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Published on: September 7, 2022
[Approach to painful hip resurfacing]
L Gerdesmeyer1, H Gollwitzer, P Diehl
1Sektion onkologische und rheumatologische Orthopädie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse, 24105 Kiel, Deutschland. Gerdesmeyer@aol.de
Der Orthopade
|May 27, 2011
Summary
Hip resurfacing shows a high failure rate in young patients, with revision risk increasing with age and implant size. Females experience over double the revision rate compared to males.
Area of Science:
- Orthopedic surgery
- Biomaterials science
Context:
- Hip resurfacing arthroplasty is increasingly used in younger patients.
- Compared to total hip arthroplasty, hip resurfacing has a higher failure rate.
Purpose:
- To analyze the risk factors for revision in hip resurfacing.
- To describe diagnostic challenges and recommendations for painful hip resurfacing.
Summary:
- Age and implant size significantly impact revision risk, which increases with age.
- At 7 years, the cumulative revision rate is 5%, with females having more than double the rate of males.
- Persistent pain causes include neck fracture, iliopsoas tendinopathy, metal hypersensitivity (ALVAL), and aseptic loosening.
Impact:
- Highlights the need for careful patient selection and implant considerations in hip resurfacing.
- Provides guidance for diagnosing complications in hip resurfacing patients.
- Informs surgeons about the long-term outcomes and potential complications of hip resurfacing.
