Postoperative Deep Infection After Cemented Versus Cementless Total Hip Arthroplasty: A Meta-Analysis

Byung Ho Yoon, Yong Chan Ha, Young Kyun Lee, Kyung Hoi Koo

Research output: Contribution to journalReview articlepeer-review

19 Scopus citations

Abstract

Periprosthetic joint infection (PJI) is a serious complication of total hip arthroplasty (THA). The objective of this meta-analysis was to compare the PJI rate between cemented and cementless THAs. Eight clinical studies (2 randomized controlled trials and 6 observational studies) were available for the analysis. Meta-analysis (with a fixed-effects model) and subgroup analysis were performed by research design and meta-regression was performed by continuous moderator. The overall incidence of PJI was 0.4% (357/84,200). The incidence was 0.5% (310/67,531) in cemented group, and 0.3% (47/16,669) in cementless group (P= 0.008). The meta-analysis revealed that the use of cement in THA was associated with an increased risk of PJI (odds ratio 1.53; 95% confidence interval 1.120 to 2.100; P= 0.008).

Original languageEnglish
Pages (from-to)1823-1827
Number of pages5
JournalJournal of Arthroplasty
Volume30
Issue number10
DOIs
StatePublished - 1 Oct 2015

Keywords

  • Cemented
  • Cementless
  • Infection
  • Meta-analysis
  • Total hip arthroplasty

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