HIP International最新文献

{"title":"Hip preservation for large femoral head articular cartilage defects and irreparable acetabular labral deficiency using fresh osteochondral allograft transplantation and fresh meniscus allograft transplantation.","authors":"Brett D Crist, Wayne Hoskins, James P Stannard, James L Cook","doi":"10.1177/11207000261425923","DOIUrl":"https://doi.org/10.1177/11207000261425923","url":null,"abstract":"<p><strong>Introduction: </strong>Avascular necrosis (AVN), chondrolysis, and or trauma to the femoral head with acetabular labrum involvement leads to predictable end-stage osteoarthritis of the hip. A hip preservation procedure that restores articular integrity and delays osteoarthritis is needed. Osteochondral allograft transplantation (OCAT) is a potential solution but may fail if other intra-articular pathology is not addressed. We describe our detailed surgical technique that addresses femoral head osteochondral lesions and irreparable acetabular labral pathology, through OCAT and fresh meniscus allograft transplantation (MAT) as a follow-up to our previously published clinical series.</p><p><strong>Materials and methods: </strong>The surgical technique described is to address femoral head article cartilage defects >2 cm² (grade III or IV). Via open surgical hip dislocation, fresh OCAT was used to address the femoral head articular cartilage defects and fresh MAT was used for irreparable acetabular labral deficiency. Femoral head OCAT was performed using either cylindrical grafts or custom-cut patient-specific shell grafts preserved with the Missouri Osteochondral Preservation System (MOPS). For acetabular labral reconstruction, standard recipient site preparation was performed. MOPS-preserved medial or lateral meniscus allografts were used based on the recipient labrum's radius of curvature. Suture anchor fixation was used to secure the graft. Labral allograft fixation was performed with the hip reduced from anterior to posterior using the preplaced knotless anchors. A posterior junctional suture was used to fix the graft to the native labrum.</p><p><strong>Conclusions: </strong>A surgical technique combining fresh OCAT and fresh MAT is presented to provide a hip preservation surgery option that addresses femoral head and acetabular labrum pathology to minimise the risk of disease progression.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261425923"},"PeriodicalIF":1.1,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can't stop the slide: factors associated with lag screw slide following cephalomedullary nail fixation of intertrochanteric hip fractures.","authors":"Christopher J Pettit, Carolyn Herbosa, Nina D Fisher, Abhishek Ganta, Steven Rivero, Nirmal C Tejwani, Philipp Leucht, Sanjit Konda, Kenneth A Egol","doi":"10.1177/11207000261426459","DOIUrl":"https://doi.org/10.1177/11207000261426459","url":null,"abstract":"<p><strong>Objective: </strong>To examine factors associated with lag screw slide following fixation of intertrochanteric hip fractures with 1 type of cephalomedullary nail.</p><p><strong>Methods: </strong>Retrospective review of patients operatively treated for intertrochanteric hip fractures (OTA/AO 31A1 and 31A2) with a single cephalomedullary nail (CMN) at a single academic medical centre between November 2014 and November 2023. CMN lag screw was placed in \"dynamic\" mode to allow for controlled collapse, or screw \"slide.\" Screw slide was defined as the difference in lateral prominence of the lag screw at latest follow up compared to its initial position. Patients were grouped based on the amount of screw slide (<5 mm, 5-15 mm, >15 mm) and correlation analysis was performed.</p><p><strong>Results: </strong>614 intertrochanteric hip fracture patients were identified (mean age 80.76 years; 72.3% female) with mean 6.2 months follow-up. Mean amount of slide was 3.77 ± 4.79 mm. 66.3% of patients had <5 mm of slide, while 31.3% had 5-15 mm and 2.4% had >15 mm. Univariate analysis demonstrated that slide >15 mm was associated with increased patient BMI (<i>p</i> = <0.001), use of some anti-osteoporotic medications (<i>p</i> = 0.021) and more than 5 mm of immediate postoperative prominence (<i>p</i> = 0.016). Although not statistically significant, patients with >15 mm of slide were only taking vitamin D and calcium whereas those with <15 mm slide more often took bisphosphonates, denosumab and teriparatide (<i>p</i> = 0.163). Multivariate regression demonstrated that only BMI (OR 1.14, 95% CI, 1.04-1.24; <i>p</i> = 0.002) was associated with >15 mm screw slide.