• Yong Jiang, Kaifang Zhang, Jun Die, Zhibing Shi, Haien Zhao, and Kunzheng Wang.
• Department of Orthopedic Surgery, Xi'an Red Cross Hospital, Xi'an, Shaanxi, People's Republic of China.
• J Arthroplasty. 2011 Apr 1;26(3):419-26.

AbstractThis systematic review compared 2 treatments for hip disease in active young patients: modern metal-on-metal total hip resurfacing and standard total hip arthroplasty. We conducted a literature search to identify relevant randomized and clinical controlled trials and included 968 patients from 4 trials in our analysis. Our results indicated increased rates of revision, femoral neck fractures, and component loosening among patients who received modern metal-on-metal hip resurfacing. No significant differences in the rates of mortality, dislocation, or deep hip joint infection were found between treatment groups. Hip function scores were similar between the 2 groups, but the resurfacing group showed higher activity levels. These results have provided insufficient evidence to determine whether modern metal-on-metal total hip resurfacing offers clinical advantages over standard total hip arthroplasty.Crown Copyright © 2011. Published by Elsevier Inc. All rights reserved.

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