Table 2 Generalities and patient baseline data of the included studies.
Author | Year | Design | Head | Liner | Patients (n) | Mean Age | Mean BMI | Women (%) | Follow-up (months) |
|---|---|---|---|---|---|---|---|---|---|
Beauchamp et al.64 | 2021 | Retrospective | CoCr | CoCr | 13 | 58.1 | 28.6 | 0.14 | 60.4 |
Alumina matrix composite/Zirconia toughened alumina | Alumina matrix composite/Zirconia toughened alumina | 17 | 50.5 | 28.5 | 0.12 | 52.8 | |||
Vendittoli et al.65 | 2021 | Prospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 71 | 252.0 | |||
Stainless-Steel | Polyethylene | 69 | 252.0 | ||||||
Busch et al.66 | 2020 | RCT | Alumina oxide ceramic (Al2O3) | Polyethylene (HXLPE) | 43 | 62.3 | 28.5 | 0.56 | 60.0 |
Alumina oxide ceramic (Al2O3) | Polyethylene (HXLPE-VEPE) | 51 | 62.3 | 28.5 | 0.54 | 60:0 | |||
Frisch et al.67 | 2020 | Prospective | CoCr | CoCr | 49 | 57.5 | 33.6 | 0.51 | 91.2 |
Ceramic/Metal | Ceramic/Polyethylene | 26 | 58.7 | 33.7 | 0.54 | 120.3 | |||
Kim et al.68 | 2020 | Prospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 133 | 53.0 | 28.0 | 0.37 | 205.2 |
Alumina oxide ceramic (Al2O3) | Polyethylene (HXLPE) | 133 | 53.0 | 28.0 | 0.37 | 205.2 | |||
Kjærgaard et al.59 | 2020 | RCT | CoCr | Polyethylene (HXLPE-VEPE) | 24 | 65.0 | 28.0 | 0.21 | |
CoCr | Polyethylene (HXLPE-VEPE) | 29 | 63.0 | 29.0 | 0.31 | ||||
CoCr | Polyethylene (XLPE) | 30 | 64.0 | 28.0 | 0.36 | ||||
CoCr | Polyethylene (XLPE) | 33 | 61.0 | 27.0 | 0.42 | ||||
Massier et al.69 | 2020 | Prospective | Alumina oxide ceramic (Al2O3) | Polyethylene (HXLPE-VEPE) | 102 | 66.0 | 0.75 | 72.0 | |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 97 | 65.0 | 0.66 | 72.0 | ||||
Ong et al. 70 | 2020 | Retrospective | Ceramic | Polyethylene | 3620 | 58.0 | 22.6 | 0.61 | 37.2 |
Metal | Polyethylene | 9480 | 0.61 | 54.0 | |||||
Alumina matrix composite/Zirconia toughened alumina | Polyethylene (HXLPE) | 163 | 0.91 | 70.8 | |||||
Thoen et al.71 | 2020 | RCT | CoCr | Polyethylene (HXLPE-VEPE) | 37 | 58.0 | 28.5 | 0.46 | |
CoCr | Polyethylene (MXLPE) | 31 | 61.0 | 26.6 | 0.48 | ||||
Thompson et al.72 | 2020 | Prospective | non-Metal | non-Metal | 91 | 42.5 | 109.2 | ||
CoCr | CoCr | 30 | 53.0 | 109.2 | |||||
van der Veen et al.73 | 2020 | Retrospective | CoCr | CoCr | 23 | 78.8 | 0.74 | 158.4 | |
CoCr | Polyethylene (CPE/UHMWPE) | 33 | 78.7 | 0.79 | 162.0 | ||||
Bryan et al.74 | 2019 | Retrospective | CoCr | Polyethylene (HXLPE) | 216 | 42.6 | 29.6 | ||
CoCr | Polyethylene (CPE/UHMWPE) | 57 | 40.1 | 26.3 | |||||
Feng et al.75 | 2019 | Prospective | Alumina matrix composite/Zirconia toughened alumina | Polyethylene (HXLPE) | 77 | 59.0 | 23.2 | 0.43 | 86.4 |
Alumina matrix composite/Zirconia toughened alumina | Alumina matrix composite/Zirconia toughened alumina | 93 | 51.0 | 25.20 | 0.43 | 82.80 | |||
Galea et al.76 | 2019 | Prospective | Alumina matrix composite/Zirconia toughened alumina | Polyethylene (HXLPE-VEPE) | 39 | 66.1 | 27.2 | 0.56 | |
Alumina matrix composite/Zirconia toughened alumina | Polyethylene (MXLPE) | 34 | 62.6 | 28.3 | 0.59 | ||||
Sköldenberg et al.77 | 2019 | Prospective | CoCr | Polyethylene (HXLPE-VEPE) | 21 | 67.0 | 27.0 | 0.48 | |
CoCr | Polyethylene (CPE/UHMWPE) | 21 | 67.0 | 27.0 | 0.52 | ||||
Atrey et al. 78 | 2018 | Prospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 28 | 41.5 | 26.7 | 0.50 | 180.0 |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 29 | 42.8 | 28.2 | 0.55 | 180.0 | |||
Galea et al.79 | 2018 | Prospective | Alumina matrix composite/Zirconia toughened alumina | Polyethylene (HXLPE-VEPE) | 60.0 | ||||
Alumina matrix composite/ Zirconia toughened alumina | Polyethylene (MXLPE) | 60.0 | |||||||
