Hip resurfacing implants

Matteo Cadossi, Giuseppe Tedesco, Andrea Sambri, Antonio Mazzotti, Sandro Giannini

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Hip resurfacing offers a suitable solution for young patients affected by hip disease who have high function demands and good bone quality. Bone stock preservation, restoration of the normal proximal femur anatomy, the lack of stress shielding, and the possibility of resuming sporting activity are proven advantages of hip resurfacing. However, there are some disadvantages, such as fracture of the femoral neck, onset of neck narrowing, and possible complications due to the metal-on-metal bearings, including pseudotumors, peri-implant osteolysis, and chronic elevation of metal ions in serum levels. Recent data suggest that the ideal candidate for hip resurfacing is an active male, younger than 65 years, with primary or posttraumatic osteoarthritis, and with a femoral head diameter larger than 50 to 54 mm. Based on these selection criteria, the literature reports implant survival to be similar to that of total hip arthroplasty. The current authors' experience confirms a low failure rate and excellent functional outcomes, with metal ion serum levels becoming stable over time in well-functioning implants. Proper surgical technique, correct patient selection, and the right choice of a well-established prosthetic model are essential elements for the long-term success of these implants.

Original languageEnglish
Pages (from-to)504-509
Number of pages6
JournalOrthopedics
Volume38
Issue number8
DOIs
Publication statusPublished - Aug 1 2015

Fingerprint

Hip
Metals
Patient Selection
Ions
Bone and Bones
Femoral Neck Fractures
Osteolysis
Patient Rights
Thigh
Serum
Osteoarthritis
Arthroplasty
Femur
Anatomy
Neck
Survival

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Cadossi, M., Tedesco, G., Sambri, A., Mazzotti, A., & Giannini, S. (2015). Hip resurfacing implants. Orthopedics, 38(8), 504-509. https://doi.org/10.3928/01477447-20150804-07

Hip resurfacing implants. / Cadossi, Matteo; Tedesco, Giuseppe; Sambri, Andrea; Mazzotti, Antonio; Giannini, Sandro.

In: Orthopedics, Vol. 38, No. 8, 01.08.2015, p. 504-509.

Research output: Contribution to journalArticle

Cadossi, M, Tedesco, G, Sambri, A, Mazzotti, A & Giannini, S 2015, 'Hip resurfacing implants', Orthopedics, vol. 38, no. 8, pp. 504-509. https://doi.org/10.3928/01477447-20150804-07
Cadossi M, Tedesco G, Sambri A, Mazzotti A, Giannini S. Hip resurfacing implants. Orthopedics. 2015 Aug 1;38(8):504-509. https://doi.org/10.3928/01477447-20150804-07
Cadossi, Matteo ; Tedesco, Giuseppe ; Sambri, Andrea ; Mazzotti, Antonio ; Giannini, Sandro. / Hip resurfacing implants. In: Orthopedics. 2015 ; Vol. 38, No. 8. pp. 504-509.
@article{daeb933107a54eb7a72c518bee2f4a85,
title = "Hip resurfacing implants",
abstract = "Hip resurfacing offers a suitable solution for young patients affected by hip disease who have high function demands and good bone quality. Bone stock preservation, restoration of the normal proximal femur anatomy, the lack of stress shielding, and the possibility of resuming sporting activity are proven advantages of hip resurfacing. However, there are some disadvantages, such as fracture of the femoral neck, onset of neck narrowing, and possible complications due to the metal-on-metal bearings, including pseudotumors, peri-implant osteolysis, and chronic elevation of metal ions in serum levels. Recent data suggest that the ideal candidate for hip resurfacing is an active male, younger than 65 years, with primary or posttraumatic osteoarthritis, and with a femoral head diameter larger than 50 to 54 mm. Based on these selection criteria, the literature reports implant survival to be similar to that of total hip arthroplasty. The current authors' experience confirms a low failure rate and excellent functional outcomes, with metal ion serum levels becoming stable over time in well-functioning implants. Proper surgical technique, correct patient selection, and the right choice of a well-established prosthetic model are essential elements for the long-term success of these implants.",
author = "Matteo Cadossi and Giuseppe Tedesco and Andrea Sambri and Antonio Mazzotti and Sandro Giannini",
year = "2015",
month = "8",
day = "1",
doi = "10.3928/01477447-20150804-07",
language = "English",
volume = "38",
pages = "504--509",
journal = "Orthopedics",
issn = "0147-7447",
publisher = "Slack Incorporated",
number = "8",

}

TY - JOUR

T1 - Hip resurfacing implants

AU - Cadossi, Matteo

AU - Tedesco, Giuseppe

AU - Sambri, Andrea

AU - Mazzotti, Antonio

AU - Giannini, Sandro

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Hip resurfacing offers a suitable solution for young patients affected by hip disease who have high function demands and good bone quality. Bone stock preservation, restoration of the normal proximal femur anatomy, the lack of stress shielding, and the possibility of resuming sporting activity are proven advantages of hip resurfacing. However, there are some disadvantages, such as fracture of the femoral neck, onset of neck narrowing, and possible complications due to the metal-on-metal bearings, including pseudotumors, peri-implant osteolysis, and chronic elevation of metal ions in serum levels. Recent data suggest that the ideal candidate for hip resurfacing is an active male, younger than 65 years, with primary or posttraumatic osteoarthritis, and with a femoral head diameter larger than 50 to 54 mm. Based on these selection criteria, the literature reports implant survival to be similar to that of total hip arthroplasty. The current authors' experience confirms a low failure rate and excellent functional outcomes, with metal ion serum levels becoming stable over time in well-functioning implants. Proper surgical technique, correct patient selection, and the right choice of a well-established prosthetic model are essential elements for the long-term success of these implants.

AB - Hip resurfacing offers a suitable solution for young patients affected by hip disease who have high function demands and good bone quality. Bone stock preservation, restoration of the normal proximal femur anatomy, the lack of stress shielding, and the possibility of resuming sporting activity are proven advantages of hip resurfacing. However, there are some disadvantages, such as fracture of the femoral neck, onset of neck narrowing, and possible complications due to the metal-on-metal bearings, including pseudotumors, peri-implant osteolysis, and chronic elevation of metal ions in serum levels. Recent data suggest that the ideal candidate for hip resurfacing is an active male, younger than 65 years, with primary or posttraumatic osteoarthritis, and with a femoral head diameter larger than 50 to 54 mm. Based on these selection criteria, the literature reports implant survival to be similar to that of total hip arthroplasty. The current authors' experience confirms a low failure rate and excellent functional outcomes, with metal ion serum levels becoming stable over time in well-functioning implants. Proper surgical technique, correct patient selection, and the right choice of a well-established prosthetic model are essential elements for the long-term success of these implants.

UR - http://www.scopus.com/inward/record.url?scp=84939799093&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84939799093&partnerID=8YFLogxK

U2 - 10.3928/01477447-20150804-07

DO - 10.3928/01477447-20150804-07

M3 - Article

C2 - 26270748

AN - SCOPUS:84939799093

VL - 38

SP - 504

EP - 509

JO - Orthopedics

JF - Orthopedics

SN - 0147-7447

IS - 8

ER -