A systematic review of modern metal-on-metal total hip resurfacing vs standard total hip arthroplasty in active young patients.
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.
Jiang
Yong
Y
Department of Orthopedic Surgery, Xi'an Red Cross Hospital, Xi'an, Shaanxi, People's Republic of China.
Zhang
Kaifang
K
Die
Jun
J
Shi
Zhibing
Z
Zhao
Haien
H
Wang
Kunzheng
K
D000328:Adult; D000367:Age Factors; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D006621:Hip Joint / Q000502:physiology / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000503:physiopathology / Q000601:surgery; D008670:Metals; D008875:Middle Aged; D011788:Quality of Life; D016896:Treatment Outcome
D008670:Metals