Comparison of Patient-Reported Outcome from Neck-Preserving, Short-Stem Arthroplasty and Resurfacing Arthroplasty in Younger Osteoarthritis Patients
Hip resurfacing has been considered a good treatment option for younger, active osteoarthritis patients. However, there are several identified issues concerning risk for neck fractures and issues related to current metal-on-metal implant designs. Neck-preserving short-stem implants have been discuss...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/817689 |
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| author | Marius Dettmer Amir Pourmoghaddam Stefan W. Kreuzer |
| author_facet | Marius Dettmer Amir Pourmoghaddam Stefan W. Kreuzer |
| author_sort | Marius Dettmer |
| collection | DOAJ |
| description | Hip resurfacing has been considered a good treatment option for younger, active osteoarthritis patients. However, there are several identified issues concerning risk for neck fractures and issues related to current metal-on-metal implant designs. Neck-preserving short-stem implants have been discussed as a potential alternative, but it is yet unclear which method is better suited for younger adults. We compared hip disability and osteoarthritis outcome scores (HOOS) from a young group of patients (n=52, age 48.9 ± 6.1 years) who had received hip resurfacing (HR) with a cohort of patients (n=73, age 48.2 ± 6.6 years) who had received neck-preserving, short-stem implant total hip arthroplasty (THA). Additionally, durations for both types of surgery were compared. HOOS improved significantly preoperatively to last followup (>1 year) in both groups (p<0.0001, η2=0.69); there were no group effects or interactions. Surgery duration was significantly longer for resurfacing (104.4 min ± 17.8) than MiniHip surgery (62.5 min ± 14.8), U=85.0, p<0.0001, η2=0.56. The neck-preserving short-stem approach may be preferable to resurfacing due to the less challenging surgery, similar outcome, and controversy regarding resurfacing implant designs. |
| format | Article |
| id | doaj-art-02815b9b16c7457b95768919671a9f83 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-02815b9b16c7457b95768919671a9f832025-02-03T05:58:39ZengWileyAdvances in Orthopedics2090-34642090-34722015-01-01201510.1155/2015/817689817689Comparison of Patient-Reported Outcome from Neck-Preserving, Short-Stem Arthroplasty and Resurfacing Arthroplasty in Younger Osteoarthritis PatientsMarius Dettmer0Amir Pourmoghaddam1Stefan W. Kreuzer2Memorial Bone & Joint Research Foundation, 1140 Business Center Drive No. 101, Houston, TX 77043, USAMemorial Bone & Joint Research Foundation, 1140 Business Center Drive No. 101, Houston, TX 77043, USAMemorial Bone & Joint Research Foundation, 1140 Business Center Drive No. 101, Houston, TX 77043, USAHip resurfacing has been considered a good treatment option for younger, active osteoarthritis patients. However, there are several identified issues concerning risk for neck fractures and issues related to current metal-on-metal implant designs. Neck-preserving short-stem implants have been discussed as a potential alternative, but it is yet unclear which method is better suited for younger adults. We compared hip disability and osteoarthritis outcome scores (HOOS) from a young group of patients (n=52, age 48.9 ± 6.1 years) who had received hip resurfacing (HR) with a cohort of patients (n=73, age 48.2 ± 6.6 years) who had received neck-preserving, short-stem implant total hip arthroplasty (THA). Additionally, durations for both types of surgery were compared. HOOS improved significantly preoperatively to last followup (>1 year) in both groups (p<0.0001, η2=0.69); there were no group effects or interactions. Surgery duration was significantly longer for resurfacing (104.4 min ± 17.8) than MiniHip surgery (62.5 min ± 14.8), U=85.0, p<0.0001, η2=0.56. The neck-preserving short-stem approach may be preferable to resurfacing due to the less challenging surgery, similar outcome, and controversy regarding resurfacing implant designs.http://dx.doi.org/10.1155/2015/817689 |
| spellingShingle | Marius Dettmer Amir Pourmoghaddam Stefan W. Kreuzer Comparison of Patient-Reported Outcome from Neck-Preserving, Short-Stem Arthroplasty and Resurfacing Arthroplasty in Younger Osteoarthritis Patients Advances in Orthopedics |
| title | Comparison of Patient-Reported Outcome from Neck-Preserving, Short-Stem Arthroplasty and Resurfacing Arthroplasty in Younger Osteoarthritis Patients |
| title_full | Comparison of Patient-Reported Outcome from Neck-Preserving, Short-Stem Arthroplasty and Resurfacing Arthroplasty in Younger Osteoarthritis Patients |
| title_fullStr | Comparison of Patient-Reported Outcome from Neck-Preserving, Short-Stem Arthroplasty and Resurfacing Arthroplasty in Younger Osteoarthritis Patients |
| title_full_unstemmed | Comparison of Patient-Reported Outcome from Neck-Preserving, Short-Stem Arthroplasty and Resurfacing Arthroplasty in Younger Osteoarthritis Patients |
| title_short | Comparison of Patient-Reported Outcome from Neck-Preserving, Short-Stem Arthroplasty and Resurfacing Arthroplasty in Younger Osteoarthritis Patients |
| title_sort | comparison of patient reported outcome from neck preserving short stem arthroplasty and resurfacing arthroplasty in younger osteoarthritis patients |
| url | http://dx.doi.org/10.1155/2015/817689 |
| work_keys_str_mv | AT mariusdettmer comparisonofpatientreportedoutcomefromneckpreservingshortstemarthroplastyandresurfacingarthroplastyinyoungerosteoarthritispatients AT amirpourmoghaddam comparisonofpatientreportedoutcomefromneckpreservingshortstemarthroplastyandresurfacingarthroplastyinyoungerosteoarthritispatients AT stefanwkreuzer comparisonofpatientreportedoutcomefromneckpreservingshortstemarthroplastyandresurfacingarthroplastyinyoungerosteoarthritispatients |