Causes of early failure in a multicenter clinical trial of hip resurfacing

The Journal of Arthroplasty
Paul R KimMichael Dunbar

Abstract

The purpose of this study was to evaluate the clinical outcomes and possible causes of early failure in a multicenter trial of metal-on-metal hip resurfacing. Two hundred patients were prospectively enrolled and followed for an average of 31.2 months (range, 12-54 months). Of 200 patients, 14 (7.0%) required revision surgery at a mean time of 19.5 months (range, 3-47 months). Patients with failures were significantly younger and heavier than the nonfailures, and all were male. Patients who were revised did not differ from those who were not revised in terms of radiographic outcomes, but they did report lower functional outcome scores at all preoperative and postoperative testing intervals. Most failures (10/14) were related to early acetabular loosening. The learning curve was likely a factor in these cup failures. This report highlights the importance of patient selection and surgical technique in hip resurfacing arthroplasty. It is anticipated that further surgical experience will lead to a reduction in this high early failure rate.

References

Jan 1, 1987·Archives of Orthopaedic and Trauma Surgery·J SchatzkerR S Bell
Mar 30, 2004·The Journal of Bone and Joint Surgery. British Volume·J DanielD J W McMinn
Dec 4, 2004·Clinical Orthopaedics and Related Research·Harlan C AmstutzPaul E Beaulé
Dec 4, 2004·The Journal of Arthroplasty·Paul E BeauléHarlan C Amstutz
Jan 7, 2005·The Journal of Bone and Joint Surgery. American Volume·A P DaviesC P Case
Mar 2, 2005·The Journal of Bone and Joint Surgery. British Volume·R B C TreacyP B Pynsent
Mar 19, 2005·The Journal of Bone and Joint Surgery. British Volume·D L BackA Shimmin
Apr 19, 2005·The Orthopedic Clinics of North America·Koen A De Smet
Apr 19, 2005·The Orthopedic Clinics of North America·Anastasios K LilikakisRichard N Villar
Dec 7, 2005·Clinical Orthopaedics and Related Research·Thomas M SmithThomas H Mallory
Jun 20, 2006·The Journal of Arthroplasty·Paul E BeauléHarlan C Amstutz
Apr 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Scott T BallHarlan C Amstutz
Sep 25, 2007·Clinical Orthopaedics and Related Research·Michael A MontHarlan C Amstutz
Oct 4, 2007·Zeitschrift für Orthopädie und Unfallchirurgie·S GraviusT Mumme
Nov 21, 2007·The Journal of Arthroplasty·Martin L Buergi, William L Walter
Nov 21, 2007·The Journal of Arthroplasty·David R MarkerMichael A Mont
Dec 7, 2007·The Journal of Bone and Joint Surgery. American Volume·Michel J Le DuffFrederick J Dorey
Mar 2, 2010·The Journal of Bone and Joint Surgery. British Volume·M J B KeelK A Siebenrock
Jul 20, 2011·The Journal of Bone and Joint Surgery. British Volume·G H StaffordJ D Witt
May 9, 2015·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Harlan C Amstutz, Michel J Le Duff

❮ Previous
Next ❯

Citations

Jan 29, 2010·Skeletal Radiology·Jozef ZustinGuido Sauter
Apr 6, 2011·Skeletal Radiology·Luthfur RahmanSarah K Muirhead-Allwood
Oct 27, 2012·International Orthopaedics·Régis PailhéJean-Michel Laffosse
Jan 30, 2013·International Orthopaedics·Philippe ChironJean-Michel Laffosse
Sep 16, 2010·European Radiology·Zhongbo ChenSimon Ostlere
Jun 10, 2009·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Manuel Villanueva-MartínezAngel Villamor-Pérez
Oct 2, 2013·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Emmanuel IllicalPaul E Beaulé
Oct 2, 2013·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Henri MigaudJulien Girard
Jul 16, 2010·BMC Musculoskeletal Disorders·Martijn RaaijmaakersMichiel Mulier
Dec 14, 2012·BMC Musculoskeletal Disorders·Walter van der WeegenRudolf W Poolman
May 10, 2013·BMC Musculoskeletal Disorders·Kimona IssaMichael A Mont
Apr 5, 2014·Clinical Orthopaedics and Related Research·Deborah A MarshallCy Frank
May 2, 2014·The Journal of Arthroplasty·Edwin P SuC Anderson Engh
Apr 6, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Régis PailhéPhilippe Chiron
Jul 1, 2012·Revista Brasileira De Ortopedia·Roberto Dantas QueirozMauricio Morita Sugiyama
Jun 29, 2013·The Journal of Arthroplasty·Peter N ChalmersBrett R Levine
Jul 24, 2012·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Stephan Kirschner
May 19, 2012·The Journal of Arthroplasty·Thomas P Gross, Fei Liu
Mar 31, 2015·International Orthopaedics·Md Quamar AzamSukesh Rao Sankineani
Mar 26, 2011·The Orthopedic Clinics of North America·Harlan C AmstutzKarren M Takamura
Jul 7, 2009·The Orthopedic Clinics of North America·Benoit BenoitPaul E Beaulé
Jul 29, 2009·Orthopedics·Andrea SandriPietro Bartolozzi
Feb 26, 2013·The Journal of Arthroplasty·Regina P WoonHarlan C Amstutz
Sep 13, 2014·The Journal of Arthroplasty·Alejandro D ZylberbergPaul E Beaulé
Oct 26, 2013·Computer Methods in Biomechanics and Biomedical Engineering·Rajesh GhoshSanjay Gupta
May 3, 2013·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Rajesh GhoshSanjay Gupta
Dec 10, 2009·Acta Orthopaedica·Jacob Pontoppidan ThyssenTorkil Menné
Oct 5, 2010·The Journal of Bone and Joint Surgery. British Volume·A D CarrothersJ B Richardson
Nov 9, 2010·Clinical Orthopaedics and Related Research·Michael G ZywielMichael A Mont
Feb 11, 2012·The Journal of Bone and Joint Surgery. British Volume·R A Henderson, P F Lachiewicz
May 26, 2012·The Journal of Bone and Joint Surgery. British Volume·Q WangJ J Shao
Mar 27, 2019·Critical Reviews in Toxicology·Michael KovochichDennis J Paustenbach
Jan 5, 2011·The Journal of Bone and Joint Surgery. British Volume·R B C TreacyP B Pynsent
Mar 2, 2011·The Journal of Bone and Joint Surgery. British Volume·W van der WeegenR W Poolman
Jul 30, 2019·Advances in Orthopedics·Dani M Gaillard-Campbell, Thomas P Gross
Mar 26, 2016·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Richard RodaPaul E Beaulé

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.