Hip resurfacing versus total hip arthroplasty: a systematic review comparing standardized outcomes.

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Abstract

[Indexed for MEDLINE] 15. Orthop Clin North Am. 2011 Apr;42(2):207-30, viii. doi: 10.1016/j.ocl.2010.12.002. Complications after metal-on-metal hip resurfacing arthroplasty. Amstutz HC(1), Le Duff MJ, Campbell PA, Wisk LE, Takamura KM. Author information: (1)Joint Replacement Institute at Saint Vincent Medical Center, Los Angeles, CA 90057, USA. harlanamstutz@dochs.org This article determines the incidence and cause of the complications commonly associated with metal-on-metal hip resurfacing implants and the proposed methods to prevent these complications. The literature available in PubMed was reviewed. Complication rates after hip resurfacing are low, and the procedure has shown both safety and efficacy in the hands of surgeons trained in specialized centers. Proper surgical technique can further reduce the incidence of femoral neck fracture, component loosening, and abnormal wear of the prosthesis. A more systematic detection of adverse local tissue reactions is needed to provide accurate assessments of their prevalence. Copyright © 2011. Published by Elsevier Inc. DOI: 10.1016/j.ocl.2010.12.002