{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:28:06Z","timestamp":1787495286640,"version":"build-2736575974"},"reference-count":35,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.arth.2025.05.115","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T19:26:02Z","timestamp":1749065162000},"page":"274-282.e1","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Complications and Functional Outcomes of Total Hip Arthroplasty After Pelvic Radiation: A Systematic Review and Meta-Analysis"],"prefix":"10.1016","volume":"41","author":[{"given":"Jos\u00e9 M.","family":"Lamo-Espinosa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gonzalo","family":"Mariscal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"G\u00f3mez-\u00c1lvarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Sevil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4479-2316","authenticated-orcid":false,"given":"Ibrahim","family":"Khalil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Corb\u00ed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikel","family":"San-Juli\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2025.05.115_bib1","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1177\/15563316231193704","article-title":"Total hip arthroplasty: an update on navigation, robotics, and contemporary advancements","volume":"19","author":"Borsinger","year":"2023","journal-title":"HSS J"},{"key":"10.1016\/j.arth.2025.05.115_bib2","first-page":"409","article-title":"Cancer treatment and survivorship statistics, 2022","volume":"72","author":"Miller","year":"2022","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.arth.2025.05.115_bib3","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1097\/00006534-200010000-00015","article-title":"The effects of ionizing radiation on osteoblast-like cells in vitro","volume":"106","author":"Dudziak","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.arth.2025.05.115_bib4","doi-asserted-by":"crossref","first-page":"313","DOI":"10.3109\/02841867309131096","article-title":"Radiation Necrosis of the Humerus A report of three cases","volume":"12","author":"Sengupta","year":"1973","journal-title":"Acta Radiol Ther Phys Biol"},{"key":"10.1016\/j.arth.2025.05.115_bib5","doi-asserted-by":"crossref","first-page":"798","DOI":"10.2106\/00004623-200704000-00015","article-title":"Uncemented total hip arthroplasty in patients with a history of pelvic irradiation for prostate cancer","volume":"89","author":"Kim","year":"2007","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2025.05.115_bib6","doi-asserted-by":"crossref","first-page":"2644","DOI":"10.1016\/j.arth.2023.05.066","article-title":"Total hip arthroplasty outcomes in patients who have a history of prior radiation","volume":"38","author":"Lavu","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.05.115_bib7","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1177\/11207000231216070","article-title":"Previous external beam radiation therapy for pelvic malignancy increases complications of total hip arthroplasty","volume":"34","author":"Pondugula","year":"2023","journal-title":"HIP Int"},{"key":"10.1016\/j.arth.2025.05.115_bib8","doi-asserted-by":"crossref","first-page":"1714","DOI":"10.1016\/j.arth.2020.12.045","article-title":"Contemporary porous titanium acetabular components for total hip arthroplasty after pelvic radiation","volume":"36","author":"Wellings","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.05.115_bib9","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1302\/0301-620X.97B2.34545","article-title":"A cemented acetabular component with a reinforcement cross provides excellent medium-term fixation in total hip arthroplasty after pelvic irradiation","volume":"97-B","author":"Felden","year":"2015","journal-title":"Bone Joint J"},{"key":"10.1016\/j.arth.2025.05.115_bib10","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1016\/j.arth.2019.02.047","article-title":"A meta-analysis of outcomes in total hip arthroplasty recipients following pelvic irradiation","volume":"34","author":"Novikov","year":"2019","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.05.115_bib11","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1007\/s12306-019-00597-z","article-title":"Systematic review of the outcome of cemented versus uncemented total hip arthroplasty following pelvic irradiation","volume":"103","author":"Walters","year":"2019","journal-title":"Musculoskelet Surg"},{"key":"10.1016\/j.arth.2025.05.115_bib12","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1046\/j.1445-2197.2003.02748.x","article-title":"Methodological index for non-randomized studies (minors): development and validation of a new instrument","volume":"73","author":"Slim","year":"2003","journal-title":"ANZ J Surg"},{"key":"10.1016\/j.arth.2025.05.115_bib13","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0118961","article-title":"Birth prevalence of neural tube defects and orofacial clefts in India: a systematic review and meta-analysis","volume":"10","author":"Allagh","year":"2015","journal-title":"PLoS One"},{"key":"10.1016\/j.arth.2025.05.115_bib14","series-title":"Cochrane handbook for systematic reviews of interventions","author":"Higgins","year":"2019"},{"key":"10.1016\/j.arth.2025.05.115_bib15","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/01.blo.0000167671.10820.29","article-title":"Latent Period best predicts acetabular cup failure after total hip arthroplasties in radiated hips","volume":"NA","author":"Cho","year":"2005","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2025.05.115_bib16","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.aott.2019.03.007","article-title":"Middle term results of tantalum acetabular cups in total hip arthroplasty following pelvic irradiation","volume":"53","author":"De Paolis","year":"2019","journal-title":"Acta Orthop Traumatol Turc"},{"key":"10.1016\/j.arth.2025.05.115_bib17","doi-asserted-by":"crossref","first-page":"1829","DOI":"10.2106\/00004623-199512000-00006","article-title":"Early failure of acetabular components inserted without cement after previous pelvic irradiation","volume":"77","author":"Jacobs","year":"1995","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2025.05.115_bib18","doi-asserted-by":"crossref","first-page":"3041","DOI":"10.1007\/s11999-012-2382-8","article-title":"Tantalum acetabular cups provide secure