Comparison of revision risks and complication rates between total HIP replacement and HIP resurfacing within the similar age group.

•Currently it is not clear whether age is a factor affecting revisions in total hip replacement (THR) and hip resurfacing (HR).•A systemic review was performed for published literature and local data to compare THR and HR under condition that both groups were age matched.•Twenty-seven literature studies were included along with local data, i.e. 2520 HRs vs 2526 THRs.•Revision risk of HR was significantly higher than THR (risk ratio 1.65, 95% CI 1.28–2.31, p < 0.0001).•In terms of complications, HR had an advantage over THR (risk ratio 0.84, 95% CI 0.73–0.96, p < 0.01).