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

作者：Jiang Yong; Zhang Kaifang; Die Jun; Shi Zhibing; Zhao Haien; Wang Kunzheng^*

来源：Journal of Arthroplasty, 2011, 26(3): 419-426.

DOI：10.1016/j.arth.2010.07.008

• systematic review
• total hip resurfacing arthroplasty
• total hip arthroplasty

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.

• 出版日期2011-4
• 单位西安市红会医院; 西安交通大学