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Table 4 Metal-on-metal studies included in review.

From: The effectiveness of metal on metal hip resurfacing: a systematic review of the available evidence published before 2002

Study (Study design) Funding source

Prostheses

Mean duration of follow up (range)

Mean patient age (range)

Revision Rate (unless otherwise stated)

Hip Score Pre-operation/Post-operation

Amstutz (2000) [9] Specialist orthopedic hospital, USA. (Observational) Not reported

Cemented, modified McMinn acetabular (7 Hips)

Conserve Plus (29 Hips)

22 months (NR)

40 years (NR)

NR

NR

McMinn (1996) [10] 3 Birmingham Hospitals, UK. (Observational) Not reported

Uncemented, Uncoated (70 Hips)

50.2 months (44–54)a

48.7 years (NR)

8/66 patients = 12.1%

60/66 = 90.9% patients pain free

pain 3.1b/5.3

mobility 3.1b/5.3

walking 3.1b/5.3

 

Uncemented, Hydroxyapetite coating (6 Hips)

40.2 months (38–42)a

 

0/6 patients = 0%

pain 3.0b/5.5

mobility 3.1b/6.0

walking 2.7b/5.7

 

Cemented acetabular (43 Hips)

33.2 months (23–38)a

 

4/39 patients = 10.3%

pain 2.9b/5.4

mobility 3.0b/5.4

walking 3.2b/5.4

 

Cemented acetabular, Hydroxyapetite coating (116 Hips)

8.3 months (1–19)a

 

0/109 patients = 0%

pain 3.0b/5.7

mobility 3.2b/5.7

walking 3.2b/5.7

Schmalzried (1996) [11] Specialist orthopedic hospital, USA. (Observational) Not reported

Cementless Wagner (4 Hips)

Cemented McMinn (17 Hips)

16 months (10–25)

42 years (22–64)a

1/19 patients = 5.3%

pain 4c/9

walking 6c/9

function 6c/9

activity 4cd/7

Wagner (1996) [12] Specialist orthopedic hospital, Germany. (Observational) Not reported

2 Ti pins on cupshell (12 Hips)

Press fit version (23 Hips)

20 months (6–54)

36 years (15–64)a

5/35 patients = 14.3%

32 (5–51)e

d/94 (72–100)ed

Corin Group Ltd, 2001 [18] 4 UK Hospitals, 1 UK clinic, 3 surgeons (Industry submission) Corin Group Ltd

Cormet 2000

21.36 monthsf

50.8 years (26–69)f

Revision Rate CIC

69/97 = 71.1%f

Patients pain free

NR

Midland Medical Technologies Ltd, 2001 [19] Hospitals in Birmingham Southampton Liverpool and Belgium (Industry submission) Midland Medical Technologies Ltd

Birmingham Hip Resurfacing (1761 Patients)

NR

49.2 years (15–86)

8/1382 hips = 0.6%

NR

Wright Cremascoli Ortho Ltd, 2001 [21] (Industry submission) Wright Cremascoli

Conserve Plus (100 Hips)

NR (24–51.6)

NR

3/100 hips = 3%

NR

Oswestry Outcome Centre Database [20] Oswestry Outcome Centre (Unpublished observational data) Oswestry Outcome Centre

McMinn (1378 Hips)

All consultants (4424 Hips)

0–4 years

0–4 years

53.1 (NR)

49.2 (NR)

7/1378 = 0.5%

34/4424 = 0.77%

66.2e/98.1e

61.3e/95.9e

  1. a Median (range)
  2. b Charnley hip score
  3. c UCLA hip score
  4. d Results of groups reported together
  5. e Harris hip score
  6. f Data from 97 patients (110 hips);
  7. CIC – Data marked as "Commercial in confidence" in the industry report
  8. NR – Not Reported