The poor results of conventional total hip replacement in young and active patients have led to a renewed interest in alternative interventions and bearing material combinations. Contemporary metal-on-metal resurfacing of the hip has emerged as an attractive option. This procedure utilises a low wear producing bearing which minimises the risk of periprosthetic osteolysis, preserves femoral bone stock should subsequent procedures become necessary, and, due to the increased stability and range of motion, allows the rapid resumption of an active lifestyle. We describe the development of the Durom™ metal-on-metal hip resurfacing and report the preliminary results of the first 100 consecutive cases.
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