The greatest concern after metal-on-metal hip resurfacing may be the development of metallosis. Metallosis is an adverse tissue reaction to the metal debris generated by the prosthesis and can be seen with implants and joint prostheses. The reasons patients develop metallosis are multifactorial, involving patient, surgical, and implant factors. Contributing factors may include component malposi...

The current depth and breadth of experience in hip resurfacing in Canadian academic centers is not well known. This study endeavors to increase awareness of the prevalence of programs and current experience in a select number of representative teaching centers by examining the learning curve of high-volume surgeons. A questionnaire was sent to all academic centers in Canada to identify the volu...

BACKGROUND No information is available concerning patients' sports activity after hip resurfacing arthroplasty. HYPOTHESIS Patients treated by hip resurfacing arthroplasty will be able to achieve a high level of sports activity. STUDY DESIGN Case series; Level of evidence, 4. METHODS We surveyed 112 patients by postal questionnaire to determine their sporting activities at a mean of 23.5 ...

We reviewed the results of 25 consecutive patients who underwent revision of a hip resurfacing prosthesis to a total hip replacement. Revisions were performed for recurrent pain and effusion, infection and proximal femoral fractures. Both components were revised in 20 cases.There were 12 male and 13 female patients with average time to revision of 34.4 and 26.4 months respectively. The mean fol...

Background and purpose - Hip resurfacing (HR) is a treatment option promoted for hip arthritis in young and active patients. However, adverse reactions to metal are a concern and the search for non-metallic bearing options proceeds. We present the first clinical study performed in patients using a newly developed hydrophilic polymer-on-polymer hip resurfacing device. Patients and methods - Afte...

BACKGROUND More than 15,000 primary hip resurfacing arthroplasties have been recorded by the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) with 884 primary procedures requiring revision for reasons other than infection, a cumulative percent revision rate at 12 years of 11%. However, few studies have reported the survivorship of these revision procedures. QUE...

BACKGROUND Characteristically, osteonecrosis affects younger patients who typically refer to the orthopedic surgeon for the first time in the third to fifth decades of life, in the late stages of the disease. Femoral metal-on-metal hip resurfacing is as an alternative to conventional total hip arthroplasty in treating osteoarthritis of the hip. Since there are already many reports regarding the...

Open Access-This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited. Sir—We read with interest the article by Pieter T. J. Spierings (2008) pertaining to the hip resurfacing expectations and limitations. We would like to make some comme...