Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis

ObjectiveThis systematic review and meta-analysis aimed to estimate re-revision rates of retained femoral components after revision of total hip arthroplasty (THA).MethodsPapers were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases with predetermined keywords from Janua...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Hua Li [verfasserIn] Tengfeng Zhuang [verfasserIn] Wenrui Wu [verfasserIn] Wenyi Gan [verfasserIn] Chongjie Wu [verfasserIn] Sijun Peng [verfasserIn] Songwei Huan [verfasserIn] Ning Liu [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	retained femoral component revision total hip arthroplasty systematic review and meta-analysis meta-regression re-revision rate

Übergeordnetes Werk:	In: Frontiers in Surgery - Frontiers Media S.A., 2014, 9(2022)
Übergeordnetes Werk:	volume:9 ; year:2022

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3389/fsurg.2022.988915

Katalog-ID:	DOAJ029392012

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520			\|a ObjectiveThis systematic review and meta-analysis aimed to estimate re-revision rates of retained femoral components after revision of total hip arthroplasty (THA).MethodsPapers were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases with predetermined keywords from January 2000 to January 2022. The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. The cement status of retained stems may influence the survivorship of stems.
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allfields	10.3389/fsurg.2022.988915 doi (DE-627)DOAJ029392012 (DE-599)DOAJ3865acb3e41241a895d7c79dfabe8cca DE-627 ger DE-627 rakwb eng RD1-811 Hua Li verfasserin aut Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveThis systematic review and meta-analysis aimed to estimate re-revision rates of retained femoral components after revision of total hip arthroplasty (THA).MethodsPapers were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases with predetermined keywords from January 2000 to January 2022. The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. The cement status of retained stems may influence the survivorship of stems. retained femoral component revision total hip arthroplasty systematic review and meta-analysis meta-regression re-revision rate Surgery Tengfeng Zhuang verfasserin aut Wenrui Wu verfasserin aut Wenyi Gan verfasserin aut Chongjie Wu verfasserin aut Sijun Peng verfasserin aut Songwei Huan verfasserin aut Ning Liu verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 9(2022) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:9 year:2022 https://doi.org/10.3389/fsurg.2022.988915 kostenfrei https://doaj.org/article/3865acb3e41241a895d7c79dfabe8cca kostenfrei https://www.frontiersin.org/articles/10.3389/fsurg.2022.988915/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
spelling	10.3389/fsurg.2022.988915 doi (DE-627)DOAJ029392012 (DE-599)DOAJ3865acb3e41241a895d7c79dfabe8cca DE-627 ger DE-627 rakwb eng RD1-811 Hua Li verfasserin aut Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveThis systematic review and meta-analysis aimed to estimate re-revision rates of retained femoral components after revision of total hip arthroplasty (THA).MethodsPapers were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases with predetermined keywords from January 2000 to January 2022. The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. The cement status of retained stems may influence the survivorship of stems. retained femoral component revision total hip arthroplasty systematic review and meta-analysis meta-regression re-revision rate Surgery Tengfeng Zhuang verfasserin aut Wenrui Wu verfasserin aut Wenyi Gan verfasserin aut Chongjie Wu verfasserin aut Sijun Peng verfasserin aut Songwei Huan verfasserin aut Ning Liu verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 9(2022) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:9 year:2022 https://doi.org/10.3389/fsurg.2022.988915 kostenfrei https://doaj.org/article/3865acb3e41241a895d7c79dfabe8cca kostenfrei https://www.frontiersin.org/articles/10.3389/fsurg.2022.988915/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
allfields_unstemmed	10.3389/fsurg.2022.988915 doi (DE-627)DOAJ029392012 (DE-599)DOAJ3865acb3e41241a895d7c79dfabe8cca DE-627 ger DE-627 rakwb eng RD1-811 Hua Li verfasserin aut Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveThis systematic review and meta-analysis aimed to estimate re-revision rates of retained femoral components after revision of total hip arthroplasty (THA).MethodsPapers were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases with predetermined keywords from January 2000 to January 2022. The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. The cement status of retained stems may influence the survivorship of stems. retained femoral component revision total hip arthroplasty systematic review and meta-analysis meta-regression re-revision rate Surgery Tengfeng Zhuang verfasserin aut Wenrui Wu verfasserin aut Wenyi Gan verfasserin aut Chongjie Wu verfasserin aut Sijun Peng verfasserin aut Songwei Huan verfasserin aut Ning Liu verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 9(2022) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:9 year:2022 https://doi.org/10.3389/fsurg.2022.988915 kostenfrei https://doaj.org/article/3865acb3e41241a895d7c79dfabe8cca kostenfrei https://www.frontiersin.org/articles/10.3389/fsurg.2022.988915/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
allfieldsGer	10.3389/fsurg.2022.988915 doi (DE-627)DOAJ029392012 (DE-599)DOAJ3865acb3e41241a895d7c79dfabe8cca DE-627 ger DE-627 rakwb eng RD1-811 Hua Li verfasserin aut Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveThis systematic review and meta-analysis aimed to estimate re-revision rates of retained femoral components after revision of total hip arthroplasty (THA).MethodsPapers were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases with predetermined keywords from January 2000 to January 2022. The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. The cement status of retained stems may influence the survivorship of stems. retained femoral component revision total hip arthroplasty systematic review and meta-analysis meta-regression re-revision rate Surgery Tengfeng Zhuang verfasserin aut Wenrui Wu verfasserin aut Wenyi Gan verfasserin aut Chongjie Wu verfasserin aut Sijun Peng verfasserin aut Songwei Huan verfasserin aut Ning Liu verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 9(2022) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:9 year:2022 https://doi.org/10.3389/fsurg.2022.988915 kostenfrei https://doaj.org/article/3865acb3e41241a895d7c79dfabe8cca kostenfrei https://www.frontiersin.org/articles/10.3389/fsurg.2022.988915/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
