OrthoQB

Evidence library

The trials, meta-analyses and guidelines that shape orthopaedic diagnosis and management, each summarised in one screen: what it asked, what it found, and how it changed practice. Every citation is checked against PubMed.

AllDiagnosisManagementPrognosisPrevention
All topicsShoulderElbowWristHandPeripheral nerveHip (young adult & sports)Hip arthroplastyKnee soft tissue & sportsKnee arthroplastyFoot & ankleSpineUpper limb traumaPelvis & acetabulumLower limb traumaMajor trauma & polytraumaFracture clinic & non-operative carePost-op care & complicationsOperative technique & equipmentInfectionPaediatricsTumoursRheumatology & metabolic boneBasic scienceResearch, statistics & guidelines
How long does a hip replacement lastLancet (London, England) 2019
How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up.
Pooled registry data suggested that just under 60% of hip replacements last 25 years; case series reported higher survival than registries, which are considered less prone to bias.
Systematic review / meta-analysisPrognosisHip arthroplasty
NJR stemmed MoM failureLancet (London, England) 2012
Failure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and Wales.
Stemmed metal-on-metal hips had significantly poorer survival than other bearings, with larger heads failing earlier, whereas larger heads improved survival for ceramic-on-ceramic bearings; younger women with large metal-on-metal heads had particularly high revision rates.
Registry studyPrognosisHip arthroplasty