Conversion of a failed hip resurfacing arthroplasty to total hip arthroplasty: pearls and pitfalls

Jacob A. Haynes, Jeffrey B. Stambough, Robert L. Barrack, Denis Nam

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

Surface replacement arthroplasty (SRA) remains a viable alternative to total hip arthroplasty (THA) in appropriately selected, active adults with degenerative hip disease. However, orthopedic surgeons are facing a number of scenarios where revision of one or both components of an SRA is indicated. Indications for revision vary and impact the potential outcomes of conversion of a SRA to THA. While clinical outcomes are generally favorable, a growing body of data illustrates patients who undergo conversion of a SRA to THA to be at increased risk of requiring a repeat revision surgery and experiencing functional outcomes inferior to that of a primary THA. The results of patients undergoing conversion of a SRA to THA highlight the need for careful patient selection, thorough preoperative counseling, and technical precision when performing a SRA. Furthermore, a systematic approach to the failed SRA is necessary to ensure optimal clinical results.

Original languageEnglish
Pages (from-to)103-111
Number of pages9
JournalCurrent Reviews in Musculoskeletal Medicine
Volume9
Issue number1
DOIs
StatePublished - Mar 1 2016

Keywords

  • Aseptic loosening
  • Femoral neck fracture
  • Metallosis
  • Surface replacement arthroplasty
  • Total hip arthroplasty

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