SynthesisActa orthopaedica2010
The clinical and radiological outcomes of hip resurfacing versus total hip arthroplasty: a meta-analysis and systematic review.
Synthesis in Acta orthopaedica, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Hip resurfacing versus total hip arthroplasty: a systematic review comparing standardized outcomes.Clinical orthopaedics and related research · 2014Pooled it
- Bone-Sparing Hip Arthroplasty in Young and Active Patients: A Narrative Review.Journal of clinical medicine · 2026Review
- Total Hip Replacement after Acetabular Fracture Fixation: Surgical Challenges, Techniques, and Outcomes.Journal of orthopaedic case reports · 2025Article
- Functional Outcomes of Different Bearing Surfaces for Total Hip Arthroplasty: A Systematic Review and Meta-Analysis.Medical journal of the Islamic Republic of Iran · 2025Review
- Heterotopic ossification following total hip arthroplasty. Which is the predominant risk factor: surgical approach or post-operative prophylaxis?International orthopaedics · 2024Article
- Higher blood loss and transfusion requirement in surface arthroplasty versus conventional total hip replacement.Acta bio-medica : Atenei Parmensis · 2019Article
- Increased Risk of Heterotopic Ossification Following Revision Hip Arthroplasty for Periprosthetic Joint Infection.The archives of bone and joint surgery · 2018Article
- Early aseptic loosening of cementless monoblock acetabular components.International orthopaedics · 2017Article
- Comparison of Patient-Reported Outcome from Neck-Preserving, Short-Stem Arthroplasty and Resurfacing Arthroplasty in Younger Osteoarthritis Patients.Advances in orthopedics · 2015Article
- [Cement-free and cemented Excia hip shaft prosthesis: comparison of intermediate term results].Der Orthopade · 2014Article
- Surgical management of hip osteoarthritis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014Review
- CORR Insights ®: Hip resurfacing does not improve proprioception compared with THA.Clinical orthopaedics and related research · 2014Article
- Surface arthroplasty increases blood loss and transfusion requirement in comparison with conventional total hip replacement.Blood transfusion = Trasfusione del sangue · 2013Article
- The outcomes of hip resurfacing compared to standard primary total hip arthroplasty in Men.BMC musculoskeletal disorders · 2013Article
- Patients report improvement in quality of life and satisfaction after hip resurfacing arthroplasty.Clinical orthopaedics and related research · 2013Article
- Prospective study comparing functional outcomes and revision rates between hip resurfacing and total hip arthroplasty: preliminary results for 2 years.Orthopedic reviews · 2013Article
- Incidence of heterotopic ossification after surface and conventional total hip arthroplasty: a comparative study using anterolateral approach and indomethacin prophylaxis.BioMed research international · 2013Article
- Do survival rate and serum ion concentrations 10 years after metal-on-metal hip resurfacing provide evidence for continued use?Clinical orthopaedics and related research · 2012Article
- Metal-on-Metal Bearing: Is This the End of the Line? We Do Not Think So.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2012Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeHip resurfacing (HRS) procedures have gained increasing popularity for younger, higher-demand patients with degenerative hip pathologies. However, with concerns regarding revision rates and possible adverse metal hypersensitivity reactions with metal-on-metal articulations, some authors have questioned the hypothesized superiority of hip resurfacing over total hip arthroplasty (THA). In this meta-analysis, we compared the clinical and radiological outcomes and complication rates of these 2 procedures.
methodsA systematic review was undertaken of all published (Medline, CINAHL, AMED, EMBASE) and unpublished or gray literature research databases up to January 2010. Clinical and radiological outcomes as well as complications of HRS were compared to those of THA using risk ratio, mean difference, and standardized mean difference statistics. Studies were critically appraised using the CASP appraisal tool.
results46 studies were identified from 1,124 citations. These included 3,799 HRSs and 3,282 THAs. On meta-analysis, functional outcomes for subjects following HRS were better than or the same as for subjects with a THA, but there were statistically significantly greater incidences of heterotopic ossification, aseptic loosening, and revision surgery with HRS compared to THA. The evidence base showed a number of methodological inadequacies such as the limited use of power calculations and poor or absent blinding of both patients and assessors, possibly giving rise to assessor bias.
interpretationOn the basis of the current evidence base, HRS may have better functional outcomes than THA, but the increased risks of heterotopic ossification, aseptic loosening, and revision surgery following HRS indicate that THA is superior in terms of implant survival.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.