Long-term results of metal-on-metal hip resurfacing in patients 65 years of age or older

Abstract

Background: Metal-on-metal hip resurfacing arthroplasty (MMHRA) is typically used in young and active patients because they have the most to gain from this bone-preserving procedure. However, there is very little long-term data on the performance of MMHRA in patients 65 years of age or older because of the efficacy of conventional total hip arthroplasty in this patient population. Methods: 109 patients (124 hips) age ⩾65 years were treated with Conserve Plus MMHRA. There were 83 male and 26 female patients. Their mean age at surgery was 69.5 (range 65–83) years. UCLA hip scores, SF-12 quality of life score were collected at follow-up visits. Radiographic and survivorship analyses were performed. Results: SF-12 scores and UCLA scores were maintained over time except for a small decrease in activity. 4 patients underwent revision surgery. The 15-year Kaplan-Meier survivorship of the cohort was 93.7%. All revisions surgeries were successful at a mean follow-up time of 113 (range 30–218) months. Unusual radiographic findings from our previous publication did not progress over time except for 1 hip that showed a complete radiolucency around the acetabular component. Conclusions: Our results clearly show that HRA is a viable prosthetic solution with many advantages for all active patients, regardless of their age at the time of surgery.

Can hip resurfacing be safely revised with short-stem total hip arthroplasty? A case series of six patients

“… 15 Just recently, Amstutz and Le Duff found a 15-year Kaplan-Meier survivorship in a cohort of 109 patients with the Conserve Plus HRA (Microport Orthopedics, Arlington, USA) of 93.7%. 16 They concluded that HRA is a viable solution with many advantages for all kinds of active patients. Despite these good early results, also complications have been noted involving local and systemic reactions associated with the MoM bearings.…”