CoCr | Polyethylene (MXLPE) | 60.0 | |||||||
Galea et al.79 | 2018 | Prospective | CoCr | Polyethylene (HXLPE-VEPE) | 59.0 | 28.1 | 0.62 | 60.0 | |
Alumina matrix composite/Zirconia toughened alumina | Polyethylene (HXLPE) | 72.0 | |||||||
Higuchi et al.80 | 2018 | Retrospective | CoCr | Polyethylene (HXLPE) | 77 | 64.7 | 23.1 | 0.88 | 79.2 |
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 105 | 55.9 | 23.0 | 0.81 | 80.4 | |||
Hopper et al.81 | 2018 | Prospective | CoCr | Polyethylene (XLPE) | 116 | 62.5 | 28.6 | 0.56 | 188.4 |
CoCr | Polyethylene (CPE/UHMWPE) | 114 | 62.0 | 27.9 | 0.50 | 176.4 | |||
Martin et al.82 | 2018 | Prospective | Alumina matrix composite/Zirconia toughened alumina | Alumina matrix composite/Zirconia toughened alumina | 42 | 60.0 | 26.4 | 0.14 | 94.0 |
CoCr | CoCr | 40 | 54.0 | 30.6 | 0.55 | 74.0 | |||
Morrison et al.83 | 2018 | Prospective | yttria-stabilized zirconia YSZ | Polyethylene (CPE/UHMWPE) | 20 | 81.7 | 26.2 | 0.70 | 139.0 |
CoCr | Polyethylene (CPE/UHMWPE) | 18 | 80.6 | 32.6 | 0.72 | 140.0 | |||
Peters et al.84 | 2018 | Retrospective | Metal | Polyethylene (CPE/UHMWPE) | 37,351 | 108.0 | |||
Metal | Polyethylene (HXLPE) | 32,867 | 108.0 | ||||||
Ceramic | Polyethylene (CPE/UHMWPE) | 40,109 | 108.0 | ||||||
Ceramic | Polyethylene (HXLPE) | 70,175 | 108.0 | ||||||
Ceramic | Ceramic | 17,625 | 108.0 | ||||||
Oxidized zirconium (OxZr) | Polyethylene (UHMWPE and HXLPE) | 11,785 | 108.0 | ||||||
Sharplin et al.85 | 2018 | Retrospective | Ceramic | Ceramic | 11,235 | 0.48 | 56.5 | ||
Ceramic | Metal | 474 | 0.37 | 56.5 | |||||
Composite Ceramic | Polyethylene (CPE/UHMWPE) | 6833 | 0.50 | 63.2 | |||||
Composite Ceramic | Polyethylene (HXLPE) | 14,382 | 0.48 | 62.9 | |||||
Metal | Metal | 5989 | 0.36 | 54.1 | |||||
Metal | Polyethylene (CPE/UHMWPE) | 35,647 | 0.59 | 72.1 | |||||
Metal | Polyethylene (HXLPE) | 31,579 | M: 68.6 W: 70.7 | 0.54 | 96.1 | ||||
Teeter et al.86 | 2018 | Retrospective | Ceramic | Polyethylene (HXLPE) | 20 | 57.1 | 30.4 | 0.80 | 61.2 |
CoCr | Polyethylene (HXLPE) | 20 | 57.2 | 31.0 | 0.80 | 67.2 | |||
Oxidized zirconium (OxZr) | Polyethylene (HXLPE) | 18 | 59.9 | 31.0 | 0.44 | 62.4 | |||
CoCr | Polyethylene (HXLPE) | 18 | 60.1 | 35.2 | 0.44 | 64.8 | |||
Atrey et al.87 | 2017 | RCT | CoCr | Polyethylene (HXLPE) | 29 | 120.0 | |||
CoCr | Polyethylene (CPE/UHMWPE) | 34 | 120.0 | ||||||
Ceramic | Ceramic | 29 | 120.0 | ||||||
Borgwardt et al.88 | 2017 | RCT | Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 76 | 66.4 | 0.54 | 120.0 | |
CoCr | CoCr | 72 | 68.2 | 0.58 | 120.0 | ||||
Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 75 | 69.8 | 0.65 | 120.0 | ||||
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 76 | 69.1 | 0.75 | 120.0 | ||||
Broomfield et al.89 | 2017 | Prospective | CoCr | Polyethylene (CPE/UHMWPE) | 27 | 68.0 | 0.45 | 146.4 | |
CoCr | Polyethylene (HXLPE) | 27 | 67.0 | 0.53 | 146.4 | ||||
Dahlstrand et al.90 | 2017 | RCT | CoCr | CoCr | 41 | 65.0 | 27.0 | 0.51 | 192.0 |
CoCr | Polyethylene (CPE/UHMWPE) | 44 | 67.0 | 27.0 | 0.54 | 192.0 | |||
Devane et al.91 | 2017 | RCT | CoCr | Polyethylene (CPE/UHMWPE) | 59 | 61.0 | 0.47 | 132.0 | |
CoCr | Polyethylene (HXLPE) | 57 | 61.0 | 0.37 | 132.0 | ||||
Gillam et al.92 | 2017 | Retrospective | Metal (Large—Head) | Metal | 231 | M: 77.8 W: 80.2 | 0.46 | ||
Metal (Small—Head) | Metal | 121 | M: 77.3 W: 79.4 | 0.38 | |||||
Metal | Polyethylene | 3546 | M: 82.3 W: 82.2 | 0.58 | |||||
Metal (Articular Surface Replacement) | Metal | 121 | M: 81.6 W: 80.6 | 0.48 | |||||
Kawata, et al.50 | 2017 | Prospective | Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 26 | 60.0 | |||
