Current indications for hip resurfacing arthroplasty in 2016

Area of Science:

• Orthopedic surgery
• Biomaterials science
• Arthroplasty research

Background:

• Hip resurfacing arthroplasty (HRA) is a joint-sparing alternative to conventional total hip arthroplasty (THA).
• Metal-on-metal (MoM) HRA demonstrated excellent outcomes in select patient groups since the 1990s.
• Concerns about adverse local tissue reactions (ALTR) to metal debris have impacted MoM HRA usage.

Purpose of the Study:

• To provide an updated review of hip resurfacing arthroplasty.
• To critically evaluate the latest scientific literature on HRA outcomes and challenges.

Main Methods:

• Literature review of recent studies on hip resurfacing arthroplasty.
• Critical analysis of data concerning patient selection, implant materials, and adverse events.
• Synthesis of findings on the efficacy and safety of HRA.

Main Results:

• HRA is most successful in young, active patients with osteoarthritis and good bone stock.
• Metal-on-metal bearing surfaces in HRA have shown high success rates but carry risks of ALTR.
• Recent literature highlights evolving trends and ongoing research in HRA technology and patient management.

Conclusions:

• Hip resurfacing arthroplasty remains a viable option for specific patient demographics.
• Careful patient selection and awareness of potential complications, such as ALTR, are crucial for successful HRA.
• Continued research is essential to optimize HRA techniques and address concerns related to bearing surfaces.