Comparison of ceramic-on-ceramic to metal-on-polyethylene bearing surfaces in total hip arthroplasty: a meta-analysis of randomized controlled trials.


Hu D, Tie K, Yang X, Tan Y, Alaidaros M, Chen L. Comparison of
ceramic-on-ceramic to metal-on-polyethylene bearing surfaces in total hip
arthroplasty: a meta-analysis of randomized controlled trials. J Orthop Surg Res.
2015 Feb 3;10(1):22.

Abstract

Background

In recent years, the choice of ceramic-on-ceramic (COC) and metal-on-polyethylene (MOP) in primary total hip arthroplasty (THA) remains controversial. The purpose of this study was to compare the reliability and durability of COC with that of MOP bearing surfaces in THA.MethodsBased on prospective randomized controlled trials (RCTs) searched from Pubmed, Embase, Web of Science, and Cochrane central database, we performed a meta-analysis for comparing clinical and radiographic outcomes of COC with those of MOP. Two investigators independently selected studies, extracted data, and assessed risk of bias. Risk ratios and weighted mean differences from each trial were pooled using random-effect or fixed-effect models depending on the heterogeneity of the included studies.ResultsFive RCTs involving 897 patients with 974 hips met predetermined inclusion criteria. Our results demonstrated COC significantly decreased the risks of revision, osteolysis, and radiolucent line, aseptic loosening, and dislocation and increased the risks of squeaking and intraoperative implant fracture compared with MOP. There was no significant difference between the two groups in postoperative hip function, deep infection, and heterotopic ossification.ConclusionsGenerally, despite more squeaking and intraoperative implant fracture, our findings support the use of COC bearing surface which has lower rates of revision, osteolysis, and radiolucent line, aseptic loosening, and dislocation compared with MOP.


Download Full Text Here

For more such Information and Updates, Join the most unique platform in Orthopaedics

and Receive free monthly Newsletter 'Ortho Mirror'

JOIN IORG - CLICK HERE


 

Use Facebook to Comment on this Post