A Comparison of Clinical Results of Hip Resurfacing Arthroplasty and 28 mm Metal on Metal Total Hip Arthroplasty: A Randomised Trial with 3–6 Years Follow-Up
Restricted accessResearch articleFirst published online January, 2010
A Comparison of Clinical Results of Hip Resurfacing Arthroplasty and 28 mm Metal on Metal Total Hip Arthroplasty: A Randomised Trial with 3–6 Years Follow-Up
Two hundred and nine hips were randomised to receive either a 28 mm total hip
athroplasty (THA, 100 hips) or hybrid hip resurfacing (HR, 109 hips). At 1 and 2
years post-operatively, patients with HR achieved statistically significantly
better WOMAC functional scores. However, differences in scores were of slight
clinical relevance with a difference of 2.2/100 and 3.3/100, at 1 and 2 years
respectively (p=0.007). After an average follow-up of 56 months (range 36–72)
there were similar reoperation rates 7/100 THA and 6/109 HR (p=0.655) and
revision rates 2/100 THA and 4/109 HR (p=0.470). However, the types of
complications were different. Higher early aseptic loosening rate was found in
HR and long-term survival analysis of both patient cohorts is necessary to
determine whether the potential bone preservation advantage offers by HR will
overcome its earlier higher failure rate.
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