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What is the Midterm Survivorship and Function After Hip Resurfacing?

  • Symposium: Papers Presented at the 2009 Closed Meeting of the International Hip Society
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Background

Hip resurfacing arthroplasty is a common procedure that improves functional scores and has a reported survivorship between 95% and 98% at 5 years. However, most studies are reported from the pioneering rather than independent centers or have relatively small patient numbers or less than five years followup. Various factors have been implicated in early failure.

Questions/purposes

Our purposes were to determine: (1) the midterm survival of the BHR; (2) the function in patients treated with hip resurfacing; and (3) whether age, gender, BMI, or size of components related to failure.

Methods

We reviewed the first 302 patients (329 hips) on whom we performed resurfacing arthroplasty. We assessed the survivorship, change in functional hip scores (HHS, OHS, WOMAC, UCLA), and analyzed potential risk factors (age, gender, BMI, component size) for failure. The mean age at the time of surgery was 56.0 years (range, 28.2–75.5 years). The minimum followup was 5 years (mean, 6.6 years; range, 5–9.2 years).

Results

Kaplan-Meier analysis showed survival of 96.5% (95% CI, 94.7–98.4) at 9 years taking revision for any cause as the endpoint. All functional hip scores (HHS, OHS, WOMAC, UCLA) improved. Survivorship was higher in men compared with women. The component sizes and body mass index were smaller in the revised group compared with the nonrevised group.

Conclusions

Medium-term survivorship and functional scores of hip resurfacing are comparable to those from the pioneering center. Hip resurfacing remains a good alternative to THA, particularly in the younger male population with relatively large femoral head sizes.

Level of Evidence

Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Acknowledgments

We thank Verna Gilmartin, RN, and Phillipa Hoxha, RN, for their assistance in collecting preoperative hip scores.

Author information

Authors and Affiliations

  1. The London Hip Unit, 30 Devonshire Street, London, W1G 6PU, UK

    Luthfur Rahman MRCS, Sarah K. Muirhead-Allwood FRCS & Muhannad Alkinj MBBS

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  1. Luthfur Rahman MRCS
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  2. Sarah K. Muirhead-Allwood FRCS
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  3. Muhannad Alkinj MBBS
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Corresponding author

Correspondence to Luthfur Rahman MRCS.

Additional information

One of the authors (SKM-A) was paid for consultancy work by Smith & Nephew, DePuy, a Johnson & Johnson Company, and Zimmer.

Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

This work was performed at The London Hip Unit, London, UK.

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Rahman, L., Muirhead-Allwood, S.K. & Alkinj, M. What is the Midterm Survivorship and Function After Hip Resurfacing?. Clin Orthop Relat Res 468, 3221–3227 (2010). https://doi.org/10.1007/s11999-010-1438-x

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  • DOI: https://doi.org/10.1007/s11999-010-1438-x

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