The Journal of Bone & Joint Surgery

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Thorsten M. Seyler, David R. Marker, Harold S. Boyd, Michael G. Zywiel, Mike S. McGrath, Michael A. Mont; Preoperative Evaluation to Determine Candidates for Metal-on-Metal Hip Resurfacing. The Journal of Bone & Joint Surgery. 2009 Nov;91(Supplement_6):32-41.

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The Journal of Bone & Joint Surgery

Magnetic Resonance Imaging Findings in Symptomatic Versus Asymptomatic Subjects Following Metal-on-Metal Hip Resurfacing Arthroplasty

J Bone Joint Surg Am, 2013 May 15;95(10):895-902
doi: 10.2106/JBJS.K.01476

Which Factors Determine the Wear Rate of Large-Diameter Metal-on-Metal Hip Replacements?: Multivariate Analysis of Two Hundred and Seventy-six Components

J Bone Joint Surg Am, 2013 Apr 17;95(8):678-685
doi: 10.2106/JBJS.J.01447

An Important Contribution to Our Understanding of the Performance of the Current Generation of Metal-on-Metal Hip Replacements: Commentary on an article by A.J. Hart, MA, MD, FRCSG(Orth), et al.: “Which Factors Determine the Wear Rate of Large-Diameter Metal-on-Metal Hip Replacements? Multivariate Analysis of Two Hundred and Seventy-six Components”

J Bone Joint Surg Am, 2013 Apr 17;95(8):e53 1-2
doi: 10.2106/JBJS.M.00137

Ten-Year Outcome of Serum Metal Ion Levels After Primary Total Hip Arthroplasty: A Concise Follow-up of a Previous Report*

J Bone Joint Surg Am, 2013 Mar 20;95(6):512-518
doi: 10.2106/JBJS.L.00471

Poor Mid-Term Survival of the Low-Carbide Metal-on-Metal Zweymüller-Plus Total Hip Arthroplasty System: A Concise Follow-up, at a Minimum of Ten Years, of a Previous Report*

J Bone Joint Surg Am, 2013 Mar 20;95(6):e33 1-4
doi: 10.2106/JBJS.L.00031

JBJS Case Connector

Variable	Failures	Nonfailures	Total	P Value
Number of hips	79 (6%)	1206 (94%)	1285	NA
Sex
Male	43 (5%)	886 (95%)	929	<0.001
Female	36 (10%)	320 (90%)	356
Age
>75 yr old	2 (12%)	15 (88%)	17	0.040
65 to 75 yr old	6 (7%)	78 (93%)	84
55 to 64 yr old	17 (5%)	311 (95%)	328
35 to 54 yr old	44 (6%)	742 (94%)	786
<35 yr old	10 (14%)	60 (85%)	70
BMI (kg/m²)
=35 or <18.5	8 (11%)	65 (89%)	73	0.030
=30 to 34.9	22 (9%)	236 (91%)	258
18.5 to 29.9	49 (5%)	905 (95%)	954
Diagnosis
Inflammatory arthritis	2 (17%)	10 (83%)	12	0.216
Osteoarthritis	58 (6%)	981 (94%)	1039
Hip dysplasia	8 (8%)	89 (92%)	97
Osteonecrosis	11 (8%)	126 (91%)	137

Variable	Failures	Nonfailures	Total	P Value
Number of hips	79 (6%)	1206 (94%)	1285	NA
Sex
Male	43 (5%)	886 (95%)	929	<0.001
Female	36 (10%)	320 (90%)	356
Age
>75 yr old	2 (12%)	15 (88%)	17	0.040
65 to 75 yr old	6 (7%)	78 (93%)	84
55 to 64 yr old	17 (5%)	311 (95%)	328
35 to 54 yr old	44 (6%)	742 (94%)	786
<35 yr old	10 (14%)	60 (85%)	70
BMI (kg/m²)
=35 or <18.5	8 (11%)	65 (89%)	73	0.030
=30 to 34.9	22 (9%)	236 (91%)	258
18.5 to 29.9	49 (5%)	905 (95%)	954
Diagnosis
Inflammatory arthritis	2 (17%)	10 (83%)	12	0.216
Osteoarthritis	58 (6%)	981 (94%)	1039
Hip dysplasia	8 (8%)	89 (92%)	97
Osteonecrosis	11 (8%)	126 (91%)	137

	Cumulative Revision Rate (%)
	Australian National Joint Replacement Registry*							U.S. Food and Drug Administration Investigational Device Exemption Trial†
	Primary Total Hip Resurfacing			Conventional Primary Total Hip Replacement			Primary Total Hip Resurfacing
Age (yr)	Male	Female	Male	Female	Male	Female
<55	2.2	5.2	2.5	3.6	5.0	9.5
55 to 64	2.5	8.0	2.8	3.0	3.4	10.0
65 to 74‡	4.7	9.2	2.6	2.7	4.8	15.8
=75	NA	NA	3.1	2.4	7.7	25.0

	Cumulative Revision Rate (%)
	Australian National Joint Replacement Registry*							U.S. Food and Drug Administration Investigational Device Exemption Trial†
	Primary Total Hip Resurfacing			Conventional Primary Total Hip Replacement			Primary Total Hip Resurfacing
Age (yr)	Male	Female	Male	Female	Male	Female
<55	2.2	5.2	2.5	3.6	5.0	9.5
55 to 64	2.5	8.0	2.8	3.0	3.4	10.0
65 to 74‡	4.7	9.2	2.6	2.7	4.8	15.8
=75	NA	NA	3.1	2.4	7.7	25.0

Extract

Introduction

Contraindications to Hip Resurfacing

Opinions of Practicing Orthopaedic Surgeons

Analysis of the Patient Population in the U.S. Food and Drug Administration Investigational Device Exemption Study

Source of Funding

Literature Review of Risk Factors

Age and Sex

Body Mass Index

Diagnosis

Screening Algorithm to Determine Candidacy for Hip Resurfacing

Acknowledgements

References

Topics

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References