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

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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.

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The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Hiranandani Orthopaedic Medical Education (HOME), Dr LH Hiranandani Hospital, Hillside Avenue, Hiranandani Gardens, Powai, Mumbai, 400076, India

    Vijay Shetty, Bhushan Shitole & Gautam Shetty

  2. TATA Instititute of Social Sciences, Mumbai, India

    Harshad Thakur

  3. Division of Orthopaedic Surgery, Mc Master University, Hamilton, Ontario, Canada, L8L 2X

    Mohit Bhandari

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  1. Vijay Shetty
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  2. Bhushan Shitole
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  3. Gautam Shetty
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  4. Harshad Thakur
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  5. Mohit Bhandari
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Correspondence to Vijay Shetty.

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Shetty, V., Shitole, B., Shetty, G. et al. Optimal bearing surfaces for total hip replacement in the young patient: a meta-analysis. International Orthopaedics (SICOT) 35, 1281–1287 (2011). https://doi.org/10.1007/s00264-010-1104-7

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  • DOI: https://doi.org/10.1007/s00264-010-1104-7

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