</p><p><strong>Conclusions: </strong>Excessive lag screw slide (>15 mm) was associated with higher patient BMI. Patients with higher BMIs should be monitored to identify excessive slide. Surgeons should attempt to keep the lag screw as close to the lateral cortex as possible. While the use of anti-osteoporotic therapy was associated with more slide, this was almost exclusively seen in patients only prescribed vitamin D and calcium.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261426459"},"PeriodicalIF":1.1,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Favourable outcomes of fast-track hip arthroplasty using the direct superior approach, but no clinically superior postoperative PROMs compared to the posterolateral approach.","authors":"Baukje Dijkstra, Tammo Brouwer, Kim de Jong, Wierd Zijlstra","doi":"10.1177/11207000261426922","DOIUrl":"https://doi.org/10.1177/11207000261426922","url":null,"abstract":"<p><strong>Background: </strong>In comparison to the traditional posterolateral approach (PLA) for total hip arthroplasty (THA), the direct superior approach (DSA) is an alternative, less invasive posterior approach. Its minimally-invasiveness could make the DSA suitable for implementation in fast-track surgery. This study evaluated outcomes of a fast-track protocol including the DSA and compared patient-reported outcome measures (PROMs) to national data of the PLA.</p><p><strong>Methods: </strong>A single-surgeon series of 50 primary THA patients who underwent fast-track DSA surgery with short-acting articaine spinal anaesthesia were retrospectively reviewed. Length of hospital stay (LOS), postoperative in-hospital pain (0-10 NRS rest/activity), patient satisfaction (1-10 NRS), adverse events and PROMs until 1 year post-surgery were collected. Data of 858 matched THAs of the PLA from the Dutch Arthroplasty Register was used for a comparison of PROMs.</p><p><strong>Results: </strong>Median LOS was 2 (range 1-7) days. Overall mean in-hospital pain scores were 1.6 ± 0.9 (rest) and 2.2 ± 0.9 (activity). Patient satisfaction score (only available in <i>n</i> = 10, 20%) was 8.6 ± 1.3 on average. A dislocation occurred in 1 patient. Compared to baseline, all PROMs scores improved after 3 and 12 months of follow-up. PROMs scores of the fast-track DSA group were better than the national PLA averages at each time point, including the baseline assessment. However, between-group differences were small and not significant.</p><p><strong>Conclusions: </strong>Fast-track THA surgery using the DSA and short-acting articaine spinal anaesthesia demonstrated a short LOS, low in-hospital pain scores and few serious complications. Postoperative PROMs scores were good, but not clinically superior to nationwide PLA outcomes.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261426922"},"PeriodicalIF":1.1,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"15-year experience with tapered fluted modular titanium stems in revision hip arthroplasty and complex femoral reconstruction: a long-term survivorship analysis in a tertiary care centre.","authors":"José Antonio Guerrero-Serrano, Alejandro Oliver-Grosso, Claudia Ortega-Romero, José María García-López, José Alberto Moreno-Beamud, Emilio Delgado-Díaz","doi":"10.1177/11207000261427712","DOIUrl":"https://doi.org/10.1177/11207000261427712","url":null,"abstract":"<p><strong>Introduction: </strong>Over the past 2decades, tapered fluted modular titanium stems have gained wide acceptance due to their intraoperative versatility and encouraging early- to mid-term outcomes. This study aims to analyse the clinical and radiographic outcomes, complications, and survivorship of tapered fluted modular titanium stems in revision THA and complex femoral reconstruction with long-term follow-up.</p><p><strong>Materials and methods: </strong>A retrospective study was conducted on patients who underwent revision hip surgery or complex reconstruction using a non-cemented modular tapered fluted stem at a single institution between 2009 and 2016. A total of 47 patients (48 hips) were included. Clinical evaluation was performed using the Harris Hip Score (HHS). Radiographic parameters were used to assess implant stability, osteointegration, subsidence, and stress shielding. Complications were recorded, and implant survivorship was analysed using the Kaplan-Meier method.