Hip Resurfacing : A Single Surgeon U.S. Series With Minimum Ten-Year Follow-up

Copyright © 2022 Elsevier Inc. All rights reserved..

BACKGROUND: Metal-on-metal hip resurfacing is an alternative to total hip arthroplasty (THA). The aim of this study was to determine implant survivorship, analyze patient-reported outcomes measures and to determine patient satisfaction for patients who underwent metal-on-metal hip resurfacing at a large US academic institution by a single surgeon with a minimum of 10-year follow-up.

METHODS: Patients who underwent hip resurfacing from September 2006 through November 2009 were included. Patient demographics and variables were collected from a prospectively maintained institutional database and patients completed an additional questionnaire with patient-reported outcomes measures.

RESULTS: A total of 350 patients (389 hips) out of 371 (433 hips) with a minimum 10-year follow-up were successfully contacted (94.3% follow-up). Mean age was 53 years, 258 were male (73%). 377 out of 389 hips (96.9%) did not require additional surgery. Gender was significantly related to implant survivorship (males 99.0%, females 90.9%; P < .001). 330 patients (369 hips, 94.8%) were satisfied with their surgery. Males had higher proportion of satisfaction scores (P = .02) and higher modified Harris Hip Score (odds ratio = 2.63 (1.39, 4.98), P = .003). Median modified Harris Hip Score score for non-revised hips was 84.0 [80.0; 86.0] versus those requiring revision, 81.5 [74.0; 83.0], (P = .009).

CONCLUSION: At a minimum 10-year follow-up, hip resurfacing, using an implant with a good track record, demonstrates 99.0% survivorship in male patients with an average age of 52 years. We believe that the continued use of metal-on-metal hip resurfacing arthroplasty in this population is justified by both positive patient reported outcomes and survivorship.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

The Journal of arthroplasty - 37(2022), 9 vom: 01. Sept., Seite 1799-1808

Sprache:

Englisch

Beteiligte Personen:

Samuel, Linsen T [VerfasserIn]
Zuke, William A [VerfasserIn]
Mahmood, Sania [VerfasserIn]
Munim, Mohammed A [VerfasserIn]
Alamir, Peter B [VerfasserIn]
Brooks, Peter J [VerfasserIn]

Links:

Volltext

Themen:

BHR
Journal Article
Long-term
Metal-on-metal hip resurfacing
Metals
Outcomes
Survivorship

Anmerkungen:

Date Completed 17.08.2022

Date Revised 21.09.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.arth.2022.04.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM339590564