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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 2, 167-170.
doi: 10.1302/0301-620X.87B2.15030  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Birmingham hip resurfacing arthroplasty

A MINIMUM FOLLOW-UP OF FIVE YEARS

R. B. C. Treacy, FRCS, Consultant Orthopaedic Surgeon; C. W. McBryde, MRCS, Specialist Registrar; and P. B. Pynsent, PhD, Director, Research and Teaching Centre

The Royal Orthopaedic Hospital, Northfield, Birmingham B31 2AP, UK.

Correspondence should be sent to Dr P. B. Pynsent; e-mail: p.b.pynsent{at}bham.ac.uk

We report the survival at five years of 144 consecutive metal-on-metal resurfacings of the hip implanted between August 1997 and May 1998. Failure was defined as revision of either the acetabular or femoral component for any reason during the study period. The survival at the end of five years was 98% overall and 99% for aseptic revisions only. The mean age of the patients at implantation was 52.1 years.

Three femoral components failed during the first two years, two were infected and one fractured. A single stage revision was carried out in each case. No other revisions were performed or are impending. No patients were lost to follow-up. Four died from unrelated causes during the study period.

This study confirms that hip resurfacing using a metal-on-metal bearing of known provenance can provide a solution in the medium term for the younger more active adult who requires surgical intervention for hip disease.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General