</p><p><strong>Results: </strong>The mean age was 70 (range 37-95) years, with a mean follow-up of 9 (range 6-15) years. All patients showed functional and pain improvement after surgery, with an average increase of 38 points in the HHS (<i>p</i> < 0.001). Distal osteointegration was observed in 96% of cases, with a significant subsidence rate (>5 mm) of 4%. Stress shielding was present in 8% of cases. A total of 6 reoperations were recorded: 3 (6%) due to recurrent dislocation, 2 (4%) due to septic loosening, and 1 (2%) due to aseptic loosening. Overall implant survivorship was 87.5% for any reoperation, 91.7% for any stem revision, and 100% for stem revision due to mechanical failure of the femoral component.</p><p><strong>Conclusions: </strong>The modular tapered fluted stem proved to be a reliable and durable option in revision total hip arthroplasty and complex femoral reconstruction, with high rates of osteointegration and long-term stability. Its design allows for effective distal fixation and bone reconstruction in patients with severe femoral defects.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261427712"},"PeriodicalIF":1.1,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing posterior, anterior, and direct superior approaches in total hip arthroplasty: a network meta-analysis.","authors":"Francisco Soler, Javier Hernandez, José María Lamo-Espinosa, Ibrahim Khalil, Gonzalo Mariscal","doi":"10.1177/11207000261426222","DOIUrl":"https://doi.org/10.1177/11207000261426222","url":null,"abstract":"<p><strong>Purpose: </strong>To compare functional outcomes and complications between posterior approach (PA), direct anterior approach (DAA), and direct superior approach (DSA) in hip surgery.</p><p><strong>Methods: </strong>PRISMA guidelines and PICOS framework were followed. Databases searched included PubMed, Embase, Scopus, and Cochrane Library. Analysis was performed using Review Manager 5.4 to calculate odds ratios, mean differences, and standard mean differences with 95% CIs.</p><p><strong>Results: </strong>Analysis included 13 studies (972 patients). PA demonstrated significantly shorter surgery time (MD -11.92; 95% CI, -18.48--5.36). No significant differences were found in dislocation (OR 0.98; 95% CI, 0.31-3.07), periprosthetic fracture (OR 1.21; 95% CI 0.36-4.03), deep vein thrombosis (OR 3.06; 95% CI, 0.47-19.76), infection (OR 0.62; 95% CI, 0.16-2.39), or reoperation rates (OR 0.67; 95% CI 0.20-2.28). Hip function at 2-4 weeks favoured DSA over DAA (MD -4.39; 95% CI, -5.60--3.19), but showed no significant differences at 12 months (SMD -0.10; 95% CI -0.31-0.12). Pain showed no significant differences at either 2-4 weeks (MD 0.10; 95% CI -0.96-1.16) or 12 months (MD 0.07; 95% CI, -0.05-0.18).</p><p><strong>Conclusions: </strong>PA showed shorter surgery time, and DSA demonstrated better short-term functional results. No significant differences in complications, pain, or long-term functional results were found between approaches.<b>PROSPERO</b> registration CRD42024592000.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261426222"},"PeriodicalIF":1.1,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147528400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is the prevalence of extra-articular and intra-articular magnetic resonance imaging findings in football players with and without hip and/or groin pain? A cross-sectional study of 166 football players.","authors":"Emma Buckthorpe, Joshua J Heerey, Tom Entwistle, Kay M Crossley, Alex Davies, Matthew G King, Mark J Scholes, Joanne L Kemp","doi":"10.1177/11207000261416847","DOIUrl":"https://doi.org/10.1177/11207000261416847","url":null,"abstract":"<p><strong>Aim: </strong>The primary aim of this study was to describe the prevalence of MRI findings in football players with and without hip and/or groin pain (HGP).</p><p><strong>Methods: </strong>We described the prevalence of extra-articular findings (including gluteal, hamstring, iliopsoas, rectus femoris; pubic) and intra-articular (including labral, cartilage, bone marrow oedema, subchondral and paralabral cysts, ligamentum teres) findings on MRI for 215 eligible hips with HGP (132 participants) and 68 eligible asymptomatic hips (34 participants). Imaging of the hip joint included radiographs and a non-contrast 3.0 Tesla MRI, performed at a single imaging centre.</p><p><strong>Results: </strong>There was no difference between groups for prevalence of any extra-articular or intra-articular findings. Pubic (75-85%), labral (70-78%) and chondral (54-60%) findings were most common. ⅓ of hips demonstrated all 3 findings regardless of symptoms (33.5% in HGP group and 35.5% in control group). 96.7% of HGP participants and 95.6% of control participants had at least 1 finding.</p><p><strong>Conclusions: </strong>Our study found that prevalence of extra- and intra-articular hip MRI findings did not differ between football players with and without HGP. Football players with and without pain were likely to have multiple imaging findings in 1 hip. A thorough history and clinical examination should be used to contextualise any imaging findings.