Hip resurfacing arthroplasty: favorable initial results in selected patients
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Published:
Dec 28, 2013
Keywords:
Hip resurfacing, Total hip arthroplasty
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Abstract
BackgroundThe purpose of this study was to analyze the initial clinical and radiological results of a consecutive series of selected patients treated in our institution with the same design of resurfacing total hip arthroplasty. We also compared the rate of initial revision surgery with a similar age group who underwent a non-cemented total hip arthroplasty with hard bearings.MethodsBetween November 2006 and July 2009, 49 Durom hip resurfacing were performed at our institution in 47 consecutive patients (2 staged bilateral). All patients were men with osteoarthritis; median age 44.5 years old (range 21 to 55). The resurfacing procedure was indicated in young or very active patients with high sports expectation after surgery and following the Schmalzried radiological selection criteria. We performed a clinical and a meticulous digital radiographic analysis in all patients.ResultsPostoperative Merle D’Aubigné-Postel score averaged 17.3 points at 43 months of follow-up (range 24 to 62 months). 85% of the patients performed sports activities with an averaged UCLA test 9.5 (range 8-10). One patient (2.04%) underwent a revision femoral component at 15 months of follow-up due to late, non-traumatic femoral neck fracture. The rate of revision in both groups was similar (p = 0.55).ConclusionsFavorable initial clinical and radiological results can be achieved with the use of hip resurfacing system in properly selected young active patients.
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Comba, F. M., Zanotti, G., Buttaro, M., & Piccaluga, F. (2013). Hip resurfacing arthroplasty: favorable initial results in selected patients. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 78(4), 184-189. https://doi.org/10.15417/159
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Clinical Research
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References
1. Malchau H, Herberts P, Eisler T, Garellick G, Soderman P. The Swedish Total Hip Replacement Register. J Bone Joint Surg Am 2002;84(Suppl 2):2-20.
2. Amstutz HC, Grigoris P, Dorey FJ. Evolution and future of surface replacement of the hip. J Orthop Sci 1998;3(3):169-86.
3. McMinn D, Treacy R, Lin K, Pynsent P. Metal on metal surface replacement of the hip. Experience of the McMinn prothesis. Clin Orthop Relat Res 1996;(329 Suppl):S89-98.
4. Kishida Y, Sugano N, Nishii T, Miki H, Yamaguchi K, Yoshikawa H. Preservation of the bone mineral density of the femur after surface replacement of the hip. J Bone Joint Surg Br 2004;86(2):185-9.
5. Migaud H, Jobin A, Chantelot C, Giraud F, Laffargue P, Duquennoy A. Cementless metal-on-metal hip arthroplasty in patients less than 50 years of age: comparison with a matched control group using ceramic-on-polyethylene after a minimum 5-year follow-up. J Arthroplasty 2004;19(8 Suppl 3):23-8.
6. Burroughs BR, Hallstrom B, Golladay GJ, Hoeffel D, Harris WH. Range of motion and stability in total hip arthroplasty with 28-, 32-, 38-, and 44-mm femoral head sizes. J Arthroplasty 2005;20(1):11-9.
7. Amstutz HC, Beaule PE, Dorey FJ, Le Duff MJ, Campbell PA, Gruen TA. Metal-on-metal hybrid surface arthroplasty: two to six-year follow-up study. J Bone Joint Surg Am 2004;86(1):28-39.
8. Back DL, Dalziel R, Young D, Shimmin A. Early results of primary Birmingham hip resurfacings. An independent prospective study of the first 230 hips. J Bone Joint Surg Br 2005;87(3):324-9.
9. Daniel J, Pynsent PB, McMinn DJ. Metal-on-metal resurfacing of the hip in patients under the age of 55 years with osteoarthritis. J Bone Joint Surg Br 2004;86(2):177-84.
10. Grigoris P, Roberts P, Panousis K. The development of the DuromTM metal-on-metal hip resurfacing. Hip Int 2006;16 (Suppl 4):65-72.
11. Treacy RB, McBryde CW, Pynsent PB. Birmingham hip resurfacing arthroplasty. A minimum follow-up of five years. J Bone Joint Surg Br 2005;87(2):167-70.
12. Schmalzried TP, Silva M, de la Rosa MA, Choi ES, Fowble VA. Optimizing patient selection and outcomes with total hip resurfacing. Clin Orthop Relat Res 2005;441:200-4.
13. Gonzalez Della Valle A, Slullitel G, Piccaluga F, Salvati EA. The precision and usefulness of preoperative planning for cemented and hybrid primary total hip arthroplasty. J Arthroplasty 2005;20(1):51-8.
14. D’Aubigne RM, Postel M. Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am 1954;36(3):451-75.
15. Amstutz HC, Thomas BJ, Jinnah R, Kim W, Grogan T, Yale C. Treatment of primary osteoarthritis of the hip. A comparison of total joint and surface replacement arthroplasty. J Bone Joint Surg Am 984;66(2):228-41.
16. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 1976;(121):20-32.
17. Mabilleau G, Kwon YM, Pandit H, Murray DW, Sabokbar A. Metal-on-metal hip resurfacing arthroplasty: a review of periprosthetic biological reactions. Acta Orthop 2008;79(6):734-47.
18. Shimmin AJ, Back D. Femoral neck fractures following Birmingham hip resurfacing: a national review of 50 cases. J Bone Joint Surg Br 2005;87(4):463-4.
