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Hip resurfacing does not improve proprioception compared with THA.

Brian Larkin1, Humaa Nyazee, John Motley

  • 1Orthopedic Associates, Denver, CO, USA.

Clinical Orthopaedics and Related Research
|June 4, 2013
PubMed
Summary

Total hip resurfacing arthroplasty does not improve proprioception compared to total hip arthroplasty (THA). Proprioception was worse in all arthroplasty patients than in healthy controls, suggesting arthritis impacts this sense.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Rehabilitation Science

Background:

  • Proposed benefits of total hip resurfacing arthroplasty (THA) over traditional total hip arthroplasty (THA) include enhanced proprioception.
  • This proposed benefit has not been rigorously tested or validated using objective measures.

Purpose of the Study:

  • To objectively quantify dynamic postural stability using an advanced testing device.
  • To determine if total hip resurfacing is associated with improved proprioception compared to standard or large-head THA.

Main Methods:

  • Recruited three groups of 25 patients (total hip resurfacing, THA femoral head > 32 mm, THA femoral head ≤ 32 mm) and a matched control group.
  • All participants had high UCLA and Harris hip scores.
  • Utilized a multidirectional, powered platform to measure center of mass deviations during double- and single-limb support trials.

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Main Results:

  • No differences in proprioception were observed during double-limb support testing between groups.
  • Single-limb testing showed a transient benefit for the operative side in total hip resurfacing patients, which disappeared upon normalization.
  • Both operative and nonoperative sides in all arthroplasty groups exhibited significantly worse proprioception compared to controls, indicating arthritis's negative impact.

Conclusions:

  • Total hip resurfacing arthroplasty did not demonstrate improved proprioception compared to THA.
  • The findings refute the notion that improved proprioception is a primary rationale for selecting total hip resurfacing over THA in young patients.