Zirconia (ZrO2) | Polyethylene (HXLPE) | 25 | 61.5 | ||||||
Zirconia (ZrO2) | Polyethylene (HXLPE) | 23 | 62.6 | ||||||
Stainless-Steel | Polyethylene (HXLPE) | 20 | 60.8 | ||||||
Nebergall et al.93 | 2017 | Prospective | Ceramic | Polyethylene (HXLPE-VEPE) | 32 | 67.0 | 27.0 | 0.50 | |
Ceramic | Polyethylene (MXLPE) | 35 | 65.0 | 27.0 | 0.54 | ||||
Scemama et al.94 | 2017 | Prospective | CoCr | Polyethylene (CPE/UHMWPE) | 50 | 66.0 | 26.0 | 0.48 | |
CoCr | Polyethylene (HXLPE-VEPE) | 50 | 67.0 | 25.0 | 0.56 | ||||
Schouten et al.95 | 2017 | Prospective | Alumina matrix composite/Zirconia toughened alumina | CoCr | 36 | 62.0 | 30.0 | 0.50 | 60.0 |
CoCr | CoCr | 31 | 64.0 | 30.0 | 0.32 | 60.0 | |||
Takada et al.58 | 2017 | Retrospective | Ceramic | Polyethylene (HXLPE) | 54 | 60.1 | 22.5 | 0.89 | 63.6 |
Ceramic | Polyethylene (HXLPE) | 55 | 65.5 | 23.2 | 0.84 | 63.6 | |||
Teeter et al.96 | 2017 | RCT | CoCr | Polyethylene (CPE/UHMWPE) | 8 | 67.5 | 28.4 | 156.0 | |
CoCr | Polyethylene (HXLPE) | 8 | 67.5 | 28.4 | 156.0 | ||||
Tsukamoto et al.97 | 2017 | Retrospective | CoCr | Polyethylene (HXLPE) | 41 | 56.3 | 0.93 | 150.0 | |
CoCr | Polyethylene (CPE/UHMWPE) | 38 | 57.9 | 0.89 | 156.0 | ||||
Engh et al.98 | 2016 | RCT | Alumina matrix composite/Zirconia toughened alumina | Alumina matrix composite/Zirconia toughened alumina | 194 | 59.0 | 30.0 | 0.43 | 50.0 |
CoCr—high carbid | CoCr | 196 | 60.0 | 30.0 | 0.46 | 50:0 | |||
Hamai et al.60 | 2016 | Retrospective | Zirconia (ZrO2) | Polyethylene (XLPE) | 36 | 61.1 | 0.86 | 121.2 | |
Zirconia (ZrO2) | Polyethylene (XLPE) | 36 | 60.7 | 0.86 | 121.2 | ||||
Hanna et al.99 | 2016 | Retrospective | CoCr | Polyethylene (CPE/UHMWPE) | 89 | 56.8 | 30.7 | 0.51 | 158.4 |
CoCr | Polyethylene (HXLPE) | 88 | 55.6 | 30.0 | 0.90 | 157.2 | |||
Higuchi et al.100 | 2016 | Retrospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 67 | 54.0 | 23.9 | 0.78 | 132.0 |
CoCr | Polyethylene (HXLPE) | 81 | 54.2 | 22.5 | 0.83 | 135.6 | |||
Petis et al.101 | 2016 | Retrospective | CoCr | Polyethylene (HXLPE) | 311 | 54.9 | 31.0 | 0.50 | 98.4 |
Oxidized zirconium (OxZr) | Polyethylene (HXLPE) | 311 | 54.8 | 30.9 | 0.50 | 93.6 | |||
Sato et al.102 | 2016 | Retrospective | Ceramic | Polyethylene (CPE/UHMWPE) | 110 | 60.3 | 20.4 | 0.85 | 228.0 |
Ceramic | Polyethylene (CPE/UHMWPE) | 73 | 59.8 | 22.0 | 0.85 | 241.2 | |||
Sillesen et al.103 | 2016 | Retrospective | CoCr | Polyethylene (HXLPE-VEPE) | 520 | 60.8 | 28.3 | 0.50 | |
CoCr | Polyethylene (MXLPE) | 457 | 62.3 | 28.5 | 0.50 | ||||
Garvin et al.104 | 2015 | Prospective | CoCr | Polyethylene (HXLPE) | 19 | 42.0 | 30.0 | 108.00 | |
Ceramic | Polyethylene (HXLPE) | 34 | 42.0 | 30.0 | 108.00 | ||||
Garvin et al.104 | 2015 | Prospective | Oxidized zirconium (OxZr) | Polyethylene (HXLPE) | 43 | 42.0 | 30.0 | 0.53 | 108.00 |
not mentioned | Polyethylene (CPE/UHMWPE) | 19 | 67.0 | 120.00 | |||||
Glyn-Jones et al.105 | 2015 | Prospective | not mentioned | Polyethylene (HXLPE) | 20 | 68.0 | 0.45 | 120.00 | |
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 80 | |||||||
Jassim, et al.106 | 2015 | Prospective | CoCr | Polyethylene (HXLPE) | 123 | 61.0 | 0.66 | 60.00 | |
Oxidized zirconium (OxZr) | Polyethylene (HXLPE) | 121 | 63.0 | 0.56 | 60.00 | ||||
Oxidized zirconium (OxZr) | Polyethylene (CPE/UHMWPE) | 124 | 63.0 | 0.56 | 60.00 | ||||
Jonsson et al.107 | 2015 | Prospective | CoCr | Polyethylene (CPE/UHMWPE) | 30 | 69.0 | 27.0 | 0.67 | |
Oxidized zirconium (OxZr) | Polyethylene (CPE/UHMWPE) | 30 | 69.0 | 26.0 | 0.77 | ||||
CoCr | Polyethylene (HXLPE) | 30 | 70.0 | 27.0 | 0.67 | ||||