19. Mont MA, Ragland PS, Etienne G, Seyler TM, Schmalzried TP. Hip resurfacing arthroplasty. J Am Acad Orthop Surg 2006;14(8):454-63.
20. Delaunay C, Petit I, Learmonth ID, Oger P, Vendittoli PA. Metal-on-metal bearings total hip arthroplasty: the cobalt and chromium ions release concern. Orthop Traumatol Surg Res 2010;96(8):894-904.
21. Kwon YM, Ostlere SJ, McLardy-Smith P, Athanasou NA, Gill HS, Murray DW. “Asymptomatic” pseudotumors after metalon-metal hip resurfacing arthroplasty prevalence and metal ion study. J Arthroplasty 2011;26(4):511-8.
22. Smith AJ, Dieppe P, Vernon K, Porter M, Blom AW. Failure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and Wales. Lancet 012;379(9822):1199-204.
2. Amstutz HC, Grigoris P, Dorey FJ. Evolution and future of surface replacement of the hip. J Orthop Sci 1998;3(3):169-86.
3. McMinn D, Treacy R, Lin K, Pynsent P. Metal on metal surface replacement of the hip. Experience of the McMinn prothesis. Clin Orthop Relat Res 1996;(329 Suppl):S89-98.
4. Kishida Y, Sugano N, Nishii T, Miki H, Yamaguchi K, Yoshikawa H. Preservation of the bone mineral density of the femur after surface replacement of the hip. J Bone Joint Surg Br 2004;86(2):185-9.
5. Migaud H, Jobin A, Chantelot C, Giraud F, Laffargue P, Duquennoy A. Cementless metal-on-metal hip arthroplasty in patients less than 50 years of age: comparison with a matched control group using ceramic-on-polyethylene after a minimum 5-year follow-up. J Arthroplasty 2004;19(8 Suppl 3):23-8.
6. Burroughs BR, Hallstrom B, Golladay GJ, Hoeffel D, Harris WH. Range of motion and stability in total hip arthroplasty with 28-, 32-, 38-, and 44-mm femoral head sizes. J Arthroplasty 2005;20(1):11-9.
7. Amstutz HC, Beaule PE, Dorey FJ, Le Duff MJ, Campbell PA, Gruen TA. Metal-on-metal hybrid surface arthroplasty: two to six-year follow-up study. J Bone Joint Surg Am 2004;86(1):28-39.
8. Back DL, Dalziel R, Young D, Shimmin A. Early results of primary Birmingham hip resurfacings. An independent prospective study of the first 230 hips. J Bone Joint Surg Br 2005;87(3):324-9.
9. Daniel J, Pynsent PB, McMinn DJ. Metal-on-metal resurfacing of the hip in patients under the age of 55 years with osteoarthritis. J Bone Joint Surg Br 2004;86(2):177-84.
10. Grigoris P, Roberts P, Panousis K. The development of the DuromTM metal-on-metal hip resurfacing. Hip Int 2006;16 (Suppl 4):65-72.
11. Treacy RB, McBryde CW, Pynsent PB. Birmingham hip resurfacing arthroplasty. A minimum follow-up of five years. J Bone Joint Surg Br 2005;87(2):167-70.
12. Schmalzried TP, Silva M, de la Rosa MA, Choi ES, Fowble VA. Optimizing patient selection and outcomes with total hip resurfacing. Clin Orthop Relat Res 2005;441:200-4.
13. Gonzalez Della Valle A, Slullitel G, Piccaluga F, Salvati EA. The precision and usefulness of preoperative planning for cemented and hybrid primary total hip arthroplasty. J Arthroplasty 2005;20(1):51-8.
14. D’Aubigne RM, Postel M. Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am 1954;36(3):451-75.
15. Amstutz HC, Thomas BJ, Jinnah R, Kim W, Grogan T, Yale C. Treatment of primary osteoarthritis of the hip. A comparison of total joint and surface replacement arthroplasty. J Bone Joint Surg Am 984;66(2):228-41.
16. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 1976;(121):20-32.
17. Mabilleau G, Kwon YM, Pandit H, Murray DW, Sabokbar A. Metal-on-metal hip resurfacing arthroplasty: a review of periprosthetic biological reactions. Acta Orthop 2008;79(6):734-47.
18. Shimmin AJ, Back D. Femoral neck fractures following Birmingham hip resurfacing: a national review of 50 cases. J Bone Joint Surg Br 2005;87(4):463-4.
19. Mont MA, Ragland PS, Etienne G, Seyler TM, Schmalzried TP. Hip resurfacing arthroplasty. J Am Acad Orthop Surg 2006;14(8):454-63.
20. Delaunay C, Petit I, Learmonth ID, Oger P, Vendittoli PA. Metal-on-metal bearings total hip arthroplasty: the cobalt and chromium ions release concern. Orthop Traumatol Surg Res 2010;96(8):894-904.
21. Kwon YM, Ostlere SJ, McLardy-Smith P, Athanasou NA, Gill HS, Murray DW. “Asymptomatic” pseudotumors after metalon-metal hip resurfacing arthroplasty prevalence and metal ion study. J Arthroplasty 2011;26(4):511-8.
22. Smith AJ, Dieppe P, Vernon K, Porter M, Blom AW. Failure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and Wales. Lancet 012;379(9822):1199-204.