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Conservative total Articular Replacement Arthroplasty: Minimum 20-Year Follow-Up

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Modern Hip Resurfacing

Abstract

Hip joint resurfacing is an attractive concept because it preserves rather than removes the femoral head and neck and may provide better functioning. We report the first long-term follow-up on total hip resurfacing. A total of 445 patients (561 hips) were followed for a minimum of 20 years or until death; only 23 patients were lost to follow-up. Patients received a metal femoral prosthesis with a small curved stem. Three types of acetabular reconstruction were used: (i) cemented polyurethane, (ii) metal on metal, and (iii) polyethylene secured with cement or used as the liner of a two-piece porous-coated implant. Long-term results were favorable with the metal on metal combination only. None of the 121 patients (133 hips) who received a metal on metal articulation experienced failure. The failure rate with polyure-thane was 100%, and the failure rate with cemented polyethylene was 41%. Thus, although hip resurfacing using a metal on metal articulation with a curved-stemmed femoral component is a technically demanding procedure, the prosthesis is durable, and the clinical outcome is generally favorable.

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Authors and Affiliations

  1. Seattle, WA, USA

    James W. Pritchett

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  1. James W. Pritchett
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Editors and Affiliations

  1. The McMinn Centre, Birmingham, UK

    Derek J. W. McMinn FRCS

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© 2009 Springer-Verlag London Limited

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Pritchett, J.W. (2009). Conservative total Articular Replacement Arthroplasty: Minimum 20-Year Follow-Up. In: McMinn, D.J.W. (eds) Modern Hip Resurfacing. Springer, London. https://doi.org/10.1007/978-1-84800-088-9_32

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  • DOI: https://doi.org/10.1007/978-1-84800-088-9_32

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84800-087-2

  • Online ISBN: 978-1-84800-088-9

  • eBook Packages: MedicineMedicine (R0)

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