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Early failure modalities in hip resurfacing?

S Cutts1, Amit Datta, K Ayoub

  • 1Solihull Hospital, Birmingham - UK.

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
|February 23, 2017
PubMed
Summary
This summary is machine-generated.

Hip resurfacing showed a 22% revision rate within 51 months, with fractured neck of femur being the most common failure mode. This highlights potential risks in hip resurfacing procedures, particularly for older females.

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Medical Device Technology

Background:

  • Hip resurfacing arthroplasty is an alternative to total hip replacement.
  • Understanding failure modes is crucial for improving patient outcomes and implant design.

Purpose of the Study:

  • To retrospectively analyze the failure modes and revision rates of hip resurfacing procedures.
  • To identify common reasons for revision surgery in a series of hip resurfacing cases.

Main Methods:

  • Retrospective review of patient records and radiographs for 60 patients (65 hips) who underwent hip resurfacing between 1996 and 2002.
  • Identification and categorization of failure mechanisms requiring revision surgery.
  • Mean follow-up duration of 51 months.

Main Results:

  • A total of 14 cases (22%) required revision surgery.
  • The most frequent failure mechanism was fractured neck of femur (six cases), with four occurring in females over 60, none trauma-related.
  • Other failures included loose acetabular components (four cases), progressive avascular necrosis (one case), ongoing hip pain (two cases), and deep infection (one case).

Conclusions:

  • Hip resurfacing in this cohort had a significant revision rate, with femoral neck fracture being a primary concern.
  • Specific patient demographics, such as older females, may be at higher risk for certain failure modes.
  • Further investigation into the causes of non-traumatic femoral neck fractures and component loosening is warranted.