ArticleEFORT open reviews2018
Head size in primary total hip arthroplasty.
Article in EFORT open reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.
What it found
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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
44 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Neglected traumatic hip dislocation: a systematic review of case reports and case series on management, outcomes, and complications.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Comparison between ceramic-on-polyethylene versus metal-on-polyethylene prostheses in Total Hip Arthroplasties: a systematic review and meta-analysis.Revista da Associacao Medica Brasileira (1992) · 2022Pooled it
- Ceramic-on-Ceramic Total Hip Arthroplasty with Large Diameter Heads: A Systematic Review.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2021Pooled it
- Vitamin E-doped total hip arthroplasty liners show similar head penetration to highly cross-linked polyethylene at five years: a multi-arm randomized controlled trial.The bone & joint journal · 2020Trial
- Association of polyethylene type with revision and dislocation risk following primary total hip arthroplasty: a population-based cohort study from the Danish Hip Arthroplasty Register.Acta orthopaedica · 2026Article
- Review
- Minimum 10-year outcomes of cementless total hip arthroplasty using a 32-mm femoral head with CT-based navigation: a comparative study with manual technique.Archives of orthopaedic and trauma surgery · 2026Article
- A Comparison Between Two Bearing Surfaces for Total Hip Arthroplasty-Ceramic-on-Ceramic and Metal-Polycarbonate-Urethane-A Pseudo-Randomized Study.Journal of functional biomaterials · 2025Article
- Femoral Neck Fracture Management in Elderly Patients: Surgeons' Practice Through a Registry Analysis.Life (Basel, Switzerland) · 2025Article
- Does glenosphere size impact shoulder rotational range of motion after reverse shoulder arthroplasty? A retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Using preoperative planning software to assess the effect of head length on prosthetic range of motion in a high-risk population: a three-dimensional modeling study.International orthopaedics · 2024Article
- Head size in Delta ceramic-on-ceramic total hip arthroplasty: a comparative registry study.Archives of orthopaedic and trauma surgery · 2024Article
- Evaluation of an early-stage prototype polyurethane femoral head implant for hip arthroplasty.Journal of orthopaedics · 2024Article
- Is Femoral Head to Acetabular Cup Ratio Associated With Dislocation After Total Hip Arthroplasty?The Iowa orthopaedic journal · 2024Article
- Safety of using a large femoral head on thin polyethylene for total hip arthroplasty based on different types of polyethylene.Scientific reports · 2023Article
- Head, acetabular liner composition, and rate of revision and wear in total hip arthroplasty: a Bayesian network meta-analysis.Scientific reports · 2023Article
- Analysis of biomechanical gait parameters in patients after total hip replacement operated via anterolateral approach depending on size of the femoral head implant: retrospective matched-cohort study.Archives of orthopaedic and trauma surgery · 2022Article
- Dual Mobility Cups as the Routine Choice in Total Hip Arthroplasty.Medicina (Kaunas, Lithuania) · 2022Article
- Personalized Hip Joint Replacement with Large Diameter Head: Current Concepts.Journal of clinical medicine · 2022Review
- Dislocation of Total Hip Replacement in Femoral Neck Fracture: Do Surgical Approach and Dual Mobility Implant Matter?Cureus · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The use of larger femoral head size in total hip arthroplasty (THA) has increased during the past decade; 32 mm and 36 mm are the most commonly used femoral head sizes, as reported by several arthroplasty registries.The use of large femoral heads seems to be a trade-off between increased stability and decreased THA survivorship.We reviewed the literature, mainly focussing on the past 5 years, identifying benefits and complications associated with the trend of using larger femoral heads in THA.We found that there is no benefit in hip range of movement or hip function when head sizes > 36 mm are used.The risk of revision due to dislocation is lower for 36 mm or larger bearings compared with 28 mm or smaller and probably even with 32 mm.Volumetric wear and frictional torque are increased in bearings bigger than 32 mm compared with 32 mm or smaller in metal-on-cross-linked polyethylene (MoXLPE) THA, but not in ceramic-on-XLPE (CoXLPE).Long-term THA survivorship is improved for 32 mm MoXLPE bearings compared with both larger and smaller ones.We recommend a 32 mm femoral head if MoXLPE bearings are used. In hips operated on with larger bearings the use of ceramic heads on XLPE appears to be safer. Cite this article:
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