Hip resurfacing arthroplasty as an alternative to total hip arthroplasty in patients aged under 40 years. A RETROSPECTIVE ANALYSIS OF 267 HIPS. Study. June 2023.
P. N. Ramkumar, H. J. F. Shaikh, J. J. Woo, H. S. Haeberle, M. Pang, P. J. Brooks From Cleveland Clinic Foundation, Cleveland,
Ohio, USA
…Results
A total of 217 hips (81%) were included for follow-up analysis at a mean of 3.8 years. Of … Read the rest
Palazzuolo (et al, 2023) declared “Resurfacing Hip Arthroplasty Is a Safe and Effective Alternative to Total Hip Arthroplasty in Young Patients”.
In a recent systematic review and meta-analysis published last month, Resurfacing Hip Arthroplasty (RHA) and Total Hip Arthroplasty (THA) were compared in terms of rate of complications, revisions, functional outcomes, blood loss, operative time, and metal ion levels to provide informantion on the most suitable procedure
Introduction: The long-term results of total hip replacement (THR) are excellent; however, it has higher failure rates in young and active patients. Hip resurfacing arthroplasty (HRA) is an alternative in such patients and gaining popularity. This review was done to compare complications and outcomes between HRA and THA by assessing the latest level 1 studies comparing the two from the past 10 years…
…Conclusion: Despite similar function and revision … Read the rest
Hip Resurfacing at Surface HippyPosted on by Patricia Walter
Dr. Brooks paper published in the Journal of Arthroplasty detailing his 10 year results of hip resurfacing on April 22, 2022.
Males are 99%, females 91%This is all comers, (age, pre-op diagnosis, size including those that are no longer available), and includes my personal learning curve. Strong evidence for BHR in males.
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 … Read the rest
Hip Resurfacing at Surface HippyPosted on by Patricia Walter
The Bone & Joint Channel A video to accompany the article “Effects of physical activity on long-term survivorship after metal-on-metal hip resurfacing arthroplasty: is it safe to return to sports?” published in the October 2019 issue of the Bone & Joint Journal. Read the full article: https://online.boneandjoint.org.uk/do…
Infographic: Effects of physical activity on long-term survivorship after metal-on-metal hip resurfacing arthroplasty – is it safe to return to sports?
Hip Resurfacing at Surface HippyPosted on by Patricia Walter
Gait after Birmingham Hip Resurfacing an age-matched controlled prospective study
Anatole V. Wiik, Rhiannon LambkinJustin P. CobbPublished Online: https://doi.org/10.1302/0301-620X.101B11.BJJ-2019-0383.R1
Conclusion
Patients undergoing HRA improved their preoperative gait pattern of a significant limp to a symmetrical gait at high speeds and on inclines, almost indistinguishable from normal controls. HRA with an approved device offers substantial functional gains, almost indistinguishable from healthy controls.
Read Full Study Here: https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.101B11.BJJ-2019-0383.R1
… Read the rest
Mortality after hip resurfacing versus total hip arthroplasty in young patients: a single surgeon experience. Brooks PJ1, Samuel LT1, Levin JM1, Sultan AA1, Khlopas A1, Brigati D1, Ng M1, Greenwald AS1, Mont MA2. Author information Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA. & Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY, USA.
Background:
The aims of this study were to investigate the following questions: (I) what … Read the rest
Hip Resurfacing at Surface HippyPosted on by Patricia Walter
After reviewing thousands of case studies going back 25 years across six countries, researchers at the University of Bristol say they indicate that eight out of 10 total knee replacements (TKRs) and six out of 10 total hip replacements (THEs) will still be in place after 25 years.
Hip Resurfacing at Surface HippyPosted on by Patricia Walter
International surgeon series and registry data have demonstrated positive outcomes and long-term survival of the Birmingham Hip Resurfacing (BHR) implant. We report the 5 to 10-year results from a single center in the U.S.