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261416847"},"PeriodicalIF":1.1,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of bone quality on femoral stress distribution after cemented stem insertion: an experimental thermoelastic stress analysis.","authors":"Shota Yasunaga, Ryunosuke Watanabe, Tomofumi Nishino, Tomohiro Yoshizawa, Fumi Hirose, Koshiro Shimasaki, Hajime Mishima, Yoshihisa Harada","doi":"10.1177/11207000261420734","DOIUrl":"https://doi.org/10.1177/11207000261420734","url":null,"abstract":"<p><strong>Purpose: </strong>With an ageing population, the number of total hip arthroplasty (THA) performed in osteoporotic patients is increasing. Cemented stems are often chosen for osteoporotic bone owing to their lower fracture risk. However, how bone quality influences stress distribution after cemented stem insertion remains unclear. This study compared femoral stress distribution between normal and osteoporotic femora using thermoelastic stress analysis (TSA).</p><p><strong>Materials and methods: </strong>6 composite femora were used: 3 normal adult male models (#3403) and 3 osteoporotic models (#3503). C-stem AMT cemented stems were implanted with a standardised technique. TSA was conducted before and after stem insertion under physiological loading (normal: 100-1900 N; osteoporotic: 100-1000 N). Stress distribution was analysed by Gruen zones and compared using linear mixed models.</p><p><strong>Results: </strong>In the normal models, stress uniformly decreased after stem insertion with a distal shift of peak stress. In the osteoporotic models, proximal stress decreased markedly, while distal stress (zones 4L, 4M) increased, demonstrating a more pronounced distal shift.</p><p><strong>Conclusions: </strong>Bone quality strongly affects load transfer after cemented stem insertion. Osteoporotic bone demonstrated proximal stress loss and distal concentration, possibly underlying atypical periprosthetic femoral fractures. TSA provides useful insights for implant design and surgical planning in osteoporotic THA.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261420734"},"PeriodicalIF":1.1,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147480487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally-invasive re-stabilisation of loosened hip implants using percutaneous periprosthetic cement injections: a feasible option to reduce pain in frail patients.","authors":"Kiki Q de Smidt, Shaho Hasan, Perla J Marang-van de Mheen, Demien Broekhuis, Rob Ghh Nelissen","doi":"10.1177/11207000251415370","DOIUrl":"https://doi.org/10.1177/11207000251415370","url":null,"abstract":"<p><strong>Introduction: </strong>Loosening of hip implants causes severe pain and disability. Revision surgery, the standard treatment, carries high risks, especially for frail patients. Therefore, a less-invasive treatment option is needed for patients with incapacitating pain. We evaluated the safety and efficacy of percutaneous periprosthetic cement injection (PPCI) to restabilise loosened hip implants.</p><p><strong>Methods: </strong>All patients treated with PPCIs of hip implants between 2004 and 2020 were retrospectively included (median follow-up 24 months, IQR 11-51). Cement was injected in the periprosthetic space of the loosened hip implant under fluoroscopy. Patient characteristics and the Charlson Comorbidity Index (CCI) were measured. Pain reduction was measured by the Harris Hip pain-subscore and adverse events were recorded.</p><p><strong>Results: </strong>34 patients were included (mean age 83 years, median CCI 6 points). 10 patients had a second PPCI after 12 months (median, IQR 7-27). 2 patients needed revision surgery. 30 patients had pain reduction and 4 had no pain reduction. Adverse events included femoral fissure during needle placement (<i>n</i> = 1) and progressive migration of a loosened acetabular cup (despite the cement injection; <i>n</i> = 2).</p><p><strong>Conclusions: </strong>PPCIs for loosened hip implants is feasible in frail patients with pain reduction in the majority of patients and has limited adverse events.