Long-term results of cemented total hip arthroplasty in patients 45 years old or younger

Dorr, Lawrence D.; Kane, Thomas J; Conaty, J. Pierce

doi:10.1016/0883-5403(94)90090-6

Cited by 210 publications

(94 citation statements)

References 10 publications

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“…These results from an independent single-surgeon series are similar to other published studies (Table 3). The results presented here compare well with those of THA, particularly in the younger population [7,15,24,28,34], although the etiology, the indications and patient demographic data may be different between patients in hip resurfacing arthroplasty and those in THA. There is also a potential advantage of conservation of proximal femoral bone when compared with THA, although further comparative studies are required to elucidate the benefits.…”

Section: Discussionsupporting

confidence: 66%

“…Over the last decade, hip resurfacing has become an increasingly common option, predominantly for younger patients with greater physical demand particularly because the revision rates of conventional THA in younger patients are generally higher, ranging from 12% to 67% at 4.5 to 16.2 years [7,15,24,28,34]. However, Marker et al [35] reported similar functional hip scores and radiographic assessment in a recent review of the literature comparing hip resurfacing with THA, although a number of studies included in the review did show better clinical outcomes after hip resurfacing [35].…”

Section: Introductionmentioning

confidence: 99%

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What is the Midterm Survivorship and Function After Hip Resurfacing?

Rahman¹,

Muirhead-Allwood²,

Alkinj³

2010

Clinical Orthopaedics &Amp; Related Research

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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

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Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

What is the Midterm Survivorship and Function After Hip Resurfacing?

Rahman¹,

Muirhead-Allwood²,

Alkinj³

2010

Clinical Orthopaedics &Amp; Related Research

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show abstract

“…In all these studies, the mean revision rate was significant at 27.4 % (13-43) with a mean follow-up of 10.6 years (5. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. All authors highlighted the greater risk of revision compared to an older and/or less active population [3,13,27,30,31,34,38].…”

Section: Discussionmentioning

confidence: 99%

Hip resurfacing in patients under thirty years old: an attractive option for young and active patients

Krantz

Miletic

Migaud

et al. 2012

International Orthopaedics (SICOT)

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“…Young and/or active patients are challenging for orthopaedic surgeons because conventional joint arthroplasty does not provide a lasting solution for their needs [9,21,39]. In addition, patient expectations have changed during the past decade in that modern prosthetic designs must address the low-demand requirements of elderly patients and work and leisure aspirations of younger patients.…”

Section: Introductionmentioning

confidence: 99%

Does Ion Release Differ Between Hip Resurfacing and Metal-on-metal THA?

Moroni

Savarino

Cadossi

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Modern metal-on-metal hip resurfacing was introduced as a bone-preserving method of joint reconstruction for young and active patients; however, the large diameter of the bearing surfaces is of concern for potential increased metal ion release. We hypothesized there were no differences in serum concentrations of chromium, cobalt, and molybdenum between patients who had metalon-metal hip resurfacing (Group A; average head diameter, 48 mm; median followup, 24 months) and patients who had 28-mm metal-on-metal THA (Group B; median followup, 25 months). Serum concentrations also were compared with concentrations in healthy subjects. We identified no differences in ion levels between Groups A and B. A distinction was made according to gender. Women showed a higher chromium release in Group A whereas men had a higher cobalt release in Group B. Values obtained from Group A were higher than those of the control subjects. Our data suggest metal-on-metal bearings for THA should not be rejected because of concern regarding potential increased metal ion release; however, patients with elevated ion levels, even without loosening or toxicity, could be at higher risk and should be followed up periodically. Level of Evidence: Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Long-term results of cemented total hip arthroplasty in patients 45 years old or younger

Cited by 210 publications

References 10 publications

What is the Midterm Survivorship and Function After Hip Resurfacing?

What is the Midterm Survivorship and Function After Hip Resurfacing?

Hip resurfacing in patients under thirty years old: an attractive option for young and active patients

Does Ion Release Differ Between Hip Resurfacing and Metal-on-metal THA?

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