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Cementless femoral components in young patients: review and meta-analysis of total hip arthroplasty and hip resurfacing.
- Source :
-
The Journal of arthroplasty [J Arthroplasty] 2009 Sep; Vol. 24 (6 Suppl), pp. 2-8. Date of Electronic Publication: 2009 Jun 24. - Publication Year :
- 2009
-
Abstract
- The study purpose was to analyze current results of modern cementless femoral components in young patients having total hip arthroplasty (THA) or hip resurfacing. Twenty-two studies (n = 5907; hips = 6408) evaluating modern cementless THA in young patients and 15 studies evaluating hip resurfacing (n = 3002; hips = 3269) were included. Meta-analysis techniques were used to pool failure rates. The pooled failure rate for THA using femoral revision for mechanical failure as an end point was 1.3% (95% confidence interval [CI], 1.0%-1.7%) at a mean 8.4 years of follow-up. At a mean of 3.9 years of follow-up, the pooled mechanical failure rate of the femoral component for hip resurfacing was 2.6% (95% CI, 2.0-3.4). In conclusion, the enthusiasm for hip resurfacing should be tempered by these data. Longer follow-up and direct comparison trials are required to confirm these findings.
Details
- Language :
- English
- ISSN :
- 1532-8406
- Volume :
- 24
- Issue :
- 6 Suppl
- Database :
- MEDLINE
- Journal :
- The Journal of arthroplasty
- Publication Type :
- Academic Journal
- Accession number :
- 19556097
- Full Text :
- https://doi.org/10.1016/j.arth.2009.04.032