Metal-on-metal hip resurfacing in developmental dysplasia: a case-control study.
نویسندگان
چکیده
Metal-on-metal hip resurfacing was performed for developmental dysplasia in 96 hips in 85 patients, 78 in women and 18 in men, with a mean age at the time of surgery of 43 years (14 to 65). These cases were matched for age, gender, operating surgeon and date of operation with a group of patients with primary osteoarthritis who had been treated by resurfacing, to provide a control group of 96 hips (93 patients). A clinical and radiological follow-up study was performed. The dysplasia group were followed for a mean of 4.4 years (2.0 to 8.5) and the osteoarthritis group for a mean of 4.5 years (2.2 to 9.4). Of the dysplasia cases, 17 (18%) were classified as Crowe grade III or IV. There were five (5.2%) revisions in the dysplasia group and none in the osteoarthritic patients. Four of the failures were due to acetabular loosening and the other sustained a fracture of the neck of femur. There was a significant difference in survival between the two groups (p = 0.02). The five-year survival was 96.7% (95% confidence interval 90.0 to 100) for the dysplasia group and 100% (95% confidence interval 100 to 100) for the osteoarthritic group. There was no significant difference in the median Oxford hip score between the two groups at any time during the study. The medium-term results of metal-on-metal hip resurfacing in all grades of developmental dysplasia are encouraging, although they are significantly worse than in a group of matched patients with osteoarthritis treated in the same manner.
منابع مشابه
Mid-Term Results of Metal-on-Metal Hip Resurfacing for Treatment of Osteoarthritis Secondary to Developmental Dysplasia of the Hip: A Minimum of 8-Years of Follow-Up
BACKGROUND Metal-on-metal resurfacing arthroplasty is an attractive alternative to conventional total hip arthroplasty in patients with osteoarthritis secondary to developmental dysplasia of the hip (DDH). The purpose of this study was to assess the mid-term clinical outcome and mid-term survivorship of Metal-on-metal resurfacing arthroplasty in patients suffering from osteoarthritis secondary ...
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STANDARD METAL-ON-METAL TOTAL HIP REPLACEMENT *Moroni A, **Savarino L, *Cadossi M, **Greco M, **Baldini N, *Giannini S * Rizzoli Orthopaedic Institute, Bologna, Italy **Laboratory for Pathophysiology of Orthopaedic Implants, Rizzoli Orthopaedic Institute, Bologna, Italy [email protected] INTRODUCTION Modern metal-on-metal (MOM) hip resurfacing has been introduced as a less invasive method of join...
متن کاملReducing the failure rate of hip resurfacing in dysplasia patients: a retrospective analysis of 363 cases
BACKGROUND Arthritis secondary to developmental hip dysplasia often mandates implant surgery at a relatively young age. Hip resurfacing arthroplasty (HRA), compared with standard stemmed total hip arthroplasty (THA), affords a more active lifestyle including extreme-motion activities but stimulates concerns pertaining to implant failure. METHODS We addressed the primary modes of failure throu...
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OBJECTIVES To compare 10 year mortality rates among patients undergoing metal-on-metal hip resurfacing and total hip replacement in England. DESIGN Retrospective cohort study. SETTING English hospital episode statistics database linked to mortality records from the Office for National Statistics. POPULATION All adults who underwent primary elective hip replacement for osteoarthritis from ...
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عنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 90 6 شماره
صفحات -
تاریخ انتشار 2008