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Metal-on-Metal Hip Resurfacing Arthroplasty

Shimmin, Andrew MBBS, FAOrthA; Beaulé, Paul E. MD, FRCSC; Campbell, Pat PhD

Journal of Bone & Joint Surgery - American Volume: 01 March 2008 - Volume 90 - Issue 3 - p 637–654
doi: 10.2106/JBJS.G.01012
Current Concepts Review
Supplementary Content

The main advantage of hip resurfacing is bone conservation for patients likely to outlive a primary conventional hip replacement.

Previous attempts at hip resurfacing failed predominantly because of the consequences of a high amount of wear of thin polyethylene acetabular components and poor femoral component fixation.

With correct patient selection, surgeon education, and operative technique, survivorship at five years is comparable with that of traditional hip replacements.

Hip resurfacing has its own unique set of complications, including a fractured neck of the femur. It is necessary to understand the risk factors prior to performing the procedure.

1Melbourne Orthopaedic Group, 33 The Avenue, Windsor, Victoria 3181, Australia. E-mail address:

2Division of Orthopedic Surgery, Adult Reconstruction Service, University of Ottawa, 501 Smyth Road, Ottawa, ON K1H HL6, Canada. E-mail address:

3Implant Retrieval Laboratory, Orthopaedic Hospital, University of California at Los Angeles, 2400 South Flower Street, Los Angeles, CA 90007. E-mail address:

Copyright 2008 by The Journal of Bone and Joint Surgery, Incorporated
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