Revision for dislocation and all-causes following primary total hip replacement using 36-mm versus 32-mm femoral heads on polyethylene liners: a systematic review and meta-analysis

Muhamed M. Farhan-Alanie, Mina Abdul-Hussein, Daniel Gallacher, Prakrit R. Kumar, Rajpreet Sahemey, Peter D. H. Wall, Michael Blankstein · 2025

Read Revision for dislocation and all-causes following primary total hip replacement using 36-mm versus 32-mm femoral heads on polyethylene liners: a systematic review and meta-analysis by Muhamed M. Farhan-Alanie, Mina Abdul-Hussein, Daniel Gallacher, Prakrit R. Kumar, Rajpreet Sahemey, Peter D. H. Wall, Michael Blankstein (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-12705727.txt.

Description

Muhamed Farhan-Alanie and co-authors pooled studies comparing two ball sizes in hip replacement surgery in a 2025 review. A larger ball should, in theory, resist dislocation because it must jump farther to escape. The worry is that it may also wear the plastic liner faster or strain the joint's taper. The team searched major databases and national registries and combined the results statistically.

Four studies and two registry reports were included, with follow up of a few years. The larger heads were linked to a marginal drop in revision surgery for dislocation, with the estimate just crossing the line of no effect. The review also tracked revision for all causes. Sensitivity checks limited to arthritis cases and modern liner types were planned. The study was registered publicly before the work began.

Catalog record

CREATORMuhamed M. Farhan-Alanie, Mina Abdul-Hussein, Daniel Gallacher, Prakrit R. Kumar, Rajpreet Sahemey, Peter D. H. Wall, Michael Blankstein
YEAR2025
COLLECTIONPAPERS
FORMATTXT
FILE SIZE31 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC12705727

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