A meta-analysis assessing time for return to sport following hip resurfacing

Magan, Ahmed; Wignadasan, Warran; Kayani, Babar; Radhakrishnan, Ganan T; Ronca, Flaminia; Haddad, Fares S.

doi:10.1007/s00402-022-04592-1

Cited by 4 publications

(2 citation statements)

References 46 publications

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“…Moreover, in the studies that showed no significant difference between RHA and THA, no activity-specific measures were used. Evidence exists that RHA may offer some potential advantages over THA in this sense, including an early return to high-level activities and sports [ 46 ], restoration of native hip biomechanics and decreased proximal femoral stress shielding [ 38 ]. It appears that the potential advantages of RHA could be shown only in the studies that used physical activity-specific outcome measures, as was suggested in the existing literature analyzing the return to sport after RHA [ 33 , 38 , 47 , 48 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

Resurfacing Hip Arthroplasty Is a Safe and Effective Alternative to Total Hip Arthroplasty in Young Patients: A Systematic Review and Meta-Analysis

Palazzuolo¹,

Bensa²,

Bauer

et al. 2023

JCM

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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.

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Section: Discussionmentioning

confidence: 99%

Resurfacing Hip Arthroplasty Is a Safe and Effective Alternative to Total Hip Arthroplasty in Young Patients: A Systematic Review and Meta-Analysis

Palazzuolo¹,

Bensa²,

Bauer

et al. 2023

JCM

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“…A number of studies suggest that both HRA and THA can yield comparable outcomes in terms of pain resolution, return to sport, and restoration of physiological hip biomechanics. [47][48][49] A recent study by LeBrun et al compared the patient reported outcome measures (PROMs) and revision rates of these procedures in 101 patients aged 35 or younger. 50 Of these patients, 76 underwent HRA and 33 underwent a primary THA.…”

Section: How Does Hip Resurfacing Compare To Total Hip Arthroplasty?mentioning

confidence: 99%

Hip Resurfacing Arthroplasty: Past, Present and Future

et al. 2023

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The history of hip resurfacing arthroplasty (HRA) has faced numerous challenges and undergone decades of evolution in materials and methods. These innovations have been translated to the successes of current prostheses and represent a surgical and mechanical achievement. Modern HRAs now have long term outcomes with excellent results in specific patient groups as demonstrated in national joint registries. This article reviews the key moments in the history of HRAs with specific emphasis on the lessons learnt, current outcomes and future prospects.

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