Hueter Anterior Approach for Metal-on-Metal Hip Resurfacing Arthroplasty: 555 Cases at a Minimum Five-Year Follow-Up

Suraci, Alison B.; Bhullar, Ramandeep Singh; Dobransky, Johanna; Beaulé, Paul E.

doi:10.1016/j.arth.2021.04.023

Cited by 5 publications

(6 citation statements)

References 43 publications

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“…The posterior approach is the most commonly used for total hips and hip resurfacing, however in the last decade, the anterior approach has provided as high a level of quality of care for patients requiring joint replacement surgery. 20,21 We have previously reported our overall experience with the HAA for hip resurfacing: excellent survivorship of 95.0% at 5 years and 92.5% at 10 years, 6 with females demonstrating high failure rates due to aseptic loosening and pseudotumour/ALTR. 22,23 One of the key challenges in revision hip surgery is having adequate bone stock for implant fixation.…”

Section: Discussionmentioning

confidence: 98%

“…4,5 The Hueteranterior approach (HAA) with its limited soft tissue and internervous dissection has been shown to be a reasonable alternative to more extensile approaches when performed for HRA. 6 In addition, anterior approaches have been advocated by some authors for advantages in revision total patients. 10 Although ease of revision is one of the proposed advantages of hip resurfacing, clinical studies of revised HRA have shown variable outcomes tied with the indication for revision.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 The Hueter-anterior approach (HAA) with its limited soft tissue and internervous dissection has been shown to be a reasonable alternative to more extensile approaches when performed for HRA. 6 In addition, anterior approaches have been advocated by some authors for advantages in revision total hip arthroplasty (THA) in addition to provide faster recovery and less postoperative pain. 6–9…”

Section: Introductionmentioning

confidence: 99%

“…

Internationalhip arthroplasty (THA) in addition to provide faster recovery and less postoperative pain. [6][7][8][9] Registry data suggest an increasing number of primary and revision arthroplasties being performed in younger

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confidence: 99%

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Outcome of hip resurfacing revision through the Hueter-anterior approach

Ricard,

Ardell,

Laboudie

et al. 2023

HIP International

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Background: The Hueter-Anterior Approach (HAA) with its limited soft tissue and internervous dissection has been shown to be an effective approach for primary total hip and hip resurfacing arthroplasty (HRA). The purpose of this study is to evaluate the clinical outcome of patients requiring revision of HRA to total hip replacement using the HAA, assessing function and complications. Methods: We performed a retrospective review of a prospectively maintained research database. Between 2006 and 2015, 555 primary metal-on-metal (MoM) HRAs were performed via the HAA; we identified 33 hips in 30 patients that required revisions for aseptic causes to THA: aseptic loosening of acetabulum in 12 and femoral in 7, 10 for pseudotumour/ALTR, 4 for femoral neck fracture. All revision surgeries were performed through a HAA by a single surgeon who had also performed the index operation. PROMs were collected preoperatively and yearly at various timepoints postoperatively. Results: The mean age at time of revision was 48.9 years (±5.3 SD) for 22 males (67%) and 11 females (33%). The mean time to revision surgery/failure of hip resurfacing was 3.3 years (±2.4 SD). There were 5 major reoperations with 3 infections, 1 acetabular loosening and 1 trunnionosis. There were significant improvements in multiple PROMs. Conclusions: The HAA is a viable surgical approach for revision of HRA with smaller initial HRA acetabular components generally requiring a relatively larger acetabular compoent at time of revision. Patients reported improvement in symptoms and function and a lower risk of subsequent reoperation than what has previously been reported for failed MoM bearings.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…

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mentioning

confidence: 99%

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Outcome of hip resurfacing revision through the Hueter-anterior approach

Ricard,

Ardell,

Laboudie

et al. 2023

HIP International

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“…Besides, regarding the safety of the two procedures, THA was associated with higher mortality rates, compared to HRA [ 11 , 12 ]. Overall, the main advantages of HRA were with regards to reproduction of natural joint biomechanics, conservation of femoral bone stock, meeting the functional demands and the option for future THA [ 6 , 13 ]. However, the higher incidences of long-term complications after HRA have limited its clinical applications [ 2 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Comparisons of in-hospital complications between total hip arthroplasty and hip resurfacing arthroplasty

Huang

Yang

Wang

et al. 2023

BMC Musculoskelet Disord

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Background Hip resurfacing arthroplasty (HRA) is a less common but effective alternative method to total hip arthroplasty (THA) for hip reconstruction. In this study, we investigated the incidences of in-hospital complications between patients who had been subjected to THA and HRA. Methods The National Inpatient Sample data that had been recorded from 2005 to 2014 was used in this study. Based on the International Classification of Disease, Ninth Revision, Clinical Modification, patients who underwent THA or HRA were included. Data on demographics, preoperative comorbidities, length of hospital stay, total charges, and in-hospital mortality and complications were compared. Multiple logistic regression analysis was used to determine whether different surgical options are independent risk factors for postoperative complications. Results A total of 537,506 THAs and 9,744 HRAs were obtained from the NIS database. Patients who had been subjected to HRA exhibited less preoperative comorbidity rates, shorter length of stay and extra hospital charges. Moreover, HRA was associated with more in-hospital prosthesis loosening. Notably, patients who underwent HRA were younger and presented less preoperative comorbidities but did not show lower incidences in most complications. Conclusions The popularity of HRA gradually reduced from the year 2005 to 2014. Patients who underwent HRA were more likely to be younger, male, have less comorbidities and spend more money on medical costs. The risk of in-hospital prosthesis loosening after HRA was higher. The HRA-associated advantages with regards to most in-hospital complications were not markedly different from those of THA. In-hospital complications of HRA deserve more attention from surgeons.

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