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Porous-coated femoral components with or without hydroxyapatite in primary uncemented total hip arthroplasty: a systematic review of randomized controlled trials

  • Orthopaedic Surgery
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Abstract

The purpose of this systematic review was to determine the clinical and radiologic benefit of hydroxyapatite coating in uncemented primary total hip arthroplasty. A database of Medline articles published up to September 2007 was compiled and screened. Eight studies involving 857 patients were included in the review. Pooled analysis for Harris hip score as a clinical outcome measure demonstrated no advantage of the hydroxyapatite coating (WMD: 1.49, P = 0.44). Radiologically, both groups showed equal presence of endosteal bone ingrowth (RR: 1.04, P = 0.66) and radioactive lines (RR: 1.02, P = 0.74) in the surface area of the prosthesis. This meta-analysis demonstrates neither clinical nor radiologic benefits on the application of a hydroxyapatite coating on a femoral component in uncemented primary total hip arthroplasty.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Orthopedic Surgery and Traumatology, Isala Clinics, Zwolle, The Netherlands

    J. H. M. Goosen, A. J. Kums & C. C. P. M. Verheyen

  2. Research Bureau, Isala Academy, Isala Clinics, Zwolle, The Netherlands

    B. J. Kollen

  3. PO Box 10500, 8000 GM, Zwolle, The Netherlands

    J. H. M. Goosen

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  1. J. H. M. Goosen
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  2. A. J. Kums
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  3. B. J. Kollen
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  4. C. C. P. M. Verheyen
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Correspondence to J. H. M. Goosen.

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Goosen, J.H.M., Kums, A.J., Kollen, B.J. et al. Porous-coated femoral components with or without hydroxyapatite in primary uncemented total hip arthroplasty: a systematic review of randomized controlled trials. Arch Orthop Trauma Surg 129, 1165–1169 (2009). https://doi.org/10.1007/s00402-008-0749-9

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  • DOI: https://doi.org/10.1007/s00402-008-0749-9

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