Oxidized zirconium (OxZr) | Polyethylene (HXLPE) | 30 | 70.0 | 27.0 | 0.73 | ||||
Karidakis et al.108 | 2015 | Retrospective | Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 45 | ||||
Alumina oxide ceramic (Al2O3) | Polyethylene (XLPE) | 46 | |||||||
Oxidized zirconium (OxZr) (28 mm head) | Polyethylene (XLPE) | 48 | |||||||
Oxidized zirconium (OxZr) (32 mm head) | Polyethylene (XLPE) | 49 | |||||||
Keeney et al.109 | 2015 | Retrospective | CoCr | Polyethylene (CPE/UHMWPE) | 84 | 40.4 | 28.8 | 0.43 | |
CoCr | Polyethylene (HXLPE) | 89 | 40.3 | 27.7 | 0.58 | ||||
Langlois et al.110 | 2015 | Prospective | CoCr | Polyethylene (HXLPE) | 50 | 66.4 | 24.4 | 0.55 | |
CoCr | Polyethylene (CPE/UHMWPE) | 50 | 66.4 | 24.4 | 0.55 | ||||
Pang et al.111 | 2015 | Retrieval | CoCr | Polyethylene (HXLPE) | 13 | 61.0 | 32.0 | 0.62 | |
CoCr | Polyethylene (CPE/UHMWPE) | 13 | 66.0 | 32.0 | 0.62 | ||||
Shareghi et al.112 | 2015 | Prospective | CoCr | Polyethylene (XLPE-VEPE) | 38 | 58.0 | 25.0 | 0.42 | |
CoCr | Polyethylene (XLPE) | 32 | 58.0 | 27.0 | 0.53 | ||||
Varnum et al.113 | 2015 | Registry | Ceramic | Ceramic | 1773 | 59.0 | 0.47 | 60.0 | |
Metal | Polyethylene | 9323 | 65.0 | 0.51 | 46.8 | ||||
Epinette et al.114 | 2014 | Retrospective | Alumina oxide ceramic (Al2O3) | Polyethylene (HXLPE) | 228 | 68.7 | 28.1 | 0.66 | 125.9 |
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 447 | 68.0 | 27.4 | 0.68 | 134.9 | |||
Furnes et al.115 | 2014 | Registry | Metal | Metal | 14,373 | 0.52 | |||
Metal | Polyethylene (HXLPE) | 10,699 | 0.42 | ||||||
Lübbeke et al.116 | 2014 | Prospective | CoCr | CoCr | 883 | 63.1 | 27.4 | 92.0 | |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 2458 | 72.0 | 27.0 | 124.0 | ||||
Morison et al.117 | 2014 | RCT | CoCr | Polyethylene (CPE/UHMWPE) | 21 | 50.6 | 30.3 | 0.48 | 81.6 |
CoCr | Polyethylene (HXLPE) | 23 | 53.7 | 27.9 | 0.48 | 81.6 | |||
Oxidized zirconium (OxZr) | Polyethylene (CPE/UHMWPE) | 21 | 52.4 | 27.1 | 0.36 | 81.6 | |||
Oxidized zirconium (OxZr) | Polyethylene (HXLPE) | 22 | 51.2 | 29.3 | 0.55 | 81.6 | |||
Parsons et al.118 | 2014 | Retrospective | CoCr | Polyethylene (CPE/UHMWPE) | 27 | 64.7 | 0.26 | 90.6 | |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 36 | 57.8 | 0.56 | 118.8 | ||||
CoCr | CoCr | 18 | 59.0 | 0.44 | 100.8 | ||||
Topolovec et al.119 | 2014 | Retrieval | CoCr—low carbid | CoCr—low carbid | 26 | 68.0 | 0.92 | ||
Stainless-steel | Polyethylene (CPE/UHMWPE) | 12 | 74.0 | 0.67 | |||||
Stainless-steel | Polyethylene | 587 | 69.4 | 0.76 | |||||
Dahl et al.120 | 2013 | Retrospective | CoCr | Polyethylene (CPE/UHMWPE) | 23 | 60.0 | 0.74 | 120.0 | |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 20 | 64.0 | 0.55 | 120.0 | ||||
Desmarchelier et al.121 | 2013 | RCT | Metal | Metal | 125 | 63.7 | 25.4 | 0.68 | 100.5 |
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 125 | 59.6 | 25.8 | 0.45 | 109.8 | |||
Fukui et al.122 | 2013 | Retrospective | Zirconia (ZrO2) | Polyethylene (HXLPE) | 36 | 56.7 | 23.1 | 0.94 | 124.8 |
Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 20 | 53.0 | 22.7 | 0.80 | 127.2 | |||
García-Rey et al.123 | 2013 | Prospective | CoCr | Polyethylene (HXLPE) | 42 | 67.4 | 0.57 | ||
Stainless-Steel | Polyethylene (CPE/UHMWPE) | 41 | 61.1 | 0.54 | |||||
Hasegawa et al.124 | 2013 | Prospective | Yttria stabilized zirconia | Polyethylene (HXLPE) | 23 | 64 | 24.1 | 0.91 | 84.0 |
Alumina stabilized zirconia | Polyethylene (HXLPE) | 68 | 57 | 23.2 | 0.91 | 84.0 | |||
Huang et al.125 | 2013 | Registry | Metal | Metal | 1118 | 62.0 | 0.52 | 38.4 | |
Metal | Polyethylene (HXLPE) | 1286 | 68.0 | 0.56 | 51.6 | ||||
