A Systematic Review of Modern Metal-on-Metal Total Hip Resurfacing vs Standard Total Hip Arthroplasty in Active Young Patients

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• 作者：Yong Jiang MD ; ^† ; ; Kaifang Zhang MD^† ; ; Jun Die PhD^† ; ; Zhibing Shi PhD^† ; ; Haien Zhao PhD^† ; ; Kunzheng Wang MD^† ; ;
• 关键词：systematic review ; total hip resurfacing arthroplasty ; total hip arthroplasty
• 刊名：The Journal of Arthroplasty
• 出版年：2011
• 出版时间：April 2011
• 年：2011
• 卷：26
• 期：3
• 页码：419-426
• 全文大小：1258 K

文摘

This systematic review compared 2 treatments for hip disease in active young patients: modern metal-on-metal total hip resurfacing and standard total hip arthroplasty. We conducted a literature search to identify relevant randomized and clinical controlled trials and included 968 patients from 4 trials in our analysis. Our results indicated increased rates of revision, femoral neck fractures, and component loosening among patients who received modern metal-on-metal hip resurfacing. No significant differences in the rates of mortality, dislocation, or deep hip joint infection were found between treatment groups. Hip function scores were similar between the 2 groups, but the resurfacing group showed higher activity levels. These results have provided insufficient evidence to determine whether modern metal-on-metal total hip resurfacing offers clinical advantages over standard total hip arthroplasty.