Evidence map›Paper›PMID 33488008›Full record

ReviewJournal of orthopaedics

Metal on metal hip resurfacing arthroplasty: Where are we now?

E J Clough, T M Clough

Abstract readReview
In one paragraph

Review in Journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Acetabular Bone Preservation in H1 Ceramic Hip Resurfacing: A Comparison With A Conventional Metal-on-Metal Hip Resurfacing.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  2. Article
  3. Review
  4. Long-term results of hemi-resurfacing and metal-on-metal hip resurfacing for osteonecrosis of the femoral head.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Hip resurfacing: case closed? A bibliometric analysis of the past 10 years.Archives of orthopaedic and trauma surgery · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Serum metal ion levels following spinal deformity surgery: a case-control study of 182 individuals.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

E J CloughUniversity of Manchester, Oxford Road, Manchester, M13 9PL, UK.
T M CloughWrightington Hospital, Hall Lane, Wigan, WN6 9EP, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metal on metal hip resurfacing arthroplasty (HRA) was introduced in an attempt to address potential limitations regarding return to sport, return to high functional activity and premature wear in young patients requiring standard total hip replacement (THR). Around 12% patients undergoing hip replacement surgery are under 55 years of age. By more closely mimicking natural anatomy, and having a metal on metal (MoM) bearing, it was hoped that HRA would address the issues. However, concern has emerged about early failure, high revision rates from local adverse reactions to metallic wear debris and potential systemic consequences of metal ion cardiotoxicity. In this article, we discuss the existing literature in the field, the current clinical evidence surrounding HRA, its indications, clinical outcomes, and risk factors for failure and conclude if it still has a role within orthopaedic hip surgery.

Indexed as

Hip resurfacing arthroplastyMetal on metalPseudotumoursTotal hip replacementWear

Identifiers

PMID33488008
PMCPMC7809170

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.