Kim et al.126 | 2013 | Prospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 100 | 45.3 | 0.50 | 148.8 | |
Alumina oxide ceramic (Al2O3) | Polyethylene (HXLPE) | 100 | 45.3 | 0.50 | 148.8 | ||||
Nakashima et al.127 | 2013 | Retrospective | Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 62 | 62.0 | 23.9 | 0.70 | 156.6 |
Zirconia (ZrO2) | Polyethylene (HXLPE) | 69 | 61.8 | 24.3 | 0.82 | 137.8 | |||
Vendittoli et al.128 | 2013 | RCT | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 69 | 56.8 | 27.3 | 0.45 | 147.6 |
Metal | Polyethylene (CPE/UHMWPE) | 71 | 54.9 | 28.2 | 0.58 | 147.6 | |||
Wang et al.129 | 2013 | Retrospective | Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 22 | 51.5 | 0.50 | 120.0 | |
CoCr | Polyethylene (CPE/UHMWPE) | 22 | 51.5 | 0.50 | 120.0 | ||||
Bozic et al.130 | 2012 | Registry | Metal | Metal | 49,646 | 0.58 | |||
Metal | Polyethylene | 93,929 | 0.64 | ||||||
Ceramic | Ceramic | 5252 | 0.59 | ||||||
Cai et al.131 | 2012 | RCT | Alumina matrix composite/Zirconia toughened alumina | Alumina matrix composite/Zirconia toughened alumina | 51 | 42.1 | 24.6 | 0.51 | 39.7 |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 62 | 42.0 | 24.8 | 0.56 | 40.3 | |||
D'Antonio et al.132 | 2012 | Prospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 144 | 54.2 | 27.9 | 1.00 | 123.6 |
CoCr | Polyethylene (CPE/UHMWPE) | 72 | 54.2 | 27.9 | 1.00 | 123.6 | |||
Engh et al.133 | 2012 | RCT | CoCr | Polyethylene (HXLPE) | 116 | 62.5 | 28.6 | 0.56 | |
CoCr | Polyethylene (CPE/UHMWPE) | 114 | 62.0 | 27.9 | 0.50 | ||||
Hanna et al.134 | 2012 | Prospective | CoCr—high carbid | Polyethylene (CPE/UHMWPE) | 22 | 72.0 | 28.7 | 0.77 | |
CoCr—high carbid | CoCr—high carbid | 27 | 68.0 | 28.1 | 0.78 | ||||
Johanson et al.135 | 2012 | Prospective | CoCr | Polyethylene (CPE/UHMWPE) | 27 | 56.0 | 0.44 | ||
CoCr | Polyethylene (HXLPE) | 25 | 55.0 | 0.52 | |||||
Kadar et al.49 | 2012 | Registry | CoCr | Polyethylene (CPE/ UHMWPE) | 5232 | 73.0 | 0.73 | 74.4 | |
CoCr | Polyethylene (CPE/UHMWPE) | 3195 | 73.0 | 0.74 | 94.8 | ||||
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 448 | 74.0 | 0.70 | 75.6 | ||||
Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 275 | 64.0 | 0.65 | 121.2 | ||||
Nikolaou et al.136 | 2012 | RCT | CoCr | Polyethylene (CPE/UHMWPE) | 36 | 52.6 | 28.7 | 0.50 | 60.0 |
CoCr | Polyethylene (HXLPE) | 32 | 55.1 | 32.6 | 0.56 | 60.0 | |||
Ceramic | Ceramic | 34 | 52.0 | 28.2 | 0.50 | 60.0 | |||
Porat et al.137 | 2012 | Retrospective | Ceramic | Ceramic | 1757 | 50.0 | 35.0 | 0.40 | |
Metal | Metal | 1589 | 58.0 | 31.4 | 0.48 | ||||
Sato et al.52 | 2012 | Retrospective | Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 40 | 59.6 | 0.63 | 145.2 | |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 24 | 59.6 | 0.56 | 145.2 | ||||
Zirconia (ZrO2) | Polyethylene (HXLPE) | 275 | 61.8 | 0.85 | 73.2 | ||||
Alumina oxide ceramic (Al2O3) | Polyethylene (HXLPE) | 72 | 61.8 | 0.85 | 73.2 | ||||
CoCr | Polyethylene (HXLPE) | 20 | 61.8 | 0.85 | 73.2 | ||||
Schouten et al.138 | 2012 | RCT | Alumina matrix composite/ Zirconia toughened alumina | CoCr | 41 | 61.5 | 29.0 | 0.45 | |
CoCr | CoCr | 36 | 63.8 | 29.0 | 0.36 | ||||
Amanatullah et al.139 | 2011 | Prospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 196 | 50.4 | 29.6 | 0.36 | |
Alumina oxide ceramic (Al2O3) | Polyethylene (HXLPE) | 161 | 54.7 | 28.0 | 0.43 | ||||
Mall et al.140 | 2011 | Retrospective | CoCr | Polyethylene (CPE/UHMWPE) | 50 | 43.2 | 72.2 | ||
CoCr | Polyethylene (HXLPE) | 48 | 46.5 | 99.5 | |||||
Malviya et al.141 | 2011 | RCT | CoCr | CoCr | 50 | 63.9 | 28.6 | 0.62 | |
CoCr | Polyethylene (CPE/UHMWPE) | 50 | 64.9 | 29.4 | 0.54 | ||||
