Resurfacing hip arthroplasty is a safe and effective alternative to total hip arthroplasty in young patients
a systematic review and meta-analysis
Informazioni aggiuntive
Autori
Palazzuolo M.,
Bensa A.,
Bauer S.,
Blakeney W. G.,
Filardo G.,
Riegger M.
Tipo
Articolo pubblicato in rivista scientifica
Anno
2023
Lingua
Inglese
Sommario
This systematic review and meta-analysis of randomized controlled trials (RCTs) aimed at comparing resurfacing hip arthroplasty (RHA) and total hip arthroplasty (THA) in terms of rate of complications, revisions, functional outcomes, blood loss, operative time and metal ions levels. The search was conducted on three databases (PubMed, Cochrane and Web of Science) updated until 13 October 2022. The inclusion criteria were RCTs) written in the English language, with no time limitation, comparing RHA and THA. Among the retrieved 4748 articles, 18 RCTs were eligible for a total of 776 patients (mean age 53.1 ± 5.0). A meta-analysis was performed. RHA reported significantly lower blood loss compared to THA (p < 0.001) but with longer operative time (p < 0.001). No statistically significant difference was found between RHA and THA in terms of complications (12.08% and 16.24%, respectively) and revisions (6.32% and 6.14%, respectively). Both RHA and THA provide excellent clinical results in a population of young and active patients. Functional outcomes were not significantly different between the groups. Moreover, no significant difference in metal ion levels was found. These findings provide evidence concerning the safety and clinical effectiveness of RHA. Because of its bone-preserving properties, the lack of drawbacks and good outcomes, RHA appears to be a valid alternative to THA in young and active patients.
Parole chiave
Hip, Resurfacing arthroplasty, Total arthroplasty, RHA, THA, Ion level
Periodico
Journal of Clinical Medicine
Volume
12
Numero ( Mese )
6
Pagine (o numero dell’articolo)
2093
ISSN
2077-0383
Diffusione
Licenza
CC BY
Visibilità
Pubblico
Status open access
Gold
