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Updated: Jun 2, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

Biomechanical changes after total vs. resurfacing hip replacement: a systematic review.

Jung-Ha Sung¹, Geon-Tak Kim¹, Jaemoo Lee²

¹Physical Education, Kyung Hee University, Yongin-si, Korea (the Republic of).

International Journal of Sports Medicine

|March 19, 2025

Summary

Resurfacing hip arthroplasty offers faster functional recovery than total hip arthroplasty, improving hip range of motion and biomechanical forces during daily activities. Further research is needed for sit-to-stand and stair negotiation analysis.

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Last Updated: Jun 2, 2026

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Area of Science:

Orthopedic Surgery
Biomechanics
Rehabilitation Science

Background:

Total hip arthroplasty (THA) and resurfacing hip arthroplasty (RHA) are surgical options for hip joint dysfunction.
Understanding biomechanical differences during activities of daily living (ADLs) is crucial for patient outcomes.

Purpose of the Study:

To systematically review and compare kinematic, kinetic, and muscle activity changes between THA and RHA during ADLs.
To provide a comprehensive understanding of functional recovery differences between the two hip arthroplasty types.

Main Methods:

Systematic review of 18 articles from MEDLINE, Scopus, Web of Science, and Embase.
Inclusion criteria focused on THA or RHA, kinematic/kinetic/muscle activity outcomes, ADLs (gait, sit-to-stand, stair negotiation, balancing), and English language.

Main Results:

Resurfacing hip arthroplasty group showed faster functional recovery post-surgery compared to THA.
Improvements observed in hip range of motion, peak vertical ground reaction force, and peak hip abduction moment for RHA.
Significant biomechanical differences noted during gait analysis between THA and RHA.

Conclusions:

RHA demonstrates potential for superior early functional recovery and improved biomechanics during certain ADLs compared to THA.
Further investigation into biomechanical changes during stair negotiation and sit-to-stand transfers is warranted.
Findings provide a basis for optimizing hip replacement strategies and future research.