Molli et al.142 | 2011 | Retrospective | CoCr | CoCr | 1589 | 57.4 | 31.4 | 0.47 | 47.5 |
CoCr | Polyethylene (HXLPE/MXLPE) | 779 | 70.3 | 29.1 | 0.66 | 42.9 | |||
Orradre Burusco et al.143 | 2011 | Prospective | Alumina oxide ceramic (Al2O3) | Polyethylene (HXLPE) | 50 | 65.4 | 25.5 | 0.36 | 64.8 |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 57 | 67.6 | 25.6 | 0.40 | 69.6 | |||
Thomas et al.144 | 2011 | Prosective | CoCr | Polyethylene (HXLPE) | 22 | 68.0 | 0.55 | 84.0 | |
CoCr | Polyethylene (CPE/UHMWPE) | 22 | 67.0 | 0.50 | 84.0 | ||||
Bascarevic et al.145 | 2010 | RCT | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 82 | 53.9 | 26.7 | 0.79 | 51.0 |
CoCr | Polyethylene (HXLPE) | 75 | 55.6 | 27.8 | 0.68 | 50.0 | |||
Hamilton et al.146 | 2010 | RCT | Alumina matrix composite/Zirconia toughened alumina | Alumina matrix composite/Zirconia toughened alumina | 177 | 56.4 | 0.49 | 31.1 | |
Alumina matrix composite/Zirconia toughened alumina | Polyethylene (HXLPE) | 87 | 57.3 | 0.46 | 31.5 | ||||
Huddleston et al.147 | 2010 | Prospective | CoCr | Polyethylene (CPE/UHMWPE) | 45 | 57.0 | 27.1 | 0.26 | 128.4 |
CoCr | Polyethylene (CPE/UHMWPE) | 43 | 60.0 | 25.4 | 0.43 | 120.0 | |||
Lewis et al.148 | 2010 | RCT | Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 23 | 42.8 | 28.2 | 120.0 | |
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 23 | 41.5 | 26.7 | 120.0 | ||||
Lombardi et al.149 | 2010 | RCT | Alumina matrix composite/Zirconia toughened alumina | Alumina matrix composite/Zirconia toughened alumina | 64 | 57.0 | 0.45 | 73.0 | |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 45 | 60.0 | 0.47 | 72.0 | ||||
Nakahara et al.53 | 2010 | Prospective | Zirconia (ZrO2) | Polyethylene (HXLPE) | 47 | 57.5 | 23.5 | 0.81 | 80.4 |
CoCr | Polyethylene (HXLPE) | 47 | 56.9 | 23.5 | 0.87 | 79.2 | |||
Beksaç et al.150 | 2009 | Retrospective | CoCr | Polyethylene (HXLPE) | 41 | 50.0 | 28.0 | 0.43 | 63.6 |
CoCr | Polyethylene (CPE/UHMWPE) | 41 | 53.0 | 30.0 | 0.43 | 63.6 | |||
Calvert et al.151 | 2009 | RCT | CoCr | Polyethylene (HXLPE) | 60 | 62.5 | 0.45 | ||
CoCr | Polyethylene (CPE/UHMWPE) | 59 | 61.0 | 0.59 | |||||
Geerdink et al.152 | 2009 | RCT | CoCr | Polyethylene (CPE/UHMWPE) | 26 | 64.0 | 28.0 | 0.43 | 96.0 |
CoCr | Polyethylene (HXLPE) | 22 | 64.0 | 28.0 | 0.35 | 96.0 | |||
Hernigou et al.153 | 2009 | Retrospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 28 | 55.0 | 240.0 | ||
Alumina oxide ceramic (Al2O3) | Polyethylene | 28 | 55.0 | 240.0 | |||||
Ise et al.154 | 2009 | RCT | Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 26 | 60.0 | 0.96 | 48.5 | |
Zirconia (ZrO2) | Polyethylene (HXLPE) | 25 | 61.6 | 0.94 | 45.6 | ||||
Zirconia (ZrO2) | Polyethylene (HXLPE) | 23 | 62.7 | 1.00 | 44.8 | ||||
Stainless steel | Polyethylene (HXLPE) | 20 | 60.9 | 0.94 | 48.8 | ||||
Kawate et al.155 | 2009 | RCT | Zirconia (ZrO2) | Polyethylene (HXLPE) | |||||
CoCr | Polyethylene (HXLPE) | ||||||||
Kim et al.156 | 2009 | Retrospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 100 | 45.3 | 23.0 | 0.34 | 67.2 |
Alumina oxide ceramic (Al2O3) | Polyethylene (HXLPE) | 100 | 45.3 | 23.0 | 0.34 | 67.2 | |||
Rajadhyaksha et al.157 | 2009 | Retrospective | CoCr | Polyethylene (HXLPE) | 27 | 60.3 | 27.6 | 0.32 | 71.0 |
CoCr | Polyethylene (CPE/UHMWPE) | 27 | 62.0 | 28.1 | 0.44 | 75.0 | |||
Sexton et al.158 | 2009 | Retrospective | Ceramic | Ceramic | 20,627 | 68.1 | 0.55 | ||
Ceramic | Polyethylene | 14,001 | 68.1 | 0.55 | |||||
Metal | Metal | 12,208 | 68.1 | 0.55 | |||||
Metal | Polyethylene | 62,437 | 68.1 | 0.55 | |||||
Stilling et al.159 | 2009 | Retrospective | Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 36 | 53.5 | 0.15 | 58.0 | |
