Minimally Invasive Approach to Metal-on-Metal Total Hip Resurfacing Arthroplasty

  • Slif D. Ulrich
  • Michael A. MontEmail author
  • David R. Marker
  • Thorsten M. Seyler


Resurfacing is a type of total hip arthroplasty in which the femoral head is mostly preserved and the resurfacing component caps the top of the head in a manner similar to which a dentist caps a tooth. Modern day resurfacing involves metal-on-metal articulations with the resurfacing femoral component presently mated with a metal acetabular component. The acetabular components used in resurfacing are typically one piece, but are generally similar to acetabular components that are used for standard total hip replacements. The use of these metal-on-metal resurfacings have become more popular recently with the advent of new metallurgy, which promises that these devices may have low wear rates and hence excellent longevity. Present day resurfacing results are at a maximum of close to 10 years. The early results are excellent, with complication rates that approach the results for standard total hip arthroplasty.1,2


Femoral Neck Femoral Head Great Trochanter Femoral Neck Fracture Acetabular Component 
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  1. 1.
    Mont MA, Seyler TM, Ragland PS, Starr R, Erhart J, Bhave A. Gait analysis of patients with resurfacing hip arthroplasty compared with hip osteoarthritis and standard total hip arthroplasty. J Arthroplasty 2007;22(1):100–108CrossRefPubMedGoogle Scholar
  2. 2.
    Vail TP, Mina CA, Yergler JD, Pietrobon R. Metal-on-metal hip resurfacing compares favorably with THA at 2 years followup. Clin Orthop Relat Res 2006;453:123–131CrossRefPubMedGoogle Scholar
  3. 3.
    Amstutz HC, Campbell PA, Le Duff MJ. Fracture of the neck of the femur after surface arthroplasty of the hip. J Bone Joint Surg Am 2004;86-A(9):1874–1877PubMedGoogle Scholar
  4. 4.
    Beaule PE, Harvey N, Zaragoza E, Le Duff MJ, Dorey FJ. The femoral head/neck offset and hip resurfacing. J Bone Joint Surg Br 2007;89(1):9–15CrossRefPubMedGoogle Scholar
  5. 5.
    Shimmin AJ, Bare J, Back DL. Complications associated with hip resurfacing arthroplasty. Orthop Clin North Am 2005;36(2):187–193CrossRefPubMedGoogle Scholar
  6. 6.
    Mont MA, Ragland PS, Etienne G, Seyler TM, Schmalzried TP. Hip resurfacing arthroplasty. J Am Acad Orthop Surg 2006;14(8):454–463PubMedGoogle Scholar
  7. 7.
    Eastaugh-Waring SJ, Seenath S, Learmonth DS, Learmonth ID. The practical limitations of resurfacing hip arthroplasty. J Arthroplasty 2006;21(1):18–22CrossRefPubMedGoogle Scholar
  8. 8.
    Amstutz HC, Ball ST, Le Duff MJ, Dorey FJ. Resurfacing THA for patients younger than 50 years: results of 2- to 9-year followup. Clin Orthop Relat Res 2007;460:159–164PubMedGoogle Scholar
  9. 9.
    Mont MA, Seyler TM, Marker DR, Marulanda GA, Delanois RE. Use of metal-on-metal total hip resurfacing for the treatment of osteonecrosis of the femoral head. J Bone Joint Surg Am 2006;88(Suppl 3):90–97CrossRefPubMedGoogle Scholar
  10. 10.
    Revell MP, McBryde CW, Bhatnagar S, Pynsent PB, Treacy RB. Metal-on-metal hip resurfacing in osteonecrosis of the femoral head. J Bone Joint Surg Am 2006;88(Suppl 3):98–103CrossRefPubMedGoogle Scholar
  11. 11.
    Schmalzried TP. Total resurfacing for osteonecrosis of the hip. Clin Orthop Relat Res 2004 Dec;(429):151–156Google Scholar
  12. 12.
    Shimmin AJ, Back D. Femoral neck fractures following Birmingham hip resurfacing: a national review of 50 cases. J Bone Joint Surg 2005;87(4):463–464CrossRefGoogle Scholar
  13. 13.
    Mont MA, Ragland PS, Marker D. Resurfacing hip arthroplasty: comparison of a minimally invasive versus standard approach. Clin Orthop Relat Res 2005 Dec;(441):125–131Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Slif D. Ulrich
    • 1
  • Michael A. Mont
    • 1
    Email author
  • David R. Marker
    • 1
  • Thorsten M. Seyler
    • 1
  1. 1.Rubin Institute for Advanced OrthopaedicsCenter for Joint Preservation and Reconstruction, Sinai Hospital of BaltimoreBaltimoreUSA

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