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- Title
Clinical, functional and radiographic outcomes after revision total hip arthroplasty with tapered fluted modular or non-modular stems: a systematic review.
- Authors
Koutalos, Antonios A.; Varitimidis, Sokratis; Malizos, Konstantinos N.; Karachalios, Theofilos
- Abstract
Purpose: The aim of the study was to systematically evaluate clinical outcomes of tapered fluted stems, either monoblock or modular, in revision total hip arthroplasty. Methods: PubMed, EMBASE and Web of Science and Cochrane databases were systematically searched by 2 researchers. Clinical studies reporting primarily on survival and re-revision rates, and secondarily on subsidence, dislocation, intraoperative fractures, periprosthetic fractures and infection were included. 2 investigators assessed the quality of the studies. Results: 46 studies were included in this review, reporting on 4601 stem revisions. The pooled re-revision rate was 5.1% and long-term survival ranged from 75% to 98.5%. No differences were observed between monoblock and modular stems regarding re-revision rate, dislocation rate, periprosthetic fracture rate or infection rates. Monoblock stems exhibited more subsidence and modular stems displayed more intraoperative fractures. Conclusions: Satisfactory results can be obtained with the use of tapered fluted end-bearing stems. Monoblock stems offer the same clinical results as modular stems.
- Subjects
HIP joint radiography; ONLINE information services; MEDICAL databases; TOTAL hip replacement; META-analysis; MEDICAL information storage &; retrieval systems; SYSTEMATIC reviews; SURGICAL complications; ARTIFICIAL joints; TREATMENT effectiveness; FUNCTIONAL assessment; INFECTION; REOPERATION; DESCRIPTIVE statistics; MEDLINE; DATA analysis software; PERIPROSTHETIC fractures; COMPLICATIONS of prosthesis; EVALUATION
- Publication
Hip International, 2022, Vol 32, Issue 4, p475
- ISSN
1120-7000
- Publication type
Article
- DOI
10.1177/11207000211004383