CoCr | Polyethylene (CPE/UHMWPE) | 33 | 51.5 | 0.42 | 58.0 | ||||
Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 54 | 44.2 | 0.11 | 85.2 | ||||
CoCr | Polyethylene (CPE/UHMWPE) | 54 | 44.2 | 0.11 | 85.2 | ||||
Capello et al.160 | 2008 | RCT | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 93 | 53.2 | 27.6 | 0.34 | 96.0 |
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 92 | 55.1 | 28.3 | 0.33 | 100.8 | |||
CoCr | Polyethylene (CPE/UHMWPE) | 93 | 53.7 | 28.1 | 0.40 | 103.2 | |||
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 174 | 51.8 | 28.2 | 0.31 | 78.0 | |||
García-Rey et al.161 | 2008 | RCT | Stainless steel | Polyethylene (CPE/UHMWPE) | 45 | 60.6 | 66.3 | ||
CoCr | Polyethylene (HXLPE) | 45 | 62.5 | 66.3 | |||||
Miyanishi et al.162 | 2008 | Retrospective | Zirconia (ZrO2) | Polyethylene (HXLPE) | 95 | 67.0 | 24.7 | 0.83 | 27.6 |
Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 20 | 61.0 | 24.8 | 0.79 | 50.4 | |||
Digas et al.163 | 2007 | Prospective | CoCr (cemented) | Polyethylene (HXLPE) | 28 | 55.0 | 1.00 | ||
CoCr (cemented) | Polyethylene (CPE/UHMWPE) | 27 | 55.0 | 1.00 | |||||
CoCr (hybrid) | Polyethylene (HXLPE) | 23 | 48.0 | 0.66 | |||||
CoCr (hybrid) | Polyethylene (CPE/ UHMWPE) | 23 | 48.0 | 0.66 | |||||
Kawanabe et al.164 | 2007 | Prospective | Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 46 | 58.1 | 0.88 | 80.4 | |
Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 50 | 58.3 | 0.94 | 64.8 | ||||
Kim et al.165 | 2007 | Prospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 50 | 51.0 | 0.24 | 57.6 | |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 50 | 51.0 | 0.24 | 57.6 | ||||
Röhrl et al.166 | 2007 | Retrospective | CoCr | Polyethylene (CPE/UHMWPE) | 20 | 70.0 | 0.40 | 60.0 | |
CoCr | Polyethylene (HXLPE) | 10 | 58.0 | 0.40 | 72.0 | ||||
Triclot et al.167 | 2007 | RCT | CoCr | Polyethylene (HXLPE) | 33 | 67.9 | 26.5 | 0.48 | 59.5 |
CoCr | Polyethylene (XLPE) | 34 | 70.1 | 26.4 | 0.41 | 59.8 | |||
Vendittoli et al.168 | 2007 | RCT | CoCr | Polyethylene (CPE/UHMWPE) | 69 | 56.8 | 0.45 | 79.0 | |
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 71 | 54.9 | 0.58 | 79.0 | ||||
Bragdon et al.169 | 2006 | Prospective | CoCr | Polyethylene (HXLPE) | 41 | 60.3 | 45.0 | ||
CoCr | Polyethylene (HXLPE) | 12 | 60.3 | 45.0 | |||||
CoCr | Polyethylene (CPE/UHMWPE) | 70 | 60.3 | 45.0 | |||||
Engh et al.170 | 2006 | Prospective | CoCr | Polyethylene (HXLPE) | 116 | 62.5 | 28.6 | 0.56 | 68.4 |
CoCr | Polyethylene (CPE/UHMWPE) | 114 | 62.0 | 27.9 | 0.50 | 68.4 | |||
Geerdink et al.171 | 2006 | Prospective | CoCr | Polyethylene (CPE/UHMWPE) | 54 | 63.0 | 27.0 | 56.4 | |
CoCr | Polyethylene (HXLPE) | 45 | 64.0 | 28.0 | 56.4 | ||||
Kraay et al.172 | 2006 | RCT | CoCr | Polyethylene (CPE/UHMWPE) | 30 | 68.9 | 0.65 | 51.7 | |
Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 27 | 69.5 | 0.74 | 51.2 | ||||
Oonishi et al.173 | 2006 | Prospective | Alumina oxide ceramic (Al2O3) | Polyethylene (HXLPE) | 70 | 61.0 | 28.0 | ||
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 73 | 61.0 | 28.0 | |||||
Seyler et al.174 | 2006 | Retrospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 79 | 45.2 | 27.8 | 0.23 | 50.4 |
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 79 | 46.5 | 29.8 | 0.22 | 58.8 | |||
CoCr | Polyethylene (CPE/UHMWPE) | 26 | 44.0 | 28.0 | 0.24 | 61.2 | |||
CoCr | Polyethylene (CPE/ UHMWPE) | 26 | 44.8 | 30.2 | 0.24 | 49.2 | |||
D'Antonio et al.175 | 2005 | Retrospective | CoCr | Polyethylene (HXLPE) | 56 | 57.4 | 26.9 | 0.49 | 58.8 |
CoCr | Polyethylene (CPE/UHMWPE) | 53 | 52.9 | 27.5 | 0.42 | 63.6 | |||
