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Relationship between use of screws and acetabular cup stability in total hip arthroplasty: a meta-analysis

OBJECTIVE: The relationship between the use of screws and acetabular cup stability in total hip arthroplasty (THA) remains controversial. We evaluated cup stability in THA with and without the use of screws. METHODS: We performed a systematic literature search to identify studies on cup stability re...

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Autores principales: Fei, Chen, Wang, Peng-Fei, Wei, Wei, Qu, Shuang-Wei, Yang, Kun, Li, Zhi, Zhuang, Yan, Zhang, Bin-Fei, Zhang, Kun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7111112/
https://www.ncbi.nlm.nih.gov/pubmed/32054354
http://dx.doi.org/10.1177/0300060520903649
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author Fei, Chen
Wang, Peng-Fei
Wei, Wei
Qu, Shuang-Wei
Yang, Kun
Li, Zhi
Zhuang, Yan
Zhang, Bin-Fei
Zhang, Kun
author_facet Fei, Chen
Wang, Peng-Fei
Wei, Wei
Qu, Shuang-Wei
Yang, Kun
Li, Zhi
Zhuang, Yan
Zhang, Bin-Fei
Zhang, Kun
author_sort Fei, Chen
collection PubMed
description OBJECTIVE: The relationship between the use of screws and acetabular cup stability in total hip arthroplasty (THA) remains controversial. We evaluated cup stability in THA with and without the use of screws. METHODS: We performed a systematic literature search to identify studies on cup stability relative to the use of screws in patients undergoing THA before October 2018. Methodological quality assessment and data collection were performed by two individual reviewers. Meta-analysis was performed using Review Manager version 5.3.5. RESULTS: We included seven trials involving 1402 patients (1469 THAs): 767 patients (809 THAs) with screws and 635 patients (660 THAs) without screws. The findings of meta-analysis indicated that uncemented acetabular component fixation with the use of additional screws was not correlated with migration of the cup, migration on roentgen stereophotogrammetry, or reoperation after THA. Moreover, operation time was not significantly different according to whether screws were used. There was no relationship between use of additional screws and osteoporosis or Harris Hip Score; however, THA with or without the use of screws might be related to bone sclerosis in the C1 region. CONCLUSION: Currently, limited evidence shows that the use of screws during THA may not improve cup stability.
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spelling pubmed-71111122020-04-09 Relationship between use of screws and acetabular cup stability in total hip arthroplasty: a meta-analysis Fei, Chen Wang, Peng-Fei Wei, Wei Qu, Shuang-Wei Yang, Kun Li, Zhi Zhuang, Yan Zhang, Bin-Fei Zhang, Kun J Int Med Res Meta Analysis OBJECTIVE: The relationship between the use of screws and acetabular cup stability in total hip arthroplasty (THA) remains controversial. We evaluated cup stability in THA with and without the use of screws. METHODS: We performed a systematic literature search to identify studies on cup stability relative to the use of screws in patients undergoing THA before October 2018. Methodological quality assessment and data collection were performed by two individual reviewers. Meta-analysis was performed using Review Manager version 5.3.5. RESULTS: We included seven trials involving 1402 patients (1469 THAs): 767 patients (809 THAs) with screws and 635 patients (660 THAs) without screws. The findings of meta-analysis indicated that uncemented acetabular component fixation with the use of additional screws was not correlated with migration of the cup, migration on roentgen stereophotogrammetry, or reoperation after THA. Moreover, operation time was not significantly different according to whether screws were used. There was no relationship between use of additional screws and osteoporosis or Harris Hip Score; however, THA with or without the use of screws might be related to bone sclerosis in the C1 region. CONCLUSION: Currently, limited evidence shows that the use of screws during THA may not improve cup stability. SAGE Publications 2020-02-13 /pmc/articles/PMC7111112/ /pubmed/32054354 http://dx.doi.org/10.1177/0300060520903649 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Meta Analysis
Fei, Chen
Wang, Peng-Fei
Wei, Wei
Qu, Shuang-Wei
Yang, Kun
Li, Zhi
Zhuang, Yan
Zhang, Bin-Fei
Zhang, Kun
Relationship between use of screws and acetabular cup stability in total hip arthroplasty: a meta-analysis
title Relationship between use of screws and acetabular cup stability in total hip arthroplasty: a meta-analysis
title_full Relationship between use of screws and acetabular cup stability in total hip arthroplasty: a meta-analysis
title_fullStr Relationship between use of screws and acetabular cup stability in total hip arthroplasty: a meta-analysis
title_full_unstemmed Relationship between use of screws and acetabular cup stability in total hip arthroplasty: a meta-analysis
title_short Relationship between use of screws and acetabular cup stability in total hip arthroplasty: a meta-analysis
title_sort relationship between use of screws and acetabular cup stability in total hip arthroplasty: a meta-analysis
topic Meta Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7111112/
https://www.ncbi.nlm.nih.gov/pubmed/32054354
http://dx.doi.org/10.1177/0300060520903649
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