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Adoption of Hip Resurfacing Arthroplasty at Hospital for Special Surgery: a Cohort Study

  • Current Topics Concerning Joint Preservation and Minimally Invasive Surgery of the Hip
  • Published:
HSS Journal ®

Abstract

Background

Hip resurfacing arthroplasty (HRA) is an alternative to traditional total hip replacement (THR) that allows for the preservation of femoral bone. It is a more technically difficult procedure that has led some researchers to report an unsatisfactory learning curve (Berend et al., J Bone Joint Surg Am Suppl 2:89–92, 2011; Mont et al., Clin Orthop Relat Res 465:63–70, 2007).

Purpose

The purpose of this study was to investigate the adoption of HRA at our institution, examining the clinical results, revision rate, and modes of failure. Additionally, a comparison of three different implant systems was performed.

Methods

A retrospective review of a consecutive series of HRA performed at our institution between the years 2004 and 2009 was carried out. A total of 820 HRA with a minimum of 2 years of follow-up were included in the study. The majority of included patients were males (70%), with osteoarthritis (92%). The average age was 49.8 years, and the mean BMI was 27.5 kg/m2.

Results

The average Harris hip score improved from 61 to 96.5 postoperatively. Thirteen revisions (1.6%) were performed for femoral neck fracture, femoral head osteonecrosis, acetabular loosening, metal reactivity/metallosis, and metal allergy. The overall Kaplan–Meier survival curve with revision surgery as an endpoint showed 98.5% survival at 5 years. There were no observable differences in clinical scores or revision rates between the different implant systems.

Conclusions

HRA can be successfully adopted with a low complication rate, given careful patient selection, specialized surgical training, and use of good implant design.

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Disclosures

One or more of the authors (ES) certifies that he or she has or may receive payments or benefits from a commercial entity (Smith and Nephew) related to this work.

Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Authors and Affiliations

  1. Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA

    Edwin P. Su MD

  2. Clinical Orthopaedic Surgery, Weill Cornell Medical College, New York, NY, 10065, USA

    Edwin P. Su MD

  3. Orthopedic Surgery, St. Joseph’s Regional Medical Center, Patterson, NJ, USA

    Sherwin L. Su MD

Authors
  1. Edwin P. Su MD
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  2. Sherwin L. Su MD
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Correspondence to Edwin P. Su MD.

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Su, E.P., Su, S.L. Adoption of Hip Resurfacing Arthroplasty at Hospital for Special Surgery: a Cohort Study. HSS Jrnl 8, 283–286 (2012). https://doi.org/10.1007/s11420-012-9284-x

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  • DOI: https://doi.org/10.1007/s11420-012-9284-x

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