Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

© 2013 EFORT. All rights are reserved. Total hip replacement (THR) is well established as the most successful surgical procedure for the long-term alleviation of pain and disability in patients with arthritis of the hip joint (Learmonth et al. 2007). A total of 68,907 primary hip replacements were performed in England and Wales during 2010 (National Joint Registry 2011). In recent times metal-on-metal (MoM) bearings for THR have gradually been reintroduced, mainly because of the substantially lower wear rates compared to that of metal-on-polyethylene articulations and the decreased wear rates with increasing head diameters (Fisher et al. 2006). This has subsequently led to a resurgence of MoM hip resurfacing in young and active patients with hip arthritis (Amstutz et al. 2004; Treacy et al. 2011). Hip resurfacing has the added advantages of femoral bone preservation and the potential ease of future revision (Ball et al. 2007; Matharu et al. 2012a). In carefully selected patients excellent medium- to long-term survival has been reported for MoM hip resurfacing by the designer surgeons (McMinn et al. 2011; Treacy et al. 2011) and independent centres (Coulter et al. 2012; Holland et al. 2012; Murray et al. 2012).

Original publication

DOI

10.1007/978-3-642-35653-7_6

Type

Chapter

Book title

Total Hip Arthroplasty: Tribological Considerations and Clinical Consequences

Publication Date

01/12/2013

Pages

53 - 66