Hip resurfacing arthroplasty and total hip arthroplasty in the same patient: which do they prefer?

Tyler E. Calkins, Linda I. Suleiman, Chris Culvern, Sulaiman Alazzawi, Gregory S. Kazarian, Robert L. Barrack, Fares S. Haddad, Craig J. Della Valle

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Introduction: Hip resurfacing arthroplasty (HRA) is an alternative to conventional total hip arthroplasty (THA) with potential advantages of preserving femoral bone stock and the ability to participate in higher impact activities. This study compares outcomes, satisfaction and preference in patients who underwent HRA in 1 hip and THA on the contralateral side. Methods: 62 Patients with an HRA in 1 hip and a contralateral THA were retrospectively identified at 3 centres, consisting of 38 males and 24 females with 53 patients (85.5%) undergoing HRA first. A survey regarding satisfaction and preference for each procedure and outcome scores were obtained. Results: Patients were younger (51.5 vs. 56.6 years, p = 0.002) and had longer follow-up on the HRA hip (11.0 vs. 6.0 years, p < 0.001). HRA was associated with larger increase in Harris Hip Score from preoperative to final follow-up (35.8 vs. 30.6, p = 0.035). 18 Patients (29.0%) preferred HRA, 19 (30.6%) preferred THA and 25 (40.3%) had no preference (p = 0.844). When asked what they would choose if they could only have 1 surgery again, 41 (66.1%, p < 0.001) picked HRA. Overall satisfaction (p = 0.504), willingness to live with their HRA versus THA for the rest of their life (p = 0.295) and recommendation to others (p = 0.097) were similar. Conclusions: Although HRA is associated with risks related to metal-on-metal bearings, it showed greater increase in patient-reported outcomes and a small subjective preference amongst patients who have undergone both conventional and resurfacing arthroplasty.

Original languageEnglish
Pages (from-to)328-334
Number of pages7
JournalHIP International
Issue number3
StatePublished - May 2021


  • Hip resurfacing arthroplasty
  • outcomes
  • preference
  • satisfaction
  • total hip arthroplasty


Dive into the research topics of 'Hip resurfacing arthroplasty and total hip arthroplasty in the same patient: which do they prefer?'. Together they form a unique fingerprint.

Cite this