fixation in THA after pelvic irradiation at minimum 5-year followup","volume":"470","author":"Joglekar","year":"2012","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2025.05.115_bib19","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.jcot.2018.02.016","article-title":"Resection arthroplasty in radiation-induced osteonecrosis of the hip","volume":"10","author":"Kang","year":"2019","journal-title":"J Clin Orthop Trauma"},{"key":"10.1016\/j.arth.2025.05.115_bib20","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1302\/0301-620X.77B6.7593093","article-title":"Total hip replacement in irradiated hips. A retrospective study of 71 cases","volume":"77-B","author":"Massin","year":"1995","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.arth.2025.05.115_bib21","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/01.blo.0000238854.16121.a3","article-title":"Preliminary results of tantalum acetabular components for THA after pelvic radiation","volume":"453","author":"Rose","year":"2006","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2025.05.115_bib22","doi-asserted-by":"crossref","DOI":"10.1016\/j.artd.2023.101296","article-title":"Does perioperative radiation affect implant survivorship of primary total hip arthroplasty in the setting of metastatic bone disease?","volume":"25","author":"Vijayakumar","year":"2024","journal-title":"Arthroplast Today"},{"key":"10.1016\/j.arth.2025.05.115_bib23","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5125\/jkaoms.2019.45.1.3","article-title":"Osteonecrosis of the jaw in the era of targeted therapy and immunotherapy in oncology","volume":"45","author":"Nifos\u00ec","year":"2019","journal-title":"J Korean Assoc Oral Maxillofac Surg"},{"key":"10.1016\/j.arth.2025.05.115_bib24","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.freeradbiomed.2023.12.026","article-title":"Glucocorticoids promote steroid-induced osteonecrosis of the femoral head by down-regulating serum alpha-2-macroglobulin to induce oxidative stress and facilitate SIRT2-mediated BMP2 deacetylation","volume":"213","author":"Fang","year":"2024","journal-title":"Free Radic Biol Med"},{"key":"10.1016\/j.arth.2025.05.115_bib25","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1148\/117.3.677","article-title":"Postirradiation atrophic changes of bone and related complications","volume":"117","author":"Howland","year":"1975","journal-title":"Radiology"},{"key":"10.1016\/j.arth.2025.05.115_bib26","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/00003086-196600460-00019","article-title":"18 effects of external irradiation on mineral metabolism in the bones of adult dogs","volume":"NA","author":"FINSTON","year":"1966","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2025.05.115_bib27","doi-asserted-by":"crossref","first-page":"2773","DOI":"10.1007\/s00590-023-03528-8","article-title":"Comparing direct anterior approach versus posterior approach or lateral approach in total hip arthroplasty: a systematic review and meta-analysis","volume":"33","author":"Ang","year":"2023","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.arth.2025.05.115_bib28","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1080\/07853890.2023.2193424","article-title":"Direct anterior approach versus posterolateral approach for total hip arthroplasty in the treatment of femoral neck fractures in elderly patients: a meta-analysis and systematic review","volume":"55","author":"Jin","year":"2023","journal-title":"Ann Med"},{"key":"10.1016\/j.arth.2025.05.115_bib29","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1186\/s13018-022-03237-8","article-title":"Total hip arthroplasty has higher complication rates in stiff spine patients: a systematic review and network meta-analysis","volume":"17","author":"Tsai","year":"2022","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.arth.2025.05.115_bib30","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1007\/s11764-011-0172-z","article-title":"A study of chronic pelvic pain after radiotherapy in survivors of locally advanced cervical cancer","volume":"5","author":"Vistad","year":"2011","journal-title":"J Cancer Surviv"},{"key":"10.1016\/j.arth.2025.05.115_bib31","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/0278-2391(83)90294-X","article-title":"Osteoradionecrosis: a new concept of its pathophysiology","volume":"41","author":"Marx","year":"1983","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.arth.2025.05.115_bib32","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1046\/j.1365-2273.2000.00367.x","article-title":"Mandibular osteoradionecrosis: clinical behaviour and diagnostic aspects","volume":"25","author":"St\u00f8re","year":"2000","journal-title":"Clin Otolaryngol Allied Sci"},{"key":"10.1016\/j.arth.2025.05.115_bib33","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/S0901-5027(89)80100-6","article-title":"Osteoradionecrosis of the jaws","volume":"18","author":"Widmark","year":"1989","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.1016\/j.arth.2025.05.115_bib34","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.radonc.2004.08.021","article-title":"The radiation-induced fibroatrophic process: therapeutic perspective via the antioxidant pathway","volume":"73","author":"Delanian","year":"2004","journal-title":"Radiother Oncol"},{"key":"10.1016\/j.arth.2025.05.115_bib35","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1055\/s-0040-1721759","article-title":"Osteoradionecrosis of the midface and mandible: pathogenesis and management","volume":"34","author":"Vahidi","year":"2020","journal-title":"Semin Plast Surg"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325006473?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325006473?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T03:44:56Z","timestamp":1765251896000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540325006473"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":35,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["S0883540325006473"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2025.05.115","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Complications and Functional Outcomes of Total Hip Arthroplasty After Pelvic Radiation: A Systematic Review and Meta-Analysis","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2025.05.115","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}