Dorr et al.176 | 2005 | Prospective | CoCr | Polyethylene (HXLPE) | 37 | 60.2 | 0.54 | 60.0 | |
CoCr | Polyethylene (CPE/UHMWPE) | 37 | 65.1 | 0.54 | 60.0 | ||||
Krushell et al.177 | 2005 | Retrospective | CoCr | Polyethylene (HXLPE) | 40 | 68.7 | 27.9 | 0.53 | 47.7 |
CoCr | Polyethylene (CPE/ UHMWPE) | 40 | 69.5 | 28.2 | 0.53 | 49.5 | |||
Liang et al.178 | 2005 | Retrospective | Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 45 | 58.0 | 0.89 | 74.4 | |
Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 51 | 58.0 | 0.92 | 62.4 | ||||
Manning et al.179 | 2005 | Prospective | CoCr | Polyethylene (CPE/UHMWPE) | 111 | 57.0 | 25.6 | 0.44 | |
CoCr | Polyethylene (HXLPE) | 70 | 60.9 | 25.9 | 0.50 | 44.0 | |||
Röhrl et al.180 | 2005 | Prospective | CoCr | Polyethylene (CPE/UHMWPE) | 20 | 70.0 | 0.40 | 24.0 | |
Zirconia (ZrO2) | Polyethylene (CPE/UHMWPE) | 20 | 67.0 | 0.75 | 24.0 | ||||
CoCr | Polyethylene (HXLPE) | 10 | 58.0 | 0.40 | 36.0 | ||||
Sonny Bal et al.181 | 2005 | Prospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 250 | 54.9 | 0.45 | 24.0 | |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 250 | 60.9 | 0.53 | 24.0 | ||||
Digas et al.182 | 2004 | RCT | CoCr | Polyethylene (HXLPE) | 27 | 48.0 | 0.63 | ||
CoCr | Polyethylene (CPE/UHMWPE) | 27 | 48.0 | 0.63 | |||||
CoCr | Polyethylene (HXLPE) | 23 | 55.0 | 0.57 | |||||
CoCr | Polyethylene (CPE/UHMWPE) | 26 | 57.0 | 0.46 | |||||
Dorr et al.183 | 2004 | Prospective | CoCr (cemented) | CoCr | 153 | 69.0 | 60.0 | ||
Zirconia (ZrO2) (cemented) | Polyethylene (CPE/UHMWPE) | 148 | 67.0 | 60.0 | |||||
CoCr (uncemented) | CoCr | 158 | 51.0 | 60.0 | |||||
Zirconia (ZrO2) ( uncemented) | Polyethylene (CPE/UHMWPE) | 156 | 52.0 | 60.0 | |||||
Jacobs et al.184 | 2004 | Prospective | CoCr | CoCr | 97 | 53.3 | 0.52 | 46.8 | |
CoCr | Polyethylene (MXLPE) | 74 | 55.7 | 0.33 | 42.0 | ||||
Hopper et al.185 | 2003 | Retrospective | CoCr | Polyethylene (HXLPE) | 78 | 58.7 | 37.2 | ||
CoCr | Polyethylene (CPE/UHMWPE) | 50 | 60.3 | 36.0 | |||||
CoCr | Polyethylene (HXLPE) | 48 | 60.3 | 34.8 | |||||
CoCr | Polyethylene (CPE/UHMWPE) | 50 | 61.0 | 33.6 | |||||
Martell et al.186 | 2003 | RCT | CoCr | Polyethylene (HXLPE) | 24 | 60.0 | 30.6 | 27.6 | |
CoCr | Polyethylene (CPE/UHMWPE) | 22 | 55.0 | 27.6 | 27.6 | ||||
Pabinger et al.187 | 2003 | RCT | CoCr | CoCr | 31 | 0.39 | 24.0 | ||
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 28 | 0.43 | 24.0 | |||||
Taeger et al.188 | 2003 | Prospective | Titanium. diamond-like-carbid (DLC) coated | Polyethylene (CPE/UHMWPE) | 101 | 59.6 | 0.50 | 110.4 | |
Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 101 | 57.0 | 0.63 | 110.4 | ||||
D'Antonio et al.189 | 2002 | Prospective | Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 172 | 53.0 | 0.34 | 35.1 | |
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 177 | 53.0 | 0.36 | 35.2 | ||||
CoCr | Polyethylene (CPE/UHMWPE) | 165 | 53.0 | 0.40 | 33.6 | ||||
Kim et al.190 | 2001 | Prospective | CoCr (22 mm) | Polyethylene (CPE/UHMWPE) | 35 | 39.9 | 0.17 | ||
CoCr (28 mm) | Polyethylene (CPE/UHMWPE) | 35 | 39.9 | 0.17 | |||||
Zirconia (ZrO2) (22 mm) | Polyethylene (CPE/UHMWPE) | 35 | 39.9 | 0.17 | |||||
Zirconia (ZrO2) (28 mm) | Polyethylene (CPE/UHMWPE) | 35 | 39.9 | 0.17 | |||||
Lombardi et al.191 | 2001 | Prospective | CoCr | Polyethylene (CPE/UHMWPE) | 72 | 48.9 | 28.7 | 0.24 | 39.5 |
CoCr | CoCr | 78 | 49.3 | 29.1 | 0.26 | 38.8 | |||
Pitto et al.192 | 2000 | Prospective | Alumina oxide ceramic (Al2O3) | Polyethylene (CPE/UHMWPE) | 25 | 62.0 | 0.67 | 60.0 | |
Alumina oxide ceramic (Al2O3) | Alumina oxide ceramic (Al2O3) | 25 | 60.0 | 0.60 | 60.0 |
