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J Bone Joint Surg Br. 2011 Mar;93(3):298-306. doi: 10.1302/0301-620X.93B3.25594.

Survival of metal-on-metal hip resurfacing arthroplasty: a systematic review of the literature.

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Department of Orthopaedic Surgery, St. Anna Hospital, Geldrop, The Netherlands.


We systematically reviewed the peer-reviewed literature to relate the survival of hybrid metal-on-metal hip resurfacing arthroplasty devices to a National Institute of Clinical Excellence (NICE) benchmark for choosing a primary total hip replacement, which is a survival rate of 90% at a follow-up of ten years. A total of 29 articles (10 621 resurfaced hips) met the inclusion criteria. The mean follow-up ranged from 0.6 to 10.5 years and the survival of the implant ranged from 84% to 100%. Of the 10 621 hips, 370 were revised (3.5%), with aseptic loosening as the most frequent mode of failure. None of the hip resurfacing arthroplasty implants used to date met the full ten-year NICE benchmark of survival. A total of 13 studies showed satisfactory survival compared with the three-year NICE benchmark.

[Indexed for MEDLINE]

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