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- W1984307416 abstract "Surface arthroplasty of the hip has been largely abandoned for the more predictable survivorship of total hip replacement. However, in young patients with end-stage osteoarthritis of the hip, results of total hip replacement have been disappointing and worrisome because of the prospect of multiple hip revisions. With the improved design, technique and low wear of metal on metal bearings, hybrid surface arthroplasty of the hip is considered as a beneficial solution for the young patient because of its bone preserving nature as well as the ease of converting to a total hip replacement. This article illustrates the operative technique with an emphasis on the proper patient selection and the possible pitfalls for the inexperienced surgeon (ie, notching of the neck, varus positioning, and improper seating of the femoral component). Only short-term results are available for 100 hips at a minimum 2-year (2 to 4.3) follow-up, 3 of which have been converted to total hip replacement, 2 for femoral loosenings at 22 and 28 months, and 1 for recurring impingement at 4.2 years. Because of the noticeable difference in operative technique from total hip replacement, especially on the femoral side, we recommend that surgeons visit centers that have a considerable amount of experience with this type of surgery." @default.
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- W1984307416 date "2001-10-01" @default.
- W1984307416 modified "2023-09-25" @default.
- W1984307416 title "Hybrid metal-on-metal surface arthroplasty of the hip" @default.
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- W1984307416 doi "https://doi.org/10.1016/s1048-6666(01)80039-2" @default.
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