International Orthopaedics

, Volume 35, Issue 9, pp 1281–1287

Optimal bearing surfaces for total hip replacement in the young patient: a meta-analysis

Authors

    • Hiranandani Orthopaedic Medical Education (HOME)Dr LH Hiranandani Hospital
  • Bhushan Shitole
    • Hiranandani Orthopaedic Medical Education (HOME)Dr LH Hiranandani Hospital
  • Gautam Shetty
    • Hiranandani Orthopaedic Medical Education (HOME)Dr LH Hiranandani Hospital
  • Harshad Thakur
    • TATA Instititute of Social Sciences
  • Mohit Bhandari
    • Division of Orthopaedic SurgeryMc Master University
Original Paper

DOI: 10.1007/s00264-010-1104-7

Cite this article as:
Shetty, V., Shitole, B., Shetty, G. et al. International Orthopaedics (SICOT) (2011) 35: 1281. doi:10.1007/s00264-010-1104-7

Abstract

Although there is general consensus about the efficacy of total hip replacement (THR) in young patients, the most appropriate bearings in young patients remain highly debated. The three most popular bearings in use include metal-on-polyethylene (MOP), metal-on-metal (MOM) and ceramic-on-ceramic (COC). We conducted a systematic review and meta-analysis of literature to summarise the best available evidence on relative success of the three most popular bearings used in THR in young active patients. Our findings support the use of MOM bearings in the management of the young arthritic hip. These findings, largely based upon observational studies, should be taken in the context of the limitations of such non-randomised study designs.

Copyright information

© Springer-Verlag 2010