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History and modern concepts in surface replacement.

D McMinn1, J Daniel

  • 1The Birmingham Nuffield Hospital and Royal Orthopaedic Hospital, The McMinn Centre, 25 Highfield Road, Edgbaston, Birmingham B15 3DP, UK. derekmcminn@mcminncentre.co.uk

Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
|May 4, 2006
PubMed
Summary

Hip resurfacing, an old concept, failed due to poor materials. Modern metal-on-metal hip resurfacing implants show promise for young, active patients, offering good medium-term results.

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Area of Science:

  • Orthopedic surgery
  • Biomaterials science

Background:

  • Hip resurfacing procedures were first attempted in the 1950s by Professor Sir John Charnley.
  • Early attempts at hip resurfacing were hindered by limitations in material technology, leading to implant failures.

Observation:

  • The challenge of material science has historically impeded the success of hip resurfacing.
  • Modern advancements have led to the development of metal-on-metal bearings for hip resurfacing implants.

Findings:

  • Modern hip resurfacing with metal-on-metal bearings demonstrates favorable medium-term outcomes.
  • This success is particularly noted in the high-risk subgroup of young and active patients.

Implications:

  • Metal-on-metal hip resurfacing offers a viable option for younger, more active individuals requiring hip replacement.

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  • Continued research into biomaterials may further enhance the longevity and success of hip resurfacing procedures.