Clinical Issues   |    
Hip Resurfacing through an Anterolateral ApproachSurgical Description and Early Review
Michael A. Jacobs, MD1; Robin N. Goytia, MD1; Tarun Bhargava, MD1
1 5601 Loch Raven Boulevard, Russell Morgan Building, Suite 402, Baltimore, MD 21239. E-mail address for M.A. Jacobs: michaelaaron@hotmail.com
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Disclosure: In support of their research for or preparation of this work, one or more of the authors received, in any one year, outside funding or grants of less than $10,000 from Corin USA. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2008 Aug 01;90(Supplement 3):38-44. doi: 10.2106/JBJS.H.00684
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Background: Recently, metal-on-metal hip resurfacing has enjoyed a resurgence as an alternative to hip arthroplasty in properly selected patients. The purpose of the present study was to report the early results of hip resurfacing through an anterolateral approach and to describe the technique with modifications that have been made as experience with the procedure has increased.

Methods: A total of fifty-seven hip resurfacing procedures in fifty-three patients were performed by a single surgeon with use of the Cormet Hip Resurfacing system through an anterolateral approach. The results were assessed on the basis of Harris hip scores, a radiographic analysis, and an analysis of failures.

Results: After a mean duration of follow-up of thirty-eight months, the mean Harris hip score was 99 points. Fifty-five hips were in patients with normal function scores, and two were in patients who reported mild dysfunction. Fifty hips had no pain, five had slight pain, one had mild pain, and one had moderate pain. Three hips had a failure of resurfacing and required revision. Two failures were secondary to femoral neck fractures, and one was the result of debonding of the surface coating of the acetabular component.

Conclusions: The early results associated with a new generation of hip resurfacing devices are promising. The anterolateral approach affords the surgeon excellent exposure with the advantage of increased hip stability and potentially improved vascular supply of the femoral head as compared with the posterior approach.

Level of Evidence: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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