{"id":"https://openalex.org/W7149535013","doi":"https://doi.org/10.7759/cureus.106425","title":"Risk of Intraoperative Periprosthetic Femoral Fracture According to Cementless Femoral Stem Geometry: A Cohort Study Based on the Radaelli Classification","display_name":"Risk of Intraoperative Periprosthetic Femoral Fracture According to Cementless Femoral Stem Geometry: A Cohort Study Based on the Radaelli Classification","publication_year":2026,"publication_date":"2026-04-04","ids":{"openalex":"https://openalex.org/W7149535013","doi":"https://doi.org/10.7759/cureus.106425","pmid":"https://pubmed.ncbi.nlm.nih.gov/41938680","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13050276"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.106425","doi":"https://doi.org/10.7759/cureus.106425","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.106425","pdf_url":null,"source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.7759/cureus.106425","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5124724173","display_name":"Jorge A Izquierdo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210134034","display_name":"Centro M\u00e9dico ABC","ror":"https://ror.org/03e36d037","country_code":"MX","type":"healthcare","lineage":["https://openalex.org/I4210134034"]}],"countries":["MX"],"is_corresponding":true,"raw_author_name":"Jorge A Izquierdo","raw_affiliation_strings":["Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX","institution_ids":["https://openalex.org/I4210134034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035291654","display_name":"Jacobo Kerbel","orcid":"https://orcid.org/0000-0002-9563-3059","observed_orcids":["https://orcid.org/0000-0002-9563-3059"]},"institutions":[{"id":"https://openalex.org/I4210134034","display_name":"Centro M\u00e9dico ABC","ror":"https://ror.org/03e36d037","country_code":"MX","type":"healthcare","lineage":["https://openalex.org/I4210134034"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Jacobo Kerbel","raw_affiliation_strings":["Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX","institution_ids":["https://openalex.org/I4210134034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093763214","display_name":"Gilberto Palafox Apodaca","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210134034","display_name":"Centro M\u00e9dico ABC","ror":"https://ror.org/03e36d037","country_code":"MX","type":"healthcare","lineage":["https://openalex.org/I4210134034"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Gilberto Apodaca","raw_affiliation_strings":["Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX","institution_ids":["https://openalex.org/I4210134034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119665521","display_name":"Iturbide A Ponce de Leon Sandoval","orcid":"https://orcid.org/0009-0003-6496-4538","observed_orcids":["https://orcid.org/0009-0003-6496-4538"]},"institutions":[{"id":"https://openalex.org/I4210134034","display_name":"Centro M\u00e9dico ABC","ror":"https://ror.org/03e36d037","country_code":"MX","type":"healthcare","lineage":["https://openalex.org/I4210134034"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Iturbide A Ponce de Leon Sandoval","raw_affiliation_strings":["Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX","institution_ids":["https://openalex.org/I4210134034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130897901","display_name":"Regina Diaz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210134034","display_name":"Centro M\u00e9dico ABC","ror":"https://ror.org/03e36d037","country_code":"MX","type":"healthcare","lineage":["https://openalex.org/I4210134034"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Regina Diaz","raw_affiliation_strings":["Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX","institution_ids":["https://openalex.org/I4210134034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5132951133","display_name":"Carlos R Luna","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210134034","display_name":"Centro M\u00e9dico ABC","ror":"https://ror.org/03e36d037","country_code":"MX","type":"healthcare","lineage":["https://openalex.org/I4210134034"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Carlos R Luna","raw_affiliation_strings":["Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX","institution_ids":["https://openalex.org/I4210134034"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018657943","display_name":"Rodrigo Anaya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210134034","display_name":"Centro M\u00e9dico ABC","ror":"https://ror.org/03e36d037","country_code":"MX","type":"healthcare","lineage":["https://openalex.org/I4210134034"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Rodrigo Anaya","raw_affiliation_strings":["Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX","institution_ids":["https://openalex.org/I4210134034"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5032991749","display_name":"Javier Camacho-Galindo","orcid":"https://orcid.org/0000-0001-9632-0970","observed_orcids":["https://orcid.org/0000-0001-9632-0970"]},"institutions":[{"id":"https://openalex.org/I4210134034","display_name":"Centro M\u00e9dico