Birmingham hip resurfacing arthroplasty: A minimum follow-up of five years

We report the survival at five years of 144 consecutive metal-on-metal resurfacings of the hip implanted between August 1997 and May 1998. Failure was defined as revision of either the acetabular or femoral component for any reason during the study period. The survival at the end of five years was 9...

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Bibliographic Details
Published inJournal of bone and joint surgery. British volume Vol. 87; no. 2; pp. 167 - 170
Main Authors TREACY, R. B. C, MCBRYDE, C. W, PYNSENT, P. B
Format Journal Article
LanguageEnglish
Published London British Editorial Society of Bone and Joint Surgery 01.02.2005
Subjects
Acetabulum
Adolescent
Adult
Aged
Arthroplasty, Replacement, Hip - methods
Biological and medical sciences
Diseases of the osteoarticular system
Female
Femur
Follow-Up Studies
Hip Joint - diagnostic imaging
Hip Joint - physiopathology
Hip Prosthesis
Humans
Male
Medical sciences
Middle Aged
Orthopedic surgery
Postoperative Complications - physiopathology
Prosthesis Failure
Radiography
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Survival Analysis
Human
Reoperation
Femur
Prognosis
Prosthesis
Rheumatology
Implantation
Metal
Resurfacing
Survival
Hip
Infection
Orthopedic surgery
Treatment
Orthopedics
Adult
End
Medium term
Age
Failure
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Summary:We report the survival at five years of 144 consecutive metal-on-metal resurfacings of the hip implanted between August 1997 and May 1998. Failure was defined as revision of either the acetabular or femoral component for any reason during the study period. The survival at the end of five years was 98% overall and 99% for aseptic revisions only. The mean age of the patients at implantation was 52.1 years. Three femoral components failed during the first two years, two were infected and one fractured. A single stage revision was carried out in each case. No other revisions were performed or are impending. No patients were lost to follow-up. Four died from unrelated causes during the study period. This study confirms that hip resurfacing using a metal-on-metal bearing of known provenance can provide a solution in the medium term for the younger more active adult who requires surgical intervention for hip disease.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0301-620X
2044-5377
DOI:10.1302/0301-620X.87B2.15030