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000251415370"},"PeriodicalIF":1.1,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147480563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tantalum metal cups and augments versus custom-made 3D-printed trabecular titanium implants for Paprosky 3A and 3B acetabular defects: mid-term results.","authors":"Agustin Albani-Forneris, Pablo Ariel Slullitel, Juan Ignacio Perez-Abdala, Nicolas Lucero Viviani, Carlos Lucero, Gerardo Zanotti, Fernando Comba, Martin Alejandro Buttaro","doi":"10.1177/11207000261424377","DOIUrl":"https://doi.org/10.1177/11207000261424377","url":null,"abstract":"<p><strong>Methods: </strong>56 patients with severe acetabular bone defects with or without pelvic discontinuity were included. In the TCA group 31 patients and 25 in the 3D group with a minimum follow-up of 2 years were included. The main indication for revision surgery with acetabular bone defect was aseptic loosening in both groups.</p><p><strong>Results: </strong>The mean follow-up was 57.21 ± 28.81 months. Implant survival rates were 90.32% in the TCA group and 100% in the 3D (<i>P</i> = 0.24). Functional outcomes improved in both groups based on the Merle D'Aubigné & Postel score, with greater improvement in the 3D group (9.24 ± 3.23 vs. 6.55 ± 2.59 points, <i>P</i> = 0.001). Pain levels improved equally in both groups. Surgical time was shorter in the 3D group (108 ± 34.5 vs. 129 ± 43.4 minutes, <i>P</i> = 0.047).There were no significant differences in reoperation rate, transfusion need, hospital stay, or mortality.</p><p><strong>Conclusions: </strong>Tantalum metal cups and augments and custom-made 3D-printed trabecular titanium implants demonstrated an excellent survival rate in the management of severe acetabular bone defects. The group of patients operated on with custom 3D-printed implants had better postoperative functional outcomes and a shorter surgical time.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000261424377"},"PeriodicalIF":1.1,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147389870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Partial 2-stage exchange for chronic periprosthetic joint infection after total hip arthroplasty: a comprehensive meta-analysis.","authors":"José María Lamo-Espinosa, Gonzalo Mariscal, Francisco Soler, Jorge Gómez-Álvarez, Jorge Sevil, Ibrahim Khalil, Elsayed Balbaa, Fernando Corbí, Mikel San-Julián","doi":"10.1177/11207000251406507","DOIUrl":"10.1177/11207000251406507","url":null,"abstract":"<p><strong>Background: </strong>Periprosthetic joint infection (PJI) is a devastating complication of total hip arthroplasty (THA) that has major clinical and financial implications. Despite CDCR being the accepted gold standard for chronic PJI, serious complications, such as extensive bone loss and protracted rehabilitation, have led to the investigation of PTCR as an alternative treatment strategy for chronic PJI.</p><p><strong>Methods: </strong>According to the PICOS framework, a systematic review and meta-analysis were performed to assess the clinical efficacy of partial 2-stage exchange in chronic PJI with a stable femoral component. There were no time or language limits during the search for relevant articles in PubMed, Embase, Scopus, and Cochrane Library databases. Data extraction and quality assessment were performed according to the MINORS criteria by 2 independent reviewers. Statistical analysis, including heterogeneity and sensitivity analyses, was performed using R Studio software with the appropriate meta-analytical packages.</p><p><strong>Results: </strong>13 studies, including 239 patients, were analysed. When the data were pooled, MDCT showed an 88% rate of complete eradication with homogeneity (I² = 0%). Secondary traits included 12% re-operations, 8% deaths, and 1% fractures. Infectious and systemic complications were observed in 13% and 3% of patients, respectively. Implant stability was present in 89% of cases, with significant functional improvement, with a mean Harris Hip Score of 37.77 at the final follow-up. Treatment failure, defined as infection recurrence or the need for chronic antibiotic suppression, was observed in 14% of cases, and sensitivity analysis excluding zero-event studies showed a 17% failure rate.</p><p><strong>Conclusions: </strong>Partial 2-stage exchange results in favorable eradication of infection, may reduce bone stock loss, and optimises functional outcomes. However, concerns remain regarding its efficacy against resistant strains and proper patient selection criteria. Well-designed comparative studies with longer follow-up periods are needed to establish treatment algorithms and confirm long-term clinical results.<b>PROSPERO</b> registration number CRD42024599183.</p>","PeriodicalId":12911,"journal":{"name":"HIP International","volume":" ","pages":"11207000251406507"},"PeriodicalIF":1.1,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147389816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}