Complications after metal-on-metal hip resurfacing arthroplasty.

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Abstract

[Indexed for MEDLINE] 13. Rev Esp Cir Ortop Traumatol (Engl Ed). 2018 Mar-Apr;62(2):142-152. doi: 10.1016/j.recot.2017.10.014. Epub 2017 Nov 29. Hip prostheses in young adults. Surface prostheses and short-stem prostheses. [Article in English, Spanish] Gallart X(1), Riba J(2), Fernández-Valencia JA(2), Bori G(2), Muñoz-Mahamud E(2), Combalia A(2). Author information: (1)Instituto Clínico de Especialidades Médico-Quirúrgicas (ICEMEQ), Servicio de Cirugía Ortopédica y Traumatología, Unidad de Cadera, Hospital Clínic, Universidad de Barcelona, Barcelona, España. Electronic address: xgallart@clinic.cat. (2)Instituto Clínico de Especialidades Médico-Quirúrgicas (ICEMEQ), Servicio de Cirugía Ortopédica y Traumatología, Unidad de Cadera, Hospital Clínic, Universidad de Barcelona, Barcelona, España. The poor results obtained in young patients when using a conventional prosthesis led to the resurgence of hip resurfacing to find less invasive implants for the bone. Young patients present a demand for additional activity, which makes them a serious challenge for the survival of implants. In addition, new information technologies contribute decisively to the preference for non-cemented prostheses. Maintaining quality of life, preserving the bone and soft tissues, as well as achieving a very stable implant, are the goals of every hip orthopaedic surgeon for these patients. The results in research point to the use of smaller prostheses, which use the metaphyseal zone more and less the diaphyseal zone, and hence the large number of the abovementioned short stem prostheses. Both models are principally indicated in the young adult. Their revision should be a more simple operation, but this is only true for hip resurfacing, not for short stems. Copyright © 2017 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved. DOI: 10.1016/j.recot.2017.10.014