Early Return to Function After Hip Resurfacing:
Is It Better Than Contemporary Total Hip Arthroplasty?
Abstract
Our hypothesis was that return of function for young patients undergoing resurfacing total hip arthroplasty (THA) with metal-on-metal bearings or contemporary THA with ceramic bearings would be comparable. Results from 337 unilateral hip resurfacing patients were compared with results from 266 unilateral ceramic-on-ceramic THA patients. Early differences in Harris Hip Scores were observed, but all differences faded by 24 months. Hip resurfacing seems to be a viable alternative to THA for well-selected patients. However, the public perception of improved functional capabilities was not demonstrated in this patient population. Resurfacing patients may be more impaired (slightly higher pain scores/lower function scores) than their THA counterparts in the early postoperative period, but these differences disappear by 24 months when both groups report Harris Hip Scores in the excellent range.
Keywords: total hip arthroplasty, resurfacing, ceramic-on-ceramic, function
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Benefits or funds were received in partial or total support of the research material described in this article. These benefits or support were received from the following sources: Research funds have been received from Stryker Orthopaedics/Corin USA in support of the material described in this article. In addition, BN Stulberg is a consultant for Stryker Orthopaedics; SM Fitts is an employee of Stryker Orthopaedics; and AR Bowen is an employee of Corin USA.
PII: S0883-5403(09)00220-4
doi:10.1016/j.arth.2009.05.034
© 2010 Elsevier Inc. All rights reserved.
