International Orthopaedics

, Volume 35, Issue 9, pp 1281–1287 | Cite as

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

  • Vijay Shetty
  • Bhushan Shitole
  • Gautam Shetty
  • Harshad Thakur
  • Mohit Bhandari
Original Paper


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.


Longe Life Expectancy Alternative Bearing Ceramic Fracture Young Active Patient Ultrahigh Molecular Weight Polyethylene 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Vijay Shetty
    • 1
  • Bhushan Shitole
    • 1
  • Gautam Shetty
    • 1
  • Harshad Thakur
    • 2
  • Mohit Bhandari
    • 3
  1. 1.Hiranandani Orthopaedic Medical Education (HOME)Dr LH Hiranandani HospitalMumbaiIndia
  2. 2.TATA Instititute of Social SciencesMumbaiIndia
  3. 3.Division of Orthopaedic SurgeryMc Master UniversityHamilton, OntarioCanada

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