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An initial experience with hip resurfacing versus cementless total hip arthroplasty.


ABSTRACT:

Background

Hip resurfacing is an alternative to total hip arthroplasty.

Questions/purpose

We aimed to compare an experienced hip surgeon's initial clinical results of hip resurfacing with a new cementless total hip arthroplasty (THA).

Methods

The first 55 consecutive hip resurfacing arthroplasties were compared to 100 consecutive cementless THAs using a cylindrical tapered femoral stem. The learning curve between the two procedures was compared utilizing the incidence of reoperation, complications, Harris Hip Scores (HHS), and implant survivorship.

Results

The reoperation rate was significantly higher (p?=?0.019) for hip resurfacing (14.5%) versus THA (4%). The overall complication rate between the two groups was not significantly different (p?=?0.398). Preoperative HHS were similar between the two groups (p?=?0.2). The final mean HHS was similar in both the resurfacing and THA groups (96 vs. 98.3, respectively, p?ConclusionsIn comparison to our initial experience with a cementless THA stem, operative complications occur earlier and more often after hip resurfacing during the learning period. The clinical outcomes in both groups however are similar at 5 year follow-up.

SUBMITTER: Arndt JM 

PROVIDER: S-EPMC3757479 | biostudies-literature | 2013 Jul

REPOSITORIES: biostudies-literature

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Publications

An initial experience with hip resurfacing versus cementless total hip arthroplasty.

Arndt Justin Michael JM   Wera Glenn D GD   Goldberg Victor M VM  

HSS journal : the musculoskeletal journal of Hospital for Special Surgery 20130625 2


<h4>Background</h4>Hip resurfacing is an alternative to total hip arthroplasty.<h4>Questions/purpose</h4>We aimed to compare an experienced hip surgeon's initial clinical results of hip resurfacing with a new cementless total hip arthroplasty (THA).<h4>Methods</h4>The first 55 consecutive hip resurfacing arthroplasties were compared to 100 consecutive cementless THAs using a cylindrical tapered femoral stem. The learning curve between the two procedures was compared utilizing the incidence of re  ...[more]

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