Optimal bearing surfaces for total hip replacement in the young patient: a meta-analysis
Optimal bearing surfaces for total hip replacement in the young patient: a meta-analysis
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DOI：
10.1007/s00264-010-1104-7
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发表时间：
2011-09-01
影响因子：
2.7
通讯作者：
Bhandari, Mohit
中科院分区：
文献类型：
--
作者：
Shetty, Vijay;Shitole, Bhushan;Bhandari, Mohit
尽管关于全髋关节置换术(THR)在年轻患者中的疗效已有普遍共识，但对于年轻患者最合适的轴承仍然存在很大争议。三种最常用的轴承包括金属对聚乙烯(MOP)、金属对金属(MOM)和陶瓷(COC)。我们对文献进行了系统的回顾和荟萃分析，以总结在年轻活动性患者的THR中使用的三种最流行的轴承相对成功的最佳证据。我们的发现支持在年轻的髋关节关节炎的治疗中使用MOM轴承。这些发现主要基于观察性研究，应该考虑到这种非随机研究设计的局限性。
Although there is general consensus about the efficacy of total hip replacement (THR) in young patients, the most appropriate bearings in young patients remain highly debated. The three most popular bearings in use include metal-on-polyethylene (MOP), metal-on-metal (MOM) and ceramic-on-ceramic (COC). We conducted a systematic review and meta-analysis of literature to summarise the best available evidence on relative success of the three most popular bearings used in THR in young active patients. Our findings support the use of MOM bearings in the management of the young arthritic hip. These findings, largely based upon observational studies, should be taken in the context of the limitations of such non-randomised study designs.