Evidence map›Paper›PMID 40090766›Full record

SynthesisOrthopaedic surgery2025

The Choice of Hip Arthroplasty: HRA or THA? Revealed by Meta-Analysis.

Xiao Fan, Yimin Zhou, Tianyu Zhou, Justin P Cobb, Tengbo Yu

Abstract readMeta-AnalysisComparative StudyReview
In one paragraph

Synthesis in Orthopaedic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Xiao FanDepartment of Orthopaedics, Qingdao Municipal Hospital, Qingdao, China.ORCID https://orcid.org/0000-0001-5147-6701
Yimin ZhouDongzhimen Hospital, Beijing University of Traditional Chinese Medicine, Beigjing, China.ORCID https://orcid.org/0000-0001-9125-0272
Tianyu ZhouMSk Laboratory, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK.
Justin P CobbMSk Laboratory, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK.
Tengbo YuDepartment of Orthopaedics, Qingdao Municipal Hospital, Qingdao, China.

Funding

Qingdao Excellent Young Medical Talents Project, Youth Talent Program of Shandong Medical Association
6 · The paper itself

Abstract

backgroundTotal hip arthroplasty (THA) is the gold standard for end-stage hip arthrosis, while hip resurfacing arthroplasty (HRA) is considered a more bone-conserving alternative. This meta-analysis aimed to compare the safety and clinical efficacy of HRA and THA.

methodsThe databases of PubMed, EMBASE, Cochrane Library, and CNKI were searched for RCTs comparing HRA and THA in treating hip arthrosis from database initiation to April 2024. Inclusion and exclusion criteria were defined, and data extraction, quality evaluation, and risk bias assessment were performed. A meta-analysis was conducted using appropriate RevManv5.4 and Stata v14.0 software.

resultsTwenty RCTs from six countries were included. HRA had a similar revision rate, function scores (WOMAC, HSS, OHS, UCLA activity score, EQ-D, EQ-5D VAS), and blood levels of cobalt and chromium compared to THA. HRA had fewer complications and less blood loss but required more operating time.

conclusionsHRA is a safe and effective alternative to THA, with similar revision and functional outcomes, less blood loss, and is particularly suitable for young male patients with a demand for high-level activities.

Indexed as

Arthroplasty, Replacement, HipOsteoarthritis, HipHumansRandomized Controlled Trials as TopicReoperationclinical efficacyhip arthrosiship resurfacing arthroplasty (HRA)meta‐analysissafetysystematic reviewtotal hip arthroplasty (THA)

Identifiers

PMID40090766
PMCPMC12146122

What OpenQuestion holds

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LicenceCC BY
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.