allfieldsSound	10.3389/fsurg.2022.988915 doi (DE-627)DOAJ029392012 (DE-599)DOAJ3865acb3e41241a895d7c79dfabe8cca DE-627 ger DE-627 rakwb eng RD1-811 Hua Li verfasserin aut Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveThis systematic review and meta-analysis aimed to estimate re-revision rates of retained femoral components after revision of total hip arthroplasty (THA).MethodsPapers were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases with predetermined keywords from January 2000 to January 2022. The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. The cement status of retained stems may influence the survivorship of stems. retained femoral component revision total hip arthroplasty systematic review and meta-analysis meta-regression re-revision rate Surgery Tengfeng Zhuang verfasserin aut Wenrui Wu verfasserin aut Wenyi Gan verfasserin aut Chongjie Wu verfasserin aut Sijun Peng verfasserin aut Songwei Huan verfasserin aut Ning Liu verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 9(2022) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:9 year:2022 https://doi.org/10.3389/fsurg.2022.988915 kostenfrei https://doaj.org/article/3865acb3e41241a895d7c79dfabe8cca kostenfrei https://www.frontiersin.org/articles/10.3389/fsurg.2022.988915/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
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The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. 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callnumber-first	R - Medicine
author	Hua Li
spellingShingle	Hua Li misc RD1-811 misc retained femoral component misc revision total hip arthroplasty misc systematic review and meta-analysis misc meta-regression misc re-revision rate misc Surgery Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis
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topic_title	RD1-811 Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis retained femoral component revision total hip arthroplasty systematic review and meta-analysis meta-regression re-revision rate
topic	misc RD1-811 misc retained femoral component misc revision total hip arthroplasty misc systematic review and meta-analysis misc meta-regression misc re-revision rate misc Surgery
topic_unstemmed	misc RD1-811 misc retained femoral component misc revision total hip arthroplasty misc systematic review and meta-analysis misc meta-regression misc re-revision rate misc Surgery
topic_browse	misc RD1-811 misc retained femoral component misc revision total hip arthroplasty misc systematic review and meta-analysis misc meta-regression misc re-revision rate misc Surgery
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title	Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis
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title_full	Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis
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journal	Frontiers in Surgery
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author_browse	Hua Li Tengfeng Zhuang Wenrui Wu Wenyi Gan Chongjie Wu Sijun Peng Songwei Huan Ning Liu
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doi_str_mv	10.3389/fsurg.2022.988915
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title_sort	survivorship of the retained femoral component after revision total hip arthroplasty: a systematic review and meta-analysis
callnumber	RD1-811
title_auth	Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis
abstract	ObjectiveThis systematic review and meta-analysis aimed to estimate re-revision rates of retained femoral components after revision of total hip arthroplasty (THA).MethodsPapers were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases with predetermined keywords from January 2000 to January 2022. The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. The cement status of retained stems may influence the survivorship of stems.
abstractGer	ObjectiveThis systematic review and meta-analysis aimed to estimate re-revision rates of retained femoral components after revision of total hip arthroplasty (THA).MethodsPapers were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases with predetermined keywords from January 2000 to January 2022. The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. The cement status of retained stems may influence the survivorship of stems.
abstract_unstemmed	ObjectiveThis systematic review and meta-analysis aimed to estimate re-revision rates of retained femoral components after revision of total hip arthroplasty (THA).MethodsPapers were searched in the PubMed, Embase, Web of Science, and Cochrane Library databases with predetermined keywords from January 2000 to January 2022. The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. The cement status of retained stems may influence the survivorship of stems.
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title_short	Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis
url	https://doi.org/10.3389/fsurg.2022.988915 https://doaj.org/article/3865acb3e41241a895d7c79dfabe8cca https://www.frontiersin.org/articles/10.3389/fsurg.2022.988915/full https://doaj.org/toc/2296-875X
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author2	Tengfeng Zhuang Wenrui Wu Wenyi Gan Chongjie Wu Sijun Peng Songwei Huan Ning Liu
author2Str	Tengfeng Zhuang Wenrui Wu Wenyi Gan Chongjie Wu Sijun Peng Songwei Huan Ning Liu
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up_date	2024-07-03T22:39:43.909Z
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The studies reporting the re-revision rates of retained stems after revision THA were identified. Pooled rates of re-revision for any reason and aseptic loosening were calculated using a random-effects model or a fixed-effects model based on the results of heterogeneity assessment after the Freeman–Tukey double-arcsine transformation. A meta-regression was performed to explore potential sources of heterogeneity.ResultsThere were 20 studies with 1,484 hips that received the isolated cup revision with the femoral component retained. The pooled re-revision rate of retained stems was 1.75% [95% confidence interval (CI) 0.43%–3.65%]. The re-revision rate of retained stems due to aseptic loosening was 0.62% (95% CI, 0.06%–1.55%). The meta-regression showed that the fixation type (cemented or cementless) was related to the re-revision rate for any reason and the re-revision rate for aseptic loosening.ConclusionBased on the existing evidence, the isolated cup revision with a stable stem in situ yields low re-revision rates. 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Survivorship of the retained femoral component after revision total hip arthroplasty: A systematic review and meta-analysis

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