ABC","ror":"https://ror.org/03e36d037","country_code":"MX","type":"healthcare","lineage":["https://openalex.org/I4210134034"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Javier Camacho-Galindo","raw_affiliation_strings":["Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopaedics and Traumatology, Centro M\u00e9dico American British Cowdray (ABC), Mexico City, MEX","institution_ids":["https://openalex.org/I4210134034"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5124724173"],"corresponding_institution_ids":["https://openalex.org/I4210134034"],"apc_list":null,"apc_paid":null,"fwci":4.3566,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.87548015,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"18","issue":"4","first_page":"e106425","last_page":"e106425"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cementless-femoral-stem","display_name":"cementless femoral stem","score":0.8920000195503235},{"id":"https://openalex.org/keywords/hip-arthroplasty","display_name":"total hip arthroplasty","score":0.8809999823570251},{"id":"https://openalex.org/keywords/fracture-risk-factors","display_name":"fracture risk factors","score":0.6439999938011169},{"id":"https://openalex.org/keywords/implant-stability","display_name":"implant stability","score":0.5569999814033508},{"id":"https://openalex.org/keywords/reoperation","display_name":"reoperation","score":0.5609999895095825},{"id":"https://openalex.org/keywords/femoral-bone-quality","display_name":"femoral bone quality","score":0.41499999165534973},{"id":"https://openalex.org/keywords/femoral-morphology","display_name":"femoral morphology","score":0.46000000834465027},{"id":"https://openalex.org/keywords/implant-design","display_name":"implant design","score":0.40400001406669617},{"id":"https://openalex.org/keywords/modularity","display_name":"modularity","score":0.3659999966621399},{"id":"https://openalex.org/keywords/press-fit-fixation","display_name":"press-fit fixation","score":0.5049999952316284},{"id":"https://openalex.org/keywords/bone-implant-contact","display_name":"bone-implant contact","score":0.7059999704360962}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9926999807357788},{"id":"https://openalex.org/C2778120723","wikidata":"https://www.wikidata.org/wiki/Q16872681","display_name":"Periprosthetic","level":3,"score":0.8722000122070312},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6035000085830688},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.571399986743927},{"id":"https://openalex.org/C2780012534","wikidata":"https://www.wikidata.org/wiki/Q4350503","display_name":"Femoral fracture","level":3,"score":0.48339998722076416},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.47040000557899475},{"id":"https://openalex.org/C43369102","wikidata":"https://www.wikidata.org/wiki/Q2307625","display_name":"Fracture (geology)","level":2,"score":0.4544000029563904},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.40709999203681946},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3968999981880188},{"id":"https://openalex.org/C2780554211","wikidata":"https://www.wikidata.org/wiki/Q176503","display_name":"Femur","level":2,"score":0.3621000051498413},{"id":"https://openalex.org/C3020736514","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Hip arthroplasty","level":3,"score":0.29739999771118164},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.29670000076293945},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.28279998898506165},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.28209999203681946},{"id":"https://openalex.org/C3019025420","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Total hip arthroplasty","level":2,"score":0.27399998903274536}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.106425","doi":"https://doi.org/10.7759/cureus.106425","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.106425","pdf_url":null,"source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13050276","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13050276/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13050276/pdf/cureus-0018-00000106425.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:41938680","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41938680","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.7759/cureus.106425","doi":"https://doi.org/10.7759/cureus.106425","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.106425","pdf_url":null,"source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7149535013.pdf","grobid_xml":"https://content.openalex.org/works/W7149535013.grobid-xml"},"referenced_works_count":29,"referenced_works":["https://openalex.org/W2022324757","https://openalex.org/W2023679626","https://openalex.org/W2038926972","https://openalex.org/W2047433967","https://openalex.org/W2071601144","https://openalex.org/W2125916466","https://openalex.org/W2154201092","https://openalex.org/W2167245867","https://openalex.org/W2239015842","https://openalex.org/W2244745785","https://openalex.org/W2323251203","https://openalex.org/W2923636908","https://openalex.org/W2974711519","https://openalex.org/W2977756146","https://openalex.org/W2996536047","https://openalex.org/W3005901424","https://openalex.org/W3007746269","https