Total hip resurfacing: a viable alternative to total hip arthroplasty for the young active hip patient in the United States?

摘要

Metal-on-metal hip resurfacing is an interesting improvement/modification of traditional hip resurfacing systems that has fallen out of widespread use due to unacceptably high rates of failure. Despite the fervor demonstrated by aggressive patients searching for a more bone-preserving alternative to total hip arthroplasty, metal-on-metal hip resurfacing should be reserved for appropriately selected patients and should be performed only by skilled/high-volume/properly trained hip surgeons. It is incumbent upon surgeons and implant manufacturers to monitor early complications and to closely track and report outcomes over the mid-term and longer term to assure patient safety now and into the future.