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J Arthroplasty. 2014 Jan;29(1):219-24. doi: 10.1016/j.arth.2013.04.011. Epub 2013 May 13.

One-component revision of failed hip resurfacing from adverse reaction to metal wear debris.

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1
Seattle, Washington.

Abstract

This study assessed the results of 90 one-component revisions for failed hip resurfacing due to adverse reaction to metal wear debris (76 acetabular, 14 femoral). Patients with a femoral head size 40-45 mm (n=33) received a two-piece titanium meshed shell with a cross-linked polyethylene liner and patients with femoral head size 46-54 mm (n=43) received metal-on-metal components. Patients with femoral head size>45 mm who wished a metal-polyethylene bearing received a dual mobility femoral prosthesis. The mean follow-up was 61 months and the procedure was successful in 97% of the patients. Three failures required re-revision; there was one deep infection. There were no dislocations. One-component revision is a reasonable alternative to revision to total hip arthroplasty.

KEYWORDS:

hip resurfacing; revision; total hip arthroplasty; wear debris

PMID:
23680501
DOI:
10.1016/j.arth.2013.04.011
[Indexed for MEDLINE]
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