Table 3.
Summary of surgical technique
| Study | Patients | Approach | Femoral implant | Acetabular implant | Additional requirements | Surgical time (minutes) | Length of stay (days) | Complications | Revisions | Length of follow-up | Blood loss | Transfusion | PROMs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Charrios et al. | 100 | Trans-trochanteric | Cemented | Cemented | None | 119 | - | Not recorded | Not recorded | Not recorded | 945 ml | 100 patients | Not recorded |
| Karayiannis et al. | 49 | Not recorded |
39 Uncemented 10 Cemented |
Uncemented | None | 61.7 | 5.9 (1–34) | Not recorded |
1 × early acetabular loosening and periacetabular fracture (day 10) 1 × infection (day 21) 1 × stem only revision for peri-prosthetic fracture (13.3 years) |
2.3 years (61 days – 12.9 years) | Not recorded |
19 patients (9 patients required 1 unit; 6 patients required 2 units; 2 patients required 3 units; and 2 patients required 4 units.) |
Mean pre-op OHS 7.7 (1–15) (available for 43 patients) Mean post-op OHS 36.6 (6–48) (available for 42 patients at 1 year) |
| Kawai et al. | 17 | Lateral approach with trochanteric osteotomy | Cemented | Cemented |
Kerboull-type acetabular reinforcement devices in all patients Bone grafting in all patients |
Not recorded | – | None | None | 6.3 years (3.6 – 11.8 years) | Not recorded | Not recorded |
Mean pre-op JOA hip score 38.1 (13–62) Mean post-op JOA hip score 84.6 (70–93) (post-op score at last follow-up) |
| Kuo et al. | 8 | Posterolateral |
8 Cemented 1 Uncemented |
Uncemented | 2 × oblong acetabular device | Not recorded | – | 1 loose femoral stem at 12 years | None | 6 years (4 – 12 years) | Not recorded | Not recorded |
Mean post-op HHS 85.7 (at last follow-up) |
| Peters and Doets | 6 |
6 Transgluteal 2 Posterior approach |
Uncemented | Uncemented |
Acetabular roof reconstruction in 1 patient Bone grafting in all patients Acetabular screws 7 hips Oversized cup in 6 hips |
Not recorded | – |
2 patients cystitis 1 patient post-op delirium |
None | 69 months (24 – 104 months) | Not recorded | Not recorded |
Mean pre-op HHS 25.8 Mean post-op HHS 88.3 (Post-op score at last follow-up) |
| Postel and Kerboull | 44 | Posterolateral | Cemented | Cemented | Not recorded | Not recorded | – | 4 loose acetabulum | 1 × acetabular loosening (6 weeks) | 6 months to 3 years | Not recorded | Not recorded | Not recorded |
| Thompson et al. | 34 | Not recorded | Not recorded | Not recorded | Not recorded | 58 | – | Not recorded | None | 18 months (13 – 36 months) | Not recorded |
Yes Mean transfusion requirement of 3.5 units (1—9 units) |
Mean pre-op OHS 50 (36–59) Mean post-op OHS 27 (12–41) (Post-op score at last follow-up) |
| Yuasa et al. | 12 | Posterolateral | Uncemented |
7 Uncemented 5 Cemented |
1 acetabular roof reconstruction | 127 | – | None | None | 9.3 years | 473.9 g (286 g – 780 g) | Not recorded |
Mean pre-op HHS 38.3 Mean post-op HHS 81.1 (Post-op score at last follow-up) |
PROMs – patient reported outcome measures, OHS – Oxford hip score, HHS – Harris hip score, ml – millilitres, g–grams