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Meta-Analysis
. 2014 Jan;38(1):7-12.
doi: 10.1007/s00264-013-2075-2. Epub 2013 Aug 28.

Press-fit cementless acetabular fixation with and without screws

Sheng-Hui Ni  1 , Lei Guo, Tian-Long Jiang, Jie Zhao, Yan-Gang Zhao
Affiliations
Meta-Analysis

Press-fit cementless acetabular fixation with and without screws

Sheng-Hui Ni et al. Int Orthop. 2014 Jan.

Abstract

Purpose: Cementless acetabular fixation for total hip arthroplasty (THA) is widely used. The question of using screws for a better primary and secondary acetabular fixation has been discussed in the literature in recent years. The aim of this meta-analysis was to compare fixation of acetabular cups with and without screws in total hip arthroplasty.

Methods: Electronic databases Embase, PubMed and Cochrane Library were used to search for randomised controlled trials reported through May 2013 of cementless acetabular fixation for THA with and without screws. Two independent reviewers assessed the trials for eligibility and quality. All related data matching our standards were abstracted for meta-analysis by RevMan 5.0. Evaluation criteria included revisions, migration and osteolysis.

Results: A total of 1,130 THAs enrolled into five trials were included in this meta-analysis. All studies compared fixation of acetabular cups with and without screws, and our pooled data showed no statistical significance between the two surgical methods in revision, migration and osteolysis.

Conclusion: There is no significant difference between cementless acetabular fixation for THA with and without screws in revisions, migration or osteolysis.

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Figures

Fig. 1
Fig. 1
Study selection process
Fig. 2
Fig. 2
Comparison: with versus without screws. Outcome: reoperations
Fig. 3
Fig. 3
Comparison: with versus without screws. Outcome: migration
Fig. 4
Fig. 4
Comparison: with versus without screws. Outcome: osteolysis
Fig. 5
Fig. 5
Comparison: with versus without screws. Outcome: reoperations
Fig. 6
Fig. 6
Comparison: with versus without screws. Outcome: migration
Fig. 7
Fig. 7
Comparison: with versus without screws. Outcome: osteolysis
See this image and copyright information in PMC

Comment in

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