2016 AOANJIRR Registry Summary

Original Complete 2016 AOANJIRR Report Here

Note by Patricia Walter:  This information is only for hip resurfacing in Australia.  Many experienced hip resurfacing surgeons have personal series of HR which are more positive than the results below.

Summary of 2016 AOANJIRR Report by Patricia Walter

PRIMARY TOTAL RESURFACING HIP REPLACEMENT

The Registry has recorded 8,895 total resurfacing hip replacement procedures in patients less than 55 years of age. In this age group, the use of primary total hip resurfacing as a proportion of primary total hip procedures, has declined from a peak of 30.2% in 2004 to 4.3% in 2015. … Read the rest

Osteoarthritis Patients Survive Longer after Hip Resurfacing than THR 2013

Read Complete Article Here

BIRMINGHAM, ENGLAND – Contrary to expectations, metal-on-metal hip resurfacing for osteoarthritis was associated with higher patient survival at 10 years than was total hip arthroplasty in a large, population-based study…

…Cumulative mortality rates were 2.8% for hip resurfacing versus 7.3% for cemented total hip replacement (THR; hazard ratio, 0.51). Ten-year mortality rates comparing hip resurfacing to uncemented THR were 2.6% and 3.2%, respectively (HR, 0.64)…

…”Patients who received a metal-on-metal resurfacing [MoMR] procedure seem to have a long-term survival advantage compared to patients receiving cemented or an uncemented THR,” said Dr. Adrian Kendal of the National … Read the rest

Outcomes of the Birmingham Hip Resurfacing System Study 2016

Read Full Abstract Here

Clinical and Functional Outcomes of the Birmingham Hip Resurfacing System by Cecilia Pascual-Garrido, MD; Brandon L. Morris, MD; Michael R. Dayton, MD

This study reported the outcomes of patients treated with the Birmingham Hip Resurfacing System (Smith & Nephew, Memphis, Tennessee) to identify the prevalence of complications and failures. A retrospective review of 202 patients (206 hips) was performed. Outcomes were assessed clinically with Harris Hip Score at 6 and 12 months and then yearly…

…According to the authors’ results, the Birmingham Hip Resurfacing System resulted in good clinical outcomes at 4 years. Survival and outcomes … Read the rest

Hip Resurfacing Using Highly Cross-linked Polyethylene Study 2016

Read Complete Study Here

By  Pritchett JW

In this prospective study, 190 hip resurfacing procedures (164 participants) were performed using a cobalt-chromium femoral component and a cementless acetabular cup with a 3.8-mm highly cross-linked polyethylene acetabular liner…

…The mean follow-up was 8.5 (range, 7-10) years…

…(With Highly Cross-linked Polyethylene device) The low incidence of osteolysis and the low rate of wear found on retrievals suggest that many years of use in highly active patients is possible.… Read the rest

Similar outcomes for THR and Hip Resurfacing Study 2015

Parry MC, et al. J Arthroplasty. 2015;doi:10.1016/j.arth.2015.04.030.

Although patients who underwent total hip arthroplasty experienced greater leg length discrepancy and less accurate restoration of offset compared with patients who underwent hip resurfacing arthroplasty, investigators of this retrospective study found no difference in clinical outcomes between the procedures…

…Researchers found THA significantly increased femoral offset and leg length compared with hip resurfacing arthroplasty…… Read the rest

Mid-term Results of Hip Resurfacing in a Large US Series with Technique and Imaging Recommendations by Dr. Brooks 2015

Alternative Bearing Surfaces (Hip)
Presented at AAOS by Dr. Peter J. Brooks on Tuesday, March 24, 2015 7:00 AM

Author(s): Carlos A. Higuera

, MD, Bay Village, Ohio;
Kurt P. Spindler, MD, Garfield Hts, Ohio; Gregory J. Strnad, MS,
Lyndhurst, Ohio; Peter J. Brooks, MD, FRCS(C) Cleveland, Ohio

INTRODUCTION:

Hip resurfacing has been proposed as a suitable procedure for
young, active patients. Given the concerns
with metal-on-metal bearings, and the recall or withdrawal of certain devices,
it is appropriate to review our results using a
resurfacing device with a relatively good clinical record. As our experience and… Read the rest

Dr. Brooks Study – 2,200 BHR Patients with 99% Survivorship 2014 Presentation

December 12, 2014 Orlando FL

Read Complete Article Here:

http://www.healio.com/orthopedics/hip/news/online/{57d1fb7b-1c1f-46fe-a320-3cf8cfbf7f58}/speaker-success-of-hip-resurfacing-depends-on-device-technique-in-properly-selected-patients

“Resurfacing is very attractive to patients, less attractive to surgeons because there are many ways to get into trouble. If you do it, if you do the deep dive, you will become a better hip surgeon,” Peter J. Brooks, MD, FRCS(C), said at the Current Concepts in Joint Replacement Winter Meeting.

Brooks said in the mid-term results of study of more than 2,200 patients implanted with the Birmingham Hip, there were few complications with no dislocations or femoral loosening seen…

…Overall survivorship at up to 8 years was more than … Read the rest

Hip Resurfacing Compared to Total Hip Replacement Functional Outcomes for 2 Years 2012

January 30, 2012

This prospective observational study of 499 patients with hip resurfacing and 255 patients with total hip arthroplasty compared outcomes for 2 years. We used propensity scores to identify matched cohorts of 118 patients with hip resurfacing and 118 patients with total hip arthroplasty. We used these cohorts to compare improvements in the Western Ontario and McMaster University (WOMAC) osteoarthritis index and Medical Outcomes Short-Form 36 physical function component (SF-36 PF) scores at 3 months and at 1 and 2 years postsurgery.

Both groups demonstrated significant improvements from baseline in WOMAC and SF-36 PF. Improvements in SF-36 PF … Read the rest

Hip Resurfacing and Conventional THR Comparison of Acetabular Bone Stock Removal, Leg Length, and Offset Medical Study 2013

Nicholas M. Brown, MD; Jared R. H. Foran, MD; Craig J. Della Valle, MD
May 2013

The purpose of this study was to compare total hip arthroplasty (THA) and hip resurfacing arthroplasty (HRA) with regard to the amount of acetabular bone stock removed and the ability to restore leg length and offset. Anteroposterior pelvis radiographs of 153 consecutive THAs and 84 consecutive HRAs were compared. Excluded patients were those with prior hip surgery, those in which a best-fit circle could not be adequately matched to the femoral head, and those with preoperative radiographic findings that precluded consideration for HRA (ie, … Read the rest