Primary ceramic-on-ceramic total hip replacement versus metal-on-metal hip resurfacing in young active patients.
The purpose of this study was to compare clinical outcomes between ceramic-on-ceramic total hip replacement and metal-on-metal hip resurfacing arthroplasty in comparable groups of young active patients at a 3- to 6-year follow-up. The first 250 patients (mean age, 49.54 years) of a series of 930 resurfacing arthroplasties were compared clinically and functionally with a series of 190 patients (mean age, 46.76 years) with ceramic-on-ceramic uncemented total hip prostheses. The total Harris hip score was 97.9 in the resurfacing group vs 92.1 in the ceramic group. In the resurfacing group, 60.71% had a strenuous activity level vs 30.43% in the ceramic group.
Pattyn
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Ghent University Hospital, Department of Orthopedic Surgery and Traumatology, Ghent, Belgium.
De Smet
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KA
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000503:physiopathology / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000379:methods; D002516:Ceramics; D019544:Equipment Failure Analysis; D005260:Female; D005271:Femur Head Necrosis / Q000503:physiopathology / Q000601:surgery; D006305:Health Status Indicators; D025981:Hip Injuries / Q000503:physiopathology / Q000601:surgery; D006621:Hip Joint / Q000503:physiopathology; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008670:Metals; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000503:physiopathology / Q000601:surgery; D011446:Prospective Studies; D011474:Prosthesis Design; D011475:Prosthesis Failure; D020127:Recovery of Function; D055815:Young Adult
D008670:Metals