Evidence map›Paper›PMID 41625316›Full record

ArticleJournal of clinical orthopaedics and trauma2026

Hybrid total hip arthroplasty in patients aged over 75: Patient-reported outcomes and complication rates.

Cesare Meschini, Mattia Chirico, Matteo Innocenti, Giovanni Valentini, Paolo Salari, Andrea Baldini

Abstract read
In one paragraph

Article in Journal of clinical orthopaedics and trauma, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Cesare MeschiniDepartment of Orthopedics and Geriatric Sciences, Catholic University of the Sacred Heart, Rome, Italy.
Mattia ChiricoUniversity of Florence, School of Human Health Sciences, Largo Brambilla 3, Florence, 50134, Italy.
Matteo InnocentiDepartment of Clinical Orthopaedics, AOU Careggi, University Hospiptal of Florence, Florence, Italy.
Giovanni ValentiniUniversity of Florence, School of Human Health Sciences, Largo Brambilla 3, Florence, 50134, Italy.
Paolo SalariIstituto Fiorentino di Cura e Assistenza, 50139, Florence, Italy.
Andrea BaldiniIstituto Fiorentino di Cura e Assistenza, 50139, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: As the number of total hip arthroplasties (THA) performed in elderly patients continues to rise, the optimal fixation strategy for individuals over 75 years remains debated. Hybrid constructs, combining a cemented femoral stem with an uncemented acetabular component, may offer a balance between immediate mechanical stability and durable biological fixation. This study aimed to evaluate clinical outcomes, complications, implant survivorship, and patient-reported satisfaction following hybrid THA in patients aged >75 years. Methods: A retrospective multicenter study was conducted including patients ≥75 years who underwent primary hybrid THA between 2017 and 2023, with a minimum follow-up of 12 months. All procedures were performed using a mini-posterolateral approach within a standardized fast-track perioperative protocol. Patients were further stratified into two subgroups based on acetabular articulation: Group A, treated with a dual-mobility construct, and Group B, treated with a fixed-bearing liner. Outcomes included the Oxford Hip Score (OHS), patient satisfaction, complications, and Kaplan-Meier survivorship analyses using best- and worst-case scenarios. Results: A total of 642 patients were included (mean age 80.0 ± 4.0 years; 72.6 % female), with a mean follow-up of 39.9 ± 19.4 months. The OHS improved from 22.4 ± 3.3 preoperatively to 42.1 ± 2.8 at final follow-up. Overall satisfaction was high, with 93.5 % of patients reporting a score of 3 or 4 on a 5-point scale. Complication rates were low, including dislocation (1.2 %), periprosthetic fracture (0.5 %), infection (0.2 %), aseptic loosening (0.2 %), and reoperation (1.2 %). Thirty-day readmission was 0.8 %. Overall mortality during follow-up was 6.4 %, with no procedure-related deaths. Implant survivorship was 98.6 % in the best-case and 84.1 % in the worst-case scenario. Conclusion: Hybrid THA in patients over 75 years provides excellent functional recovery, high satisfaction, and low complication rates, supporting its safety and effectiveness in the elderly population. Further long-term prospective studies are warranted.

Indexed as

ArthroplastyDual mobilityHip prosthesisProsthesis fixation

Identifiers

PMID41625316
PMCPMC12859788

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