{"id":"W4413928685","doi":"10.2340/17453674.2025.43907","title":"Similar femoral stem fixation but less metaphyseal loss of bone mineral density with a taper-wedge design and diaphyseal bone preservation with a long and round-tapered design: a 5-year randomized RSA and DXA study of 50 patients","year":2025,"lang":"en","type":"article","venue":"Acta Orthopaedica","topic":"Orthopaedic implants and arthroplasty","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Alberta Hip and Knee Clinic","funders":"","keywords":"Medicine; Periprosthetic; Bone mineral; Surgery; Bone density; Arthroplasty; Dentistry; Internal medicine; Osteoporosis","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.003517229,0.001384617,0.002173769,0.0004665589,0.0004091604,0.0007286769,0.0006260733,0.001312001,0.002454513],"category_scores_gemma":[0.002180433,0.0007790368,0.001546103,0.0003465973,0.001886115,0.0007028208,0.0003751635,0.001045611,0.0003914827],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004374128,"about_ca_system_score_gemma":0.0008392716,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0004601966,"about_ca_topic_score_gemma":0.0008972039,"domain_scores_codex":[0.998476,0.0006407762,0.0001742298,0.0003395852,0.0001977934,0.000171544],"domain_scores_gemma":[0.9981167,0.0005727959,0.0005086672,0.0002542827,0.0001012597,0.0004463366],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"randomized_trial","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.9117931,0.03504786,0.01905728,0.0004992908,0.001584734,0.0001884616,0.0001604198,0.0005808959,0.01454958,0.0001179598,0.0002673843,0.01615301],"study_design_scores_gemma":[0.3868711,0.5915993,0.01837914,0.00002093639,0.0007696176,0.0001850855,0.00005929107,0.0003949424,0.001387,0.00005477052,0.0002532749,0.00002559882],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9987668,0.0004529573,0.0001839685,0.00003649584,0.00004523907,0.0003166651,0.00007082829,0.000006907899,0.0001201162],"genre_scores_gemma":[0.9977969,0.000280875,0.0006537139,0.0001940106,0.0001504625,0.0003731404,0.0002172188,0.000003720578,0.0003300112],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.003517229,"threshold_uncertainty_score":0.01860106,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02046849072274946,"score_gpt":0.2406906875623832,"score_spread":0.2202221968396337,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}