Ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis

Abstract Background Total hip arthroplasty (THA) with ceramic-on-ceramic (CoC) was created to minimise wear debris and aseptic loosening. A decade ago, a meta-analysis showed a 10-year survival rate of just 89%. Based on the excellent tribology of the current CoC, significant improvement of implant...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ihab Ibraheam El-Desouky, Albaraa Hassan Helal, Ali Mohamed Reda Mansour
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Ceramic Arthroplasty Hip Non-elderly Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/bfcbd6b8637b42f8b30f2f2f6e1097d2
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:bfcbd6b8637b42f8b30f2f2f6e1097d2
record_format	dspace
spelling	oai:doaj.org-article:bfcbd6b8637b42f8b30f2f2f6e1097d22021-11-21T12:30:00ZTen-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis10.1186/s13018-021-02828-11749-799Xhttps://doaj.org/article/bfcbd6b8637b42f8b30f2f2f6e1097d22021-11-01T00:00:00Zhttps://doi.org/10.1186/s13018-021-02828-1https://doaj.org/toc/1749-799XAbstract Background Total hip arthroplasty (THA) with ceramic-on-ceramic (CoC) was created to minimise wear debris and aseptic loosening. A decade ago, a meta-analysis showed a 10-year survival rate of just 89%. Based on the excellent tribology of the current CoC, significant improvement of implant survivorship is expected. In patients younger than 60, we conducted a meta-analysis to assess 10-year survival and complications after using current primary CoC THA. Materials and methods PubMed, Scopus, EMBASE, Virtual Health Library, and Cochrane Library were used to scan for published trials that met the inclusion criteria until January 2019. The qualified studies were subjected to a systematic review and proportional analysis, and the randomised controlled trials (RCTs) were included in a comparison meta-analysis. Results Thirteen studies were included 156 findings. The total number of hips was 2278. Nine studies were cohort, and four were RCTs between ceramic and polyethylene cups. The analysis revealed an average age of 44 years (range 24–54). The 10-year survival 96% (95% CI; 95.4–96.8%), aseptic loosening rate 0.516. (95% CI; 0.265–0.903), ceramic fracture rate 0.620 (95% CI; 0.34–1.034) and squeaking rate 2.687 (95% CI; 1.279–4.593). A comparison meta-analysis revealed the risk ratio (RR) for revision was 0.27 (95% CI; 0.15–0.47), and for aseptic loosening 0.15 (0.03–0.70) favouring CoC, while RR for component fracture was 1.62 (95% CI; 0.27–9.66) favouring the polyethylene. Conclusion In patients under sixty, current CoC THAs are correlated with better 10-year outcomes than before and have high survivorship rates. Level of evidence: Level I.Ihab Ibraheam El-DesoukyAlbaraa Hassan HelalAli Mohamed Reda MansourBMCarticleCeramicArthroplastyHipNon-elderlyOrthopedic surgeryRD701-811Diseases of the musculoskeletal systemRC925-935ENJournal of Orthopaedic Surgery and Research, Vol 16, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ceramic Arthroplasty Hip Non-elderly Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
spellingShingle	Ceramic Arthroplasty Hip Non-elderly Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935 Ihab Ibraheam El-Desouky Albaraa Hassan Helal Ali Mohamed Reda Mansour Ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis
description	Abstract Background Total hip arthroplasty (THA) with ceramic-on-ceramic (CoC) was created to minimise wear debris and aseptic loosening. A decade ago, a meta-analysis showed a 10-year survival rate of just 89%. Based on the excellent tribology of the current CoC, significant improvement of implant survivorship is expected. In patients younger than 60, we conducted a meta-analysis to assess 10-year survival and complications after using current primary CoC THA. Materials and methods PubMed, Scopus, EMBASE, Virtual Health Library, and Cochrane Library were used to scan for published trials that met the inclusion criteria until January 2019. The qualified studies were subjected to a systematic review and proportional analysis, and the randomised controlled trials (RCTs) were included in a comparison meta-analysis. Results Thirteen studies were included 156 findings. The total number of hips was 2278. Nine studies were cohort, and four were RCTs between ceramic and polyethylene cups. The analysis revealed an average age of 44 years (range 24–54). The 10-year survival 96% (95% CI; 95.4–96.8%), aseptic loosening rate 0.516. (95% CI; 0.265–0.903), ceramic fracture rate 0.620 (95% CI; 0.34–1.034) and squeaking rate 2.687 (95% CI; 1.279–4.593). A comparison meta-analysis revealed the risk ratio (RR) for revision was 0.27 (95% CI; 0.15–0.47), and for aseptic loosening 0.15 (0.03–0.70) favouring CoC, while RR for component fracture was 1.62 (95% CI; 0.27–9.66) favouring the polyethylene. Conclusion In patients under sixty, current CoC THAs are correlated with better 10-year outcomes than before and have high survivorship rates. Level of evidence: Level I.
format	article
author	Ihab Ibraheam El-Desouky Albaraa Hassan Helal Ali Mohamed Reda Mansour
author_facet	Ihab Ibraheam El-Desouky Albaraa Hassan Helal Ali Mohamed Reda Mansour
author_sort	Ihab Ibraheam El-Desouky
title	Ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis
title_short	Ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis
title_full	Ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis
title_fullStr	Ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis
title_full_unstemmed	Ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis
title_sort	ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis
publisher	BMC
publishDate	2021
url	https://doaj.org/article/bfcbd6b8637b42f8b30f2f2f6e1097d2
work_keys_str_mv	AT ihabibraheameldesouky tenyearsurvivalofceramiconceramictotalhiparthroplastyinpatientsyoungerthan60yearsasystematicreviewandmetaanalysis AT albaraahassanhelal tenyearsurvivalofceramiconceramictotalhiparthroplastyinpatientsyoungerthan60yearsasystematicreviewandmetaanalysis AT alimohamedredamansour tenyearsurvivalofceramiconceramictotalhiparthroplastyinpatientsyoungerthan60yearsasystematicreviewandmetaanalysis
_version_	1718418968313593856

Ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis

Ejemplares similares