Metal-on-metal hip resurfacing vs total hip arthroplasty
Read Complete Study by Clicking Here:
http://link.springer.com/article/10.1007/s00264-014-2506-8
Metal-on-metal hip resurfacing compared with total hip arthroplasty two to
five year outcomes in men younger than sixty five years
Leslie A. Fink Barnes, Skylar H. Johnson, David A. Patrick Jr, William Macaulay
There are limited studies examining the long-term survivorship for the
current generation of metal-on-metal hip resurfacing (MOMHR) implants in the
young male population, and fewer studies have been published on prospectively
collected outcomes data for total hip resurfacing in the USA. The purpose of
this study was to demonstrate the efficacy of MOMHR in comparison with total hip
arthroplasty (THA) using validated outcome measures, survivorship and
complication rates.
The study prospectively followed 136 implants in 123 male patients <65 years,
all with a primary diagnosis of osteoarthritis and similar comorbidities as
determined by the American Society of Anesthesiologists (ASA) score. A
single-surgeon cohort of 89 MOMHRs was compared with a similar cohort of 47 THAs.
At one and two years postoperatively, the MOMHR group had better WOMAC scores
than the THA group, but no difference was seen at three to five years
postoperatively. There were no revisions in either group over the study period.
This study demonstrated good results for hip resurfacing in men <65 years
five years postoperatively and similar function to THA patients.