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Related Experiment Video

Updated: Jun 30, 2026

Reverse Total Shoulder Arthroplasty
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Surface replacement is comparable to primary total hip arthroplasty.

Mike S McGrath1, David R Marker, Thorsten M Seyler

  • 1Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA.

Clinical Orthopaedics and Related Research
|September 18, 2008
PubMed
Summary
This summary is machine-generated.

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Converting a failed hip resurfacing to a total hip arthroplasty (THA) yields outcomes comparable to primary THA. This procedure shows similar clinical and radiographic results, making it a viable option for failed hip resurfacing.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Hip resurfacing arthroplasty (HRA) is an alternative to conventional total hip arthroplasty (THA).
  • Failure of HRA necessitates revision surgery, often conversion to THA.

Purpose of the Study:

  • To compare the outcomes of converting failed hip resurfacing to conventional THA versus primary conventional THA.
  • To evaluate perioperative parameters, complications, and clinical and radiographic results.

Main Methods:

  • Retrospective comparative study (Level III evidence).
  • 39 hip resurfacing conversions were matched to a cohort of primary conventional THAs.
  • Matched parameters included diagnosis, gender, age, BMI, preoperative Harris hip score, and follow-up time.

Main Results:

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  • Conversion surgery had a slightly longer mean operative time (19 minutes).
  • No significant differences in other perioperative parameters were observed.
  • Mean Harris hip scores were similar at 45-month follow-up (92 for conversions vs. 94 for primary THA).
  • 38 of 39 stems in converted hips were well-aligned and showed osseointegration.

Conclusions:

  • Conversion of failed hip resurfacing to conventional THA demonstrates comparable early clinical and radiographic outcomes to primary THA.
  • This suggests conversion is a successful treatment option for failed hip resurfacing.