A prospective comparative study of hip resurfacing arthroplasty and large-diameter head metal-on-metal total hip arthroplasty in younger patients—a minimum of five year follow-up

Tao, Ran; Liu, Fan; Liu, Yake; Lu, Yue; Xu, Hui; Cao, Yi; Zhou, Zhenyu; Wang, Wei

doi:10.1007/s00264-018-3819-9

Cited by 12 publications

(9 citation statements)

References 25 publications

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“…Peri-operative parameters showed a tendency to favor THA over RHA in some studies. In fact, significantly lower operative time was reported in four series of patients [ 25 , 26 , 27 , 28 ] and significantly shorter incision length in two series of patients [ 25 , 29 ] in favor of THA. No paper found a statistically significant difference in terms of blood loss, even if a trend of lower values in RHA was reported in three series of patients [ 25 , 26 , 28 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Resurfacing Hip Arthroplasty Is a Safe and Effective Alternative to Total Hip Arthroplasty in Young Patients: A Systematic Review and Meta-Analysis

Palazzuolo¹,

Bensa²,

Bauer

et al. 2023

JCM

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This systematic review and meta-analysis of randomized controlled trials (RCTs) aimed at comparing resurfacing hip arthroplasty (RHA) and total hip arthroplasty (THA) in terms of rate of complications, revisions, functional outcomes, blood loss, operative time and metal ions levels. The search was conducted on three databases (PubMed, Cochrane and Web of Science) updated until 13 October 2022. The inclusion criteria were RCTs) written in the English language, with no time limitation, comparing RHA and THA. Among the retrieved 4748 articles, 18 RCTs were eligible for a total of 776 patients (mean age 53.1 ± 5.0). A meta-analysis was performed. RHA reported significantly lower blood loss compared to THA (p < 0.001) but with longer operative time (p < 0.001). No statistically significant difference was found between RHA and THA in terms of complications (12.08% and 16.24%, respectively) and revisions (6.32% and 6.14%, respectively). Both RHA and THA provide excellent clinical results in a population of young and active patients. Functional outcomes were not significantly different between the groups. Moreover, no significant difference in metal ion levels was found. These findings provide evidence concerning the safety and clinical effectiveness of RHA. Because of its bone-preserving properties, the lack of drawbacks and good outcomes, RHA appears to be a valid alternative to THA in young and active patients.

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Section: Resultsmentioning

confidence: 99%

“… Correspondence between the 18 articles retrieved and the 9 series of patients treated [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ]. …”

Section: Figurementioning

confidence: 99%

Resurfacing Hip Arthroplasty Is a Safe and Effective Alternative to Total Hip Arthroplasty in Young Patients: A Systematic Review and Meta-Analysis

Palazzuolo¹,

Bensa²,

Bauer

et al. 2023

JCM

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“…37 Patient-related risk factors must be evaluated and considered preoperatively, intraoperatively and postoperatively. 9 There is evidence that age is an independent risk factor for dislocation but evidence of this is still controversial. 38 Advanced age (>75 years) is related to decline in muscular tone, inability to follow postoperative protocols and higher incidence of cognitive problems which have been linked to increased dislocation rates.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7][8] In LDH MoM THAs, hip dislocation rates have been found to be very low (< 1%) or even non-existent. 1,9…”

Section: Introductionmentioning

confidence: 99%

Dislocation of large-diameter head metal-on-metal total hip arthroplasty and hip resurfacing arthroplasty

et al. 2018

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“…Therefore, total hip resurfacing arthroplasty (THRA) has been developed for younger and more active patients, especially for proximal femoral bone stock preservation [5]. It has the advantage of preserving the bone stock and restoration of the native anatomy [6]. However, several studies have shown that early postoperative femoral neck fracture occurred and was related to improper surgical operations and femoral prosthesis implantations which influenced the biomechanic characteristic of the hip [7,8].…”

Section: Introductionmentioning

confidence: 99%

Design of custom-made navigational template of femoral head and pilot research in total hip resurfacing arthroplasty

Liang¹,

Zhao²,

Gao

et al. 2020

BMC Surg

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Background: To develop a novel custom-made navigational template for accurate prosthesis implantation in total hip resurfacing arthroplasty (THRA) by computer-aided technology. Methods: The template was produced based on data preoperatively acquired from computed tomography (CT) scan. The position of the drill guide was obtained according to the anatomical axis of the femoral neck which was defined by the point of the femoral head center and another point of the femoral neck center. The final direction of the drill guide was confirmed by a valgus angle. The surface of the template was constructed based on the inverse of the femoral neck surface. Then the template was made of acrylate resin by using rapid prototyping (RP) technique. Finally, all the templates were verified in 17 cadavers arranged for THRA and postoperative medical images were employed to evaluate the accuracy and validity of the template. Results: The templates had achieved a high fitting with the femoral neck surface, and there were no guide failures. Postoperative evaluation revealed that the Kirschner-wires pass through the center of the femoral head and femoral neck, presenting a relative expected and acceptable valgus angle to the central axis of the femoral neck. The lateral offset showed the relative valgus angle achieved as expected, the horizontal offset showed that no obvious anteroposterior deviation occured. The comparison between the preoperative Neck-shaft angle (NSA) and the postoperative Stem-shaft angle (SSA) showed there is no significant difference(P > 0.05). Conclusion: The novel custom-made navigational template of femoral head can effectively assist surgeons for accurately implanting the femoral head components to the desired position in THRA.

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A prospective comparative study of hip resurfacing arthroplasty and large-diameter head metal-on-metal total hip arthroplasty in younger patients—a minimum of five year follow-up

Abstract: Comparison of HRA and LDH MoM THA shows similar mid-term clinical results. HRA may be preferable due to the well-preserved bone stock and restoration of the native anatomy. LDH MoM THA may be used with caution due to the excessive metal ion release.

Cited by 12 publications

References 25 publications

Resurfacing Hip Arthroplasty Is a Safe and Effective Alternative to Total Hip Arthroplasty in Young Patients: A Systematic Review and Meta-Analysis

Resurfacing Hip Arthroplasty Is a Safe and Effective Alternative to Total Hip Arthroplasty in Young Patients: A Systematic Review and Meta-Analysis

Dislocation of large-diameter head metal-on-metal total hip arthroplasty and hip resurfacing arthroplasty

Design of custom-made navigational template of femoral head and pilot research in total hip resurfacing arthroplasty

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