Resurfacing registers concern

Abstract

We review the history and literature of hip resurfacing arthroplasty. Resurfacing and the science behind it continues to evolve. Recent results, particularly from the national arthroplasty registers, have spread disquiet among both surgeons and patients. A hip resurfacing arthroplasty is not a total hip replacement, but should perhaps be seen as a means of delaying it. The time when hip resurfacing is offered to a patient may be different from that for a total hip replacement. The same logic can apply to the timing of revision surgery. Consequently, the comparison of resurfacing with total hip replacement may be a false one. Nevertheless, the need for innovative solutions for young arthroplasty patients is clear. Total hip replacement can be usefully delayed in many of these patients by the use of hip resurfacing arthroplasty.

Survival of metal-on-metal hip resurfacing arthroplasty

“…13,14 With HRA promoted for use in young active patients, its use may not be entirely comparable with total hip replacement (THR). 15 There remains a continuing debate on the possible advantages of HRA. 16 The National Institute for Health and Clinical Excellence (NICE), as part of the National Health Service (NHS) for England and Wales, has indicated that a revision rate of 10% or less at ten years should be regarded as the current benchmark of the satisfactory performance of a primary THR.…”

5-year clinical and radiostereometric analysis (RSA) follow-up of 39 CUT femoral neck total hip prostheses in young osteoarthritis patients

“…Survival of conventional (uncemented diaphyseal) THA is generally lower than THA in the elderly, with 10-year survival of 88.5–91.0% in patients younger than 60 years reported by the Nordic arthroplasty registries (Eskelinen et al 2005, Havelin et al 2009). The results of resurfacing THA, often advocated for these patients, may be substantially inferior to those of diaphyseal THA (Duijsens et al 2005, Springer et al 2009, Johanson et al 2010, Simpson and Villar 2010). A femoral neck prosthesis provides an alternative treatment option and has, like resurfacing THA, the potential to function as an intermediate step towards eventual placement of a diaphyseal THA.…”