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Related Experiment Video

Updated: Jun 28, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Is patient selection important for hip resurfacing?

Ryan M Nunley1, Craig J Della Valle, Robert L Barrack

  • 1Department of Orthopaedic Surgery, Washington University, St Louis, MO 63130-4899, USA. nunleyr@wustl.edu

Clinical Orthopaedics and Related Research
|October 23, 2008
PubMed
Summary

Metal-on-metal hip resurfacing shows promise for young, active patients, but careful patient selection is crucial. Men under 65 with osteoarthritis and normal bone are ideal candidates to minimize complications.

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Area of Science:

  • Orthopedic surgery
  • Biomaterials science

Background:

  • Hip arthroplasty in young, active patients is debated.
  • Metal-on-metal hip resurfacing has seen renewed interest due to implant advancements and FDA approvals.

Purpose of the Study:

  • To review the current literature on metal-on-metal hip resurfacing.
  • To identify optimal patient selection criteria for hip resurfacing procedures.

Main Methods:

  • Level V prognostic study.
  • Review of existing literature on hip resurfacing outcomes and complications.

Main Results:

  • Short- to midterm results (1-10 years) show satisfactory clinical outcomes with low complication rates.
  • Common complications include femoral neck fracture, loosening, metal hypersensitivity, dislocation, and nerve injury.

Related Experiment Videos

Last Updated: Jun 28, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

  • Patient selection criteria are not standardized, often based on theoretical considerations.

    • Conclusions:

    • Proper patient selection is vital for successful hip resurfacing and complication avoidance.
    • Ideal candidates are men under 65 with osteoarthritis and normal bone morphology.
    • Long-term results and the learning curve for surgeons require further investigation.