Hip Resurfacing Arthroplasty in Inflammatory Arthritis: A 3- to 5-Year Follow-up Study
Section snippets
Materials and Methods
A retrospective review of the patients who underwent hip resurfacing between January 2004 and August 2006 revealed 49 hip resurfacings in 37 patients. Of these, 32 hips in 23 patients were resurfaced for disabling inflammatory arthritis of the hip. Painful or stiff joints hindering activities of daily living were the primary indication for hip resurfacing. The serum level of 25(OH)D3 was estimated in all patients before resurfacing because of the association of vitamin D deficiency with
Results
The demographic profile of the patients is listed in Table 1. The mean age of study cohort of young adults was 33 years, with a range of 21 to 48 years. Preoperatively, 4 of the patients were bedridden, whereas the rest were ambulatory, dependent on walking aids. Twenty-two of the 23 patients had suboptimal 25(OH)D levels and had undergone vitamin D therapy before resurfacing. Nine patients underwent bilateral hip resurfacing, of which 7 underwent single-stage resurfacing, whereas 2 patients
Discussion
After the improvements in surgical technique and metallurgy, third-generation total hip resurfacing with metal-on-metal articulation has been successfully introduced in younger patients with primary osteoarthritis of the hip with promising short- to medium-term results 14, 19, 20, 21. Success of the technique in primary osteoarthritis has prompted experimentation of the viability of this unique design in patients with osteoarthritis secondary to osteonecrosis of the femoral head 22, 23,
Acknowledgement
We are grateful to Director-Professor Dr. Virendra N. Sehgal, MD, FNASC, FAMS, FRAS (Lond), who reviewed and meticulously edited this article.
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The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2011.02.016.