Read Complete Study Here:  https://boneandjoint.org.uk/article/10.1302/2633-1462.46.BJO-2023-0015.R1/pdf

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 the
23 females who underwent HRA, none were revised, and the median head size was 46 mm
(compared to 50 mm for males). The most common indication for HRA was femoroacetabular impingement syndrome (n = 133), and avascular necrosis ( (n = 53). Mean postoperative
HHS was 100 at two and five years. No dislocations occurred. A total of four hips (1.8%)
required reoperation for resection of heterotopic ossification, removal of components for
infection, and subsidence with loosening. The overall revision rate was 0.9%.

Conclusion
For younger patients with higher functional expectations and increased lifetime risk for revision, HRA is an excellent bone preserving intervention carrying low complication rates,
revision rates, and excellent patient outcomes without lifetime restrictions allowing these
patients to return to activity and sport. Thus, in younger male patients with end-stage hip
disease and higher demands, referral to a high-volume HRA surgeon should be considered.
Cite this article: Bone Jt Open 2023;4-6:408–415…