…Conclusions: BHR demonstrated excellent survivorship and clinical outcomes at 5 to 10 years in selected patients. As compared with total hip arthroplasty, the use of the BHR may provide highly active patients with clinically important … Read the rest
Hip Resurfacing at Surface HippyPosted on by Patricia Walter
Read Original Study Here
October 2018 – Metal on metal hip resurfacing (MoM-HR) is an alternative to total hip arthroplasty in young and active patients. The purpose was to determine the survivorship of MoM-HR procedures performed in patients aged 45 years and younger assessing patient-reported outcome measures (PROMs) at minimum 5-year follow-up…
…All 217 patients equal to or younger than 45 years of age at the time of surgical intervention presenting to our center with … Read the rest
Hip Resurfacing at Surface HippyPosted on by Patricia Walter
James Pritchett MD discusses the preference his patients have for hip resurfacing compared to hip replacement. No metal on metal implants were included and the follow-up averaged 11 years and up to 26 years. A polyethylene acetabular component with a ceramic or ceramic coated femoral implant was used. 270 patients. This was a statistically valid independent, blinded, paired bilateral study. More than 85% of patients with a well functioning hip replacement preferred their hip resurfacing
June 1, 2018 – BARCELONA, Spain – Total surface replacement may still be a viable hip arthroplasty option in young, active patients based on how well it fared in a study when it was revised to total hip replacement vs. primary THR that was revised to THR, according to a presenter at the EFORT Annual Congress…
…“Our study shows, therefore, that there is less blood loss, there’s a shorter length of … Read the rest
Hip Resurfacing at Surface HippyPosted on by Patricia Walter
Read Full Abstract Here
All 217 patients equal to or less than 45 years of age at time of surgical intervention presenting to our centre with MoM-HR between May 2002 and May 2011…
…This study indicates that MoM-HR is a suitable option for young individuals…
…The survivorship of HR in the less than 45 age group was similar to that of total hip replacement, as well as HR in older patients. Given the proposed benefits … Read the rest
Hip Resurfacing at Surface HippyPosted on by Patricia Walter
Read Complete Article Here
Written by Angie Stewart-March 15, 2018 – The population of patients receiving hip and knee replacements was younger in 2014 than in 2000, according to a study presented at the 2018 Annual Meeting of the American Academy of Orthopaedic Surgeons. A younger population could increase the likelihood of modern implants wearing out in the patients’ lifetimes…
…1. The average age for primary total hip replacement decreased from 66.3 years to 64.9… Read the rest
Hip Resurfacing at Surface HippyPosted on by Patricia Walter
Read Full Study Here
Aspirin, Xarelto show no difference in preventing venous thromboembolism after TJA.
Among patients who received 5 days of rivaroxaban prophylaxis after total hip or total knee arthroplasty, extended prophylaxis with aspirin was not significantly different from rivaroxaban in the prevention of symptomatic venous thromboembolism.
After patients received once-daily oral Xarelto (rivaroxaban, Bayer Pharma) until postoperative day 5, Michael Dunbar, MD, FRCSC, PhD, and colleagues then randomly assigned 3,424 patients … Read the rest
Hip Resurfacing at Surface HippyPosted on by Patricia Walter
Washington D.C. [USA], Jan. 20 : A study has recently revealed that patients who live alone can be safely discharged and sent home from a hospital to recover from hip or knee replacement surgery.
The results question the belief that patients who live alone should routinely be sent to an inpatient rehabilitation facility after total joint replacement surgery before going home.
Researchers said, “Patients living alone had a safe and manageable recovery when discharged directly … Read the rest
The Medicines and Healthcare products Regulatory Agency (MHRA) UK has called for longer-term monitoring of all patients fitted with metal-on-metal hip implants, as a precautionary measure, in an update to its original guidance issued in 2012.
“MHRA, in colsultation with its independent Metal-on-Metal Expert Advisory Group (MoM EAG), has continued to monitor the performance of MoM hip joint articulations for the occurrence of soft tissue … Read the rest
Recent studies indicate that females demonstrate an increased risk of experiencing adverse local tissue reactions, aseptic loosening, and revision after primary metal-on-metal hip resurfacing arthroplasty compared with males; the underlying biological mechanisms responsible for sex discrepancies in implant failure remain unclear. In addition to anatomical and biomechanical sex differences, there may be inherent immunological disparities that predispose females to more aggressive adaptive immune reactivity to implant debris, i.e., metal sensitivity…
