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Hip function after total vs. surface replacement.

D R Gore, M P Murray, G M Gardner

Acta Orthopaedica Scandinavica

|October 1, 1985

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Hip resurfacing surgery offers advantages over conventional hip replacement. Patients undergoing resurfacing showed better muscle strength and walking speed post-surgery, maintaining initial benefits.

Area of Science:

Orthopedic surgery
Biomechanics
Musculoskeletal health

Background:

Hip replacement is a common procedure for hip joint issues.
Conventional hip replacement involves significant bone removal.
Hip resurfacing is an alternative preserving more bone.

Purpose of the Study:

To compare kinesiologic outcomes between hip resurfacing and conventional hip replacement.
To evaluate functional recovery and performance at 6 and 24 months post-surgery.

Main Methods:

Kinesiologic measurements were taken in two groups of 20 men.
Measurements were performed before surgery and at 6 and 24 months after.
Groups underwent either hip resurfacing or conventional hip replacement.

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Main Results:

The hip resurfacing group was younger and had less pain pre-surgery.
Pre-surgery, resurfacing group had better hip motion, muscle strength, and walking speed.
Post-surgery, the resurfacing group maintained advantages in muscle strength and walking velocity.

Conclusions:

Hip resurfacing demonstrated superior functional outcomes compared to conventional replacement.
Preserved muscle strength and walking velocity suggest better long-term function with resurfacing.
These findings support hip resurfacing as a favorable option for select patients.