SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
Complications and mid to long term outcomes for hip resurfacing versus total hip replacement: a systematic review and meta-analysis.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 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.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Do Meta-Analyses of Total Hip Arthroplasty Produce Reliable Results? A Systematic Review and Meta-Epidemiological Study of Statistical Methods.Orthopaedic surgery · 2025Pooled it
- The Choice of Hip Arthroplasty: HRA or THA? Revealed by Meta-Analysis.Orthopaedic surgery · 2025Pooled it
- Hip resurfacing versus total hip arthroplasty: a systematic review and meta-analysis of randomized clinical trials.International orthopaedics · 2024Pooled it
- Ultrasound-Guided Suprainguinal Fascia Iliaca Compartment Block in Combination with Sciatic Nerve Block for Pain Reduction in Total Hip Arthroplasty: A Prospective Randomized Controlled Study.Orthopedic research and reviews · 2024Trial
- Learning from orthopaedic complications and adverse events in a district general hospital.Annals of the Royal College of Surgeons of England · 2026Article
- Successful Treatment of Recurrent Painful Muscle Spasms After Total Hip Arthroplasty With Oxcarbazepine: A Case Report.Clinical case reports · 2026Article
- Prediction of quality-of-life improvement after total hip arthroplasty : a simplified and internally validated model based on 82,526 total hip arthroplasties from the Swedish Arthroplasty Register.Bone & joint open · 2025Article
- Application of digital radiography and digital tomosynthesis in the postoperative evaluation of hip arthroplasty.Radiologie (Heidelberg, Germany) · 2025Article
- Establishment and Verification of Risk Prediction Model for Adverse Outcomes After Hip Arthroplasty in Elderly Patients.Therapeutics and clinical risk management · 2025Article
- Radiological Comparison of Canal Fill between Collared and Non-Collared Femoral Stems: A Two-Year Follow-Up after Total Hip Arthroplasty.Journal of imaging · 2024Article
- Evaluation of an early-stage prototype polyurethane femoral head implant for hip arthroplasty.Journal of orthopaedics · 2024Article
- Resurfacing Hip Arthroplasty Is a Safe and Effective Alternative to Total Hip Arthroplasty in Young Patients: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2023Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe long-term results of total hip replacement (THR) are excellent; however, it has higher failure rates in young and active patients. Hip resurfacing arthroplasty (HRA) is an alternative in such patients and gaining popularity. This review was done to compare complications and outcomes between HRA and THA by assessing the latest level 1 studies comparing the two from the past 10 years.
methodA systematic review and meta-analysis was conducted using three databases (PubMed, EMBASE and SCOPUS) to compare the complications between THR and HRA in medium to long term follow up. The primary outcome of interest included the complication and revision rate between the two techniques. Functional outcomes and ionic levels at follow up were also compared as secondary outcomes. Risk of bias assessment was done using the Cochrane risk of bias tool.
resultThe present review included 6 level 1 studies. These included 308 THR and 304 HRA. On meta-analysis, overall complications rates were significantly lower in HRA compared to the THA group with an Odds ratio (OR) of 2.17 (95% CI 1.21, 3.88; p = 0.009). No difference was seen between the two groups in terms of revision rate (OR 1.06 95% CI 0.57, 1.99; p = 0.85). Functional outcomes in both the groups were satisfactory but the Harris Hip Score was found to be significantly better in the resurfacing group (MD 2.99 95% CI - 4.01, - 1.96, p < 0.00001). There were increased cobalt and chromium ions in the resurfacing group but no detrimental effect was seen in terms of reported poisoning.
conclusionDespite similar function and revision rates, HRA was seen to have lesser associated complications and ionic levels may not be a detrimental issue. Hip resurfacing provides relative ease during revisions, especially in younger patients and it may be an alternative to THR in the younger population.
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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.