TY - JOUR
T1 - Conversion of a failed hip resurfacing arthroplasty to total hip arthroplasty
T2 - pearls and pitfalls
AU - Haynes, Jacob A.
AU - Stambough, Jeffrey B.
AU - Barrack, Robert L.
AU - Nam, Denis
N1 - Publisher Copyright:
© 2016, Springer Science+Business Media New York.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - 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.
AB - 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.
KW - Aseptic loosening
KW - Femoral neck fracture
KW - Metallosis
KW - Surface replacement arthroplasty
KW - Total hip arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=84959453652&partnerID=8YFLogxK
U2 - 10.1007/s12178-016-9326-y
DO - 10.1007/s12178-016-9326-y
M3 - Review article
C2 - 26803608
AN - SCOPUS:84959453652
VL - 9
SP - 103
EP - 111
JO - Current Reviews in Musculoskeletal Medicine
JF - Current Reviews in Musculoskeletal Medicine
SN - 1935-973X
IS - 1
ER -