Hip Resurfacing Arthroplasty (Subscribe)  

On April 17, 2007, 5pm EDT, Wake Forest University Baptist Medical Center surgeons will demonstrate a Birmingham Hip™ Resurfacing procedure on www.OR-Live.com. Approved by the Food and Drug Administration in May 2006, the Birmingham Hip Resurfacing System is designed to remove less of the patient’s bone than traditional hip replacement...

Patients with hip arthrodeses are at risk of developing back pain or pain in other joints in the long term. Conversion to a total hip replacement or hip resurfacing leads to resolution of symptoms in most patients. We report a 40-year-old man who underwent conversion of a hip arthrodesis to...

Osteonecrosis (ON) has been reported in femoral remnants removed after failure of hip resurfacing arthroplasty. Experimental and clinical studies have further described thermal effects of the cementation technique, damage of extraosseous blood vessels, and intraoperative hypoxemia as possible causative factors. We analyzed histologically a series of 123 retrieved specimens with...

Conclusions MoM HRA could be clinically advantageous and cost-effective in younger men and women. Further research on the comparative effectiveness of MoM HRA versus THA should include assessments of the quality of life and resource use in addition to the clinical outcomes associated with both procedures.
Do the potential benefits of metal-on-metal...

Current-generation metal-on-metal hip resurfacing implants (SRAs) have been in widespread global use since the 1990s, and in the United States, specific implants have recently been approved for clinical use. Many recent publications describe short-term survivorship achieved by either implant-designing surgeons or high-volume centers. National joint replacement registries (NJRRs) on the...

A bone-conserving prosthetic solution, such as hip resurfacing arthroplasty, is desirable for patients with osteonecrosis (ON) of the femoral head because of their young age. However, many surgeons are reluctant to perform hip resurfacing for ON because of large femoral head defects. To ascertain whether this reluctance is warranted, we...

Metal-on-metal hip resurfacing is offered as an alternative to traditional THA for the young and active adult with advanced osteoarthritis. However, patients undergoing hip resurfacing may be predisposed to persistent groin pain due to insufficient head/neck offset, an uncovered acetabular component, or both. We therefore determined the incidence of groin...

Conclusion While there are more published studies comparing hip resurfacing with THA than at the time of the CTAF 2007 assessment, all of which suggest equivalent results for resurfacing and THA, some of the same questions that were of concern at that time remain and we reiterate them here: What is...

Resurfacing arthroplasty has become an attractive option for young patients who want to maintain a high activity level. One recent study reported modestly increased activity levels for patients with resurfacing compared to standard total hip arthroplasty (THA). We conducted a prospective randomized clinical trial to compare clinical outcomes of resurfacing...

Patient demand and surgeon interest in hip resurfacing has recently increased, but surgeons in the United States are relatively inexperienced with this procedure. We determined the learning curve associated with hip resurfacing and compared the rate of early complications of the first 650 hip resurfacings between five experienced hip surgeons...

Conclusions After an early drop, the BMD of the upper femur was restored and even exceeded the preoperative level at one year follow-up. From a clinical standpoint, the changes in BMD in these Hip Resurfacing Arthroplasty (HRA) patients could not be explained by stem-neck angle or patient related factors. Key words:...