Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2011 Aug;35(8):1109-18.
doi: 10.1007/s00264-011-1234-6. Epub 2011 Mar 15.

Is there evidence for a superior method of socket fixation in hip arthroplasty? A systematic review

Dean Pakvis  1 , Gijs van Hellemondt, Enrico de Visser, Wilco Jacobs, Maarten Spruit
Affiliations
Comparative Study

Is there evidence for a superior method of socket fixation in hip arthroplasty? A systematic review

Dean Pakvis et al. Int Orthop. 2011 Aug.

Abstract

Purpose: Total hip arthroplasty has been a very succesful orthopaedic procedure. The optimal fixation method of the acetabular component however, has not yet been defined.

Methods: We performed a systematic review using the Medline and Embase databases to find evidence for the superiority of cemented or cementless acetabular components on short- and long-term clinical and radiological parameters. Methodological quality for randomised trials was assessed using the van Tulder checklist, and for the non randomised studies we used the Newcastle-Ottawa quality assessment scale.

Results: Our search strategy revealed 16 randomised controlled trials (RCT) and 19 non RCT studies in which cemented and cementless acetabular components are compared. A best evidence analysis for complications, wear, osteolysis, migration and clinical scores showed no superiority for either cemented or cementless socket in the RCTs. A best evidence analysis for non RCT studies revealed better osteolysis, migration properties and aseptic loosening survival for cementless sockets; however, wear and overall survival favoured the cemented sockets.

Conclusions: We recommend that an orthopaedic surgeon should choose an established cemented or cementless socket for hip replacement based on patient characteristics, knowledge, experience and preference.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Medline and Embase database, the QUOROM statement flow diagram
See this image and copyright information in PMC

References

    1. Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007;370:1508–1519. doi: 10.1016/S0140-6736(07)60457-7. - DOI - PubMed
    1. Eskelinen A, Remes V, Helenius I, Pulikkinen P, Nevalainen J, Paavolainen P. Total hip arthroplasty for primary osteoarthrosis in younger patients in the Finnish arthroplasty register. 4,661 primary replacements followed 0–22 years. Acta Orthop Scand. 2005;76:28–41. doi: 10.1080/00016470510030292. - DOI - PubMed
    1. Caton J, Prudhon JL. Over 25 years survival after Charnley’s total hip arthroplasty. Int Orthop. 2011;35:185–8. doi: 10.1007/s00264-010-1197-z. - DOI - PMC - PubMed
    1. Callaghan JJ, Templeton JE, Liu SS, Pedersen DR, Goetz DD, Sullivan PM, Johnston RC. Results of Charnley total hip arthroplasty at a minimum of thirty years. A concise follow-up of a previous report. J Bone Joint Surg Am. 2004;86:690–695. - PubMed
    1. Franklin J, Robertsson O, Gestsson J, Lohmander LS, Ingvarsson T. Revision and complication rates in 654 Exeter total hip replacements, with a maximum follow-up of 20 years. BMC Musculoskelet Disord. 2003;25:4–6. - PMC - PubMed