The Optimal Metal-metal Arthroplasty is Still a Total Hip Arthroplasty: in Opposition.
From: Joint Replacement Institute at Orthopaedic Hospital, Los Angeles, California 90007, USA.
The Journal of arthroplasty
- Publish Date: Jun 2006
- ISSN: 0883-5403
- Volume: 21
- Issue: 4 Suppl 1
- Pages: 77-9
- Medium: Print
- Language: English
- Citation (JAMA): Schmalzried Thomas P, et al. The Optimal Metal-metal Arthroplasty is Still a Total Hip Arthroplasty: in Opposition.. Jun 2006;21:77-9
Abstract
The longevity of any hip arthroplasty in an individual patient cannot be predicted with certainty so revisability of the arthroplasty remains an issue. As the occurrence of loosening and osteolysis decreases, then fatigue failure of femoral stems, complications of modular connections, and infection will become relatively more common modes of failure. Metal-metal hip resurfacing conserves bone stock, which provides better options for revision surgery. Hip resurfacing favors early intervention and has demonstrated excellent outcomes in young active males, the group historically at increased risk for failure of a conventional total hip arthroplasty. The best balance of the benefit-risk ratio for hip resurfacing is in those patients at increased risk for failure of a conventional total hip arthroplasty.
Mesh Headings (Keywords): Arthroplasty, Replacement, Hip, Biomechanics, Femur, Humans, Infection, Metals, Postoperative Complications, Prosthesis Design, Range of Motion, Articular, Risk Assessment
Check for Full Text / PubMed Unique Identifier (PMID): 16781435
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