://openalex.org/W3047405684","https://openalex.org/W3121992638","https://openalex.org/W3122053090","https://openalex.org/W3148062147","https://openalex.org/W4224249981","https://openalex.org/W4296180813","https://openalex.org/W4307154562","https://openalex.org/W4313424980","https://openalex.org/W4320301116","https://openalex.org/W4322706819","https://openalex.org/W4404981212","https://openalex.org/W7142853591"],"related_works":["https://openalex.org/W7172525755","https://openalex.org/W7165891820","https://openalex.org/W2607758684","https://openalex.org/W4396582979","https://openalex.org/W4391598259","https://openalex.org/W4408998174","https://openalex.org/W4401704464","https://openalex.org/W2008997323","https://openalex.org/W2562360610","https://openalex.org/W2349483343"],"abstract_inverted_index":{"Background":[0],"Intraoperative":[1],"periprosthetic":[2,126,215,255],"femoral":[3,44,50,91,114,144,214,248,254,278,368],"fracture":[4,234,330,377],"is":[5],"an":[6,142,246,261,395],"uncommon":[7],"but":[8],"clinically":[9],"significant":[10,323,362],"complication":[11],"of":[12,26,59,124,173,212,239,263,306,387],"total":[13,238],"hip":[14],"arthroplasty":[15],"(THA)":[16],"that":[17],"may":[18],"compromise":[19],"implant":[20,47,104],"stability":[21,73],"and":[22,32,46,74,87,97,121,149,175,187,224,233,292,329,376],"increase":[23],"the":[24,68,111,122,164,169,203,210,268,303,373,384],"risk":[25,123,338],"early":[27],"revision":[28],"surgery.":[29],"Several":[30],"patient-":[31],"surgery-related":[33],"factors":[34],"have":[35,52],"been":[36,53],"associated":[37,54,335],"with":[38,55,63,141,245,336],"its":[39],"occurrence,":[40],"including":[41,135],"bone":[42],"quality,":[43],"morphology,":[45],"design.":[48],"Cementless":[49],"stems":[51,92,284,289,295,300,314,342,381],"a":[56,81,100,153,354],"higher":[57],"incidence":[58,262],"intraoperative":[60,125,213,253],"fractures":[61,256,307,388],"compared":[62],"cemented":[64],"fixation":[65],"due":[66],"to":[67,70,94,118,202,227,260,372],"need":[69],"achieve":[71],"press-fit":[72],"increased":[75,337],"implant-bone":[76],"contact":[77],"during":[78],"implantation.":[79],"Recently,":[80],"classification":[82,120,375],"system":[83],"proposed":[84],"by":[85,311],"Radaelli":[86,204,374],"colleagues":[88],"categorized":[89],"cementless":[90],"according":[93,117,201,371],"geometry,":[95],"length,":[96],"modularity,":[98],"allowing":[99],"standardized":[101],"comparison":[102],"between":[103,113,146,230,325,366],"designs.":[105],"However,":[106],"limited":[107],"evidence":[108],"exists":[109],"evaluating":[110],"association":[112,324,363],"stem":[115,197,231,249,279,327,369],"geometry":[116,198,232,334],"this":[119,349,390],"fracture.":[127,216],"Methods":[128],"A":[129,237],"retrospective":[130],"cohort":[131],"study":[132],"was":[133,199,209,339,351,364],"conducted,":[134],"patients":[136,241],"who":[137],"underwent":[138],"primary":[139,207,243],"THA":[140,244],"uncemented":[143,247],"component":[145],"January":[147],"2019":[148],"March":[150],"2025":[151],"at":[152],"tertiary":[154],"care":[155],"hospital":[156],"in":[157,271,389],"Mexico":[158],"City.":[159],"Patients":[160],"were":[161,190,250,257,281],"identified":[162,365],"through":[163],"institutional":[165],"surgical":[166,188],"database":[167],"using":[168],"International":[170],"Statistical":[171,217],"Classification":[172],"Diseases":[174],"Related":[176],"Health":[177],"Problems":[178],"10th":[179],"Revision":[180],"(ICD-10)":[181],"procedural":[182],"codes.":[183],"Demographic,":[184],"clinical,":[185],"radiographic,":[186],"variables":[189],"collected":[191],"from":[192],"electronic":[193],"medical":[194],"records.":[195],"Femoral":[196],"classified":[200],"classification.":[205],"The":[206,274,332],"outcome":[208],"occurrence":[211],"analysis":[218,319],"included":[219],"descriptive":[220],"statistics,":[221],"group":[222],"comparisons,":[223],"logistic":[225],"regression":[226,318],"evaluate":[228],"associations":[229],"risk.":[235,331,378],"Results":[236],"1,384":[240],"undergoing":[242],"included.":[251],"Fifty":[252],"identified,":[258],"corresponding":[259],"3.6%,":[264],"which":[265],"falls":[266],"within":[267],"range":[269],"reported":[270],"previous":[272],"studies.":[273],"most":[275,326,367],"frequently":[276],"used":[277],"geometries":[280,328,370],"short":[282,312],"fit-and-fill":[283,313,341],"(455,":[285],"32.9%),":[286],"flat":[287],"wedge":[288,294,299,380],"(396,":[290],"28.7%),":[291],"quadrangular":[293],"(188,":[296],"13.6%).":[297],"Flat":[298,379],"accounted":[301,382],"for":[302,383],"highest":[304,385],"proportion":[305,386],"(17,":[308],"34%),":[309],"followed":[310],"(10,":[315],"20%).":[316],"Logistic":[317],"demonstrated":[320],"no":[321],"statistically":[322,361],"only":[333],"C2":[340],"(OR":[343],"22.29;":[344],"95%":[345],"CI":[346],"1.34-371.82);":[347],"however,":[348],"finding":[350],"based":[352],"on":[353],"very":[355],"small":[356],"sample":[357],"size.":[358],"Conclusion":[359],"No":[360],"series,":[391],"although":[392],"without":[393],"demonstrating":[394],"independent":[396],"statistical":[397],"association.":[398]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-04-05T00:00:00"}