ABSTRACT
OBJECTIVE: To analyze the effect of biomechanical reconstruction of the hip in metal-on-metal total hip resurfacing. METHODS: Thirty patients undergoing hip resurfacing arthroplasties were enrolled in this study. The clinical outcomes of the patients were assessed according to the Harris Hip Score before and after the surgery, X-ray examinations and biomechanical reconstruction evaluations. RESULTS: After the operation, the length of the patients' legs was shortened by a mean of 2.4 mm. and the femoral offset was decreased by a mean of 5.45 mm. No dislocation were be found in these patients. The preoperative Harris Hip Score was 36.69-/+7.16, significantly lower than that postoperative score (89.63-/+3.36, P<0.01). CONCLUSION: Precise biomechanical reconstruction of the hip can be achieved in hip resurfacing arthroplasty, and the stability and functional restoration is guaranteed by large diameter prosthesis design.
Subject(s)
Arthroplasty, Replacement, Hip/methods , Hip Prosthesis , Prosthesis Design , Adolescent , Adult , Biomechanical Phenomena , Female , Hip Joint/physiopathology , Humans , Male , Metals/chemistry , Middle Aged , Retrospective Studies , Young AdultABSTRACT
OBJECTIVE: To evaluate the short-term outcome of patients receiving metal-on-mental hip resurfacing arthroplasty and analyze the factors affecting the result. METHODS: In 13 patients receiving metal-on-metal hip resurfacing arthroplasties with scheduled follow-up, the treatment outcomes were assessed according to the Harris Hip Score. RESULTS AND CONCLUSION: The short-term outcomes of hip resurfacing arthroplasties were encouraging, and intraoperative complications, infections, peripheral nerve palsy, hip dislocations or clinically overt lower limb deep vein thrombosis occurred in none of these cases. All the patients reported complete or major pain relief. Clinical assessment according to the Harris Hip Score revealed an improvement from an average score of 36.69 preoperatively to 89.63 after the surgery. Crutch use lasted for a maximum of 4 weeks postoperatively in these patients, after which the patients were all capable of walking without crutches with full weight-bearing.
