TY - JOUR
T1 - Hip resurfacing arthroplasty and total hip arthroplasty in the same patient
T2 - which do they prefer?
AU - Calkins, Tyler E.
AU - Suleiman, Linda I.
AU - Culvern, Chris
AU - Alazzawi, Sulaiman
AU - Kazarian, Gregory S.
AU - Barrack, Robert L.
AU - Haddad, Fares S.
AU - Della Valle, Craig J.
N1 - Funding Information:
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. Hip resurfacing arthroplasty outcomes preference satisfaction total hip arthroplasty edited-state corrected-proof Declaration of conflicting interests The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: FSH: is a paid consultant and receives research support from Zimmer-Biomet, Stryker, Smith & Nephew. RLB: is a paid consultant from Stryker and receives research support from Zimmer-Biomet, Stryker, Smith & Nephew, Wright Medical Technology. CJD: is a paid consultant and receives research support from Zimmer-Biomet, Stryker, Smith & Nephew, DePuy. All other authors declare that there is no conflict of interest. Funding The author(s) received no financial support for the research, authorship and/or publication of this article.
Publisher Copyright:
© The Author(s) 2019.
PY - 2021/5
Y1 - 2021/5
N2 - 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.
AB - 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.
KW - Hip resurfacing arthroplasty
KW - outcomes
KW - preference
KW - satisfaction
KW - total hip arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=85074368274&partnerID=8YFLogxK
U2 - 10.1177/1120700019882922
DO - 10.1177/1120700019882922
M3 - Article
C2 - 31615288
AN - SCOPUS:85074368274
SN - 1120-7000
VL - 31
SP - 328
EP - 334
JO - HIP International
JF - HIP International
IS - 3
ER -