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Archives of Orthopaedic and Trauma Surgery

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01-09-2009 | Orthopaedic Surgery

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

Authors: J. H. M. Goosen, A. J. Kums, B. J. Kollen, C. C. P. M. Verheyen

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2009

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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Title: Porous-coated femoral components with or without hydroxyapatite in primary uncemented total hip arthroplasty: a systematic review of randomized controlled trials
Authors: J. H. M. Goosen
A. J. Kums
B. J. Kollen
C. C. P. M. Verheyen
Publication date: 01-09-2009
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 9/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-008-0749-9

At a glance: The STEP trials

Springer Medicine

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

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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