Résultat à long terme d’une série de prothèses totales de hanche sans ciment chez les sujets âgés de moins de 50 ans

Schmitt, D.; Bresler, F.; Nicolay, X; Grandclère, Ch; Cohen, P.; Scarlat, Marius M.

doi:10.1007/bf03380094

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…After screening, 299 full texts were left for review with 20 additional citations identified by a manual search of references and reviews (appendix p 2). We excluded 13 articles not in English 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25. Following a review of full texts, 140 journal articles reporting 150 case series reported survivorship of implants; in total, these articles report on 58 932 total hip replacements (range 38–22 036).…”

Section: Resultsmentioning

confidence: 99%

How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up

et al. 2019

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Summary Background Total hip replacement is a common and highly effective operation. All hip replacements would eventually fail if in situ long enough and it is important that patients understand when this might happen. We aimed to answer the question: how long does a hip replacement last? Methods We did a systematic review and meta-analysis with a search of MEDLINE and Embase from the start of records to Sept 12, 2017. We included articles reporting 15-year survival of primary, conventional total hip replacement constructs in patients with osteoarthritis. We extracted survival and implant data and used all-cause construct survival as the primary outcome. We also reviewed reports of national joint replacement registries, and extracted data for a separate analysis. In the meta-analyses, we weighted each series and calculated a pooled survival estimate for each source of data. This study was registered with PROSPERO (CRD42018085642). Findings We identified 140 eligible articles reporting 150 series, and included 44 of these series (13 212 total hip placements). National joint replacement registries from Australia and Finland provided data for 92 series (215 676 total hip replacements). The 25-year pooled survival of hip replacements from case series was 77·6% (95% CI 76·0–79·2) and from joint replacement registries was 57·9% (95% CI 57·1–58·7). Interpretation Assuming that estimates from national registries are less likely to be biased, patients and surgeons can expect a hip replacement to last 25 years in around 58% of patients. Funding National Institute for Health Research, National Joint Registry for England, Wales, Northern Ireland and Isle of Man, and The Royal College of Surgeons of England.

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