCeramic-on-ceramic articulationFemoral neck hip arthroplastyMetal ionsMetal-on-metal articulationMetaphyseal hip arthroplastyOxidative stressReactive oxygen species

Identifiers

PMID37017738
PMCPMC10504388
OpenAlexW4362601018

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.