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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 5, 592-600.
doi: 10.1302/0301-620X.88B5.17354  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Treatment of the young active patient with osteoarthritis of the hip

A FIVE- TO SEVEN-YEAR COMPARISON OF HYBRID TOTAL HIP ARTHROPLASTY AND METAL-ON-METAL RESURFACING

T. C. B. Pollard, BSc(Hons), MBChB, MRCS, Specialist Registrar in Orthopaedics1; R. P. Baker, MBChB, MRCS, Specialist Registrar in Orthopaedics2; S. J. Eastaugh-Waring, MBChB, FRCS(Tr & Orth), Consultant Orthopaedic Surgeon2; and G. C. Bannister, MD, FRCS, Consultant Orthopaedic Surgeon2

1 Wycombe Hospital, Queen Alexandra Road, High Wycombe, Buckinghamshire, HP11 2TT, UK.
2 Avon Orthopaedic Centre, Southmead Hospital, Bristol, BS10 5NB, UK.

Correspondence should be sent to Mr G. C. Bannister; e-mail: gordon.bannister{at}nbt.nhs.uk

We compared the five- to seven-year clinical and radiological results of the metal-on-metal Birmingham hip resurfacing with a hybrid total hip arthroplasty in two groups of 54 hips, matched for gender, age, body mass index and activity level.

Function was excellent in both groups, as measured by the Oxford hip score, but the Birmingham hip resurfacings had higher University of California at Los Angeles activity scores and better EuroQol quality of life scores. The total hip arthroplasties had a revision or intention-to-revise rate of 8%, and the Birmingham hip resurfacings of 6%. Both groups demonstrated impending failure on surrogate end-points. Of the total hip arthroplasties, 12% had polyethylene wear and osteolysis under observation, and 8% of Birmingham hip resurfacings showed migration of the femoral component. Polyethylene wear was present in 48% of the hybrid hips without osteolysis. Of the femoral components in the Birmingham hip resurfacing group which had not migrated, 66% had radiological changes of unknown significance.




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Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General