Press-fit Cementless Acetabular Fixation with and Without Screws

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2013 Aug 29

PMID 23982638

Citations 11

Authors

Sheng-Hui Ni

Lei Guo

Tian-Long Jiang

Jie Zhao

Yan-Gang Zhao

Affiliations

Soon will be listed here.

Abstract

Purpose: Cementless acetabular fixation for total hip arthroplasty (THA) is widely used. The question of using screws for a better primary and secondary acetabular fixation has been discussed in the literature in recent years. The aim of this meta-analysis was to compare fixation of acetabular cups with and without screws in total hip arthroplasty.

Methods: Electronic databases Embase, PubMed and Cochrane Library were used to search for randomised controlled trials reported through May 2013 of cementless acetabular fixation for THA with and without screws. Two independent reviewers assessed the trials for eligibility and quality. All related data matching our standards were abstracted for meta-analysis by RevMan 5.0. Evaluation criteria included revisions, migration and osteolysis.

Results: A total of 1,130 THAs enrolled into five trials were included in this meta-analysis. All studies compared fixation of acetabular cups with and without screws, and our pooled data showed no statistical significance between the two surgical methods in revision, migration and osteolysis.

Conclusion: There is no significant difference between cementless acetabular fixation for THA with and without screws in revisions, migration or osteolysis.

Citing Articles

Revision in Ceramic-on-Ceramic and Ceramic-on-Polyethylene Bearing in Primary Total Hip Arthroplasty with Press-fit Cups: A Systematic Review and Meta-analysis of Different Methodological Study Designs.

van Loon J, de Graeff J, Sierevelt I, Opdam K, Poolman R, Kerkhoffs G Arch Bone Jt Surg. 2022; 10(11):916-936.

PMID: 36561219 PMC: 9749123. DOI: 10.22038/ABJS.2022.59354.2933.

Efficacy and Safety of Acetabular Cup without Screw Fixation in Total Hip Arthroplasty: A Systematic Review and Meta-Analysis.

Miura T, Kijima H, Kimura R, Watanabe J, Okazaki Y, Miyakoshi N Medicina (Kaunas). 2022; 58(8).

PMID: 36013524 PMC: 9413682. DOI: 10.3390/medicina58081058.

Are additional screws required for press-fit fixation of cementless acetabular cups? A systematic review and meta-analysis.

Ni S, Luo P, Guo L, Jiang T J Orthop Traumatol. 2022; 23(1):9.

PMID: 35142933 PMC: 8831679. DOI: 10.1186/s10195-022-00629-8.

Higher risk of 2-year cup revision of ceramic-on-ceramic versus ceramic-on-polyethylene bearing: analysis of 33,454 primary press-fit total hip arthroplasties registered in the Dutch Arthroplasty Register (LROI).

van Loon J, Sierevelt I, Spekenbrink-Spooren A, Opdam K, Poolman R, Kerkhoffs G Hip Int. 2022; 33(2):280-287.

PMID: 34974763 PMC: 9978866. DOI: 10.1177/11207000211064975.

Acetabular screws do not improve early revision rates in primary total hip arthroplasty. An instrumented registry analysis.

Nugent M, Campbell D, Lewis P, Cuthbert A, Solomon L Int Orthop. 2021; 45(3):593-604.

PMID: 33479835 DOI: 10.1007/s00264-021-04949-y.

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