title: Resurfacing and uncemented arthroplasty for young hip arthritis: functional outcomes at 5 years.
abstract: The management of osteoarthritis of the hip in young active patients is challenging. We compared the functional outcomes and activity levels following hip resurfacing and uncemented THA in young active patients matched for age, gender and activity levels. Mean follow-up period was five years (4-7 years). Within each group there was a statistically significant improvement in the mean University of California at Los Angeles (UCLA) and Oxford Hip Score (OHS) scores following surgery. This study found no statistically significant difference in the levels of function (p= 0.82) or activity pursued (p= 0.60) after surgery between uncemented THA and hip resurfacing. The potential complications unique to hip resurfacing may be avoided by the use of uncemented THA which in itself has longer follow-up compared to resurfacing.
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Hinchingbrooke Hospital, Huntingdon, UK. vijayortho@gmail.com
authors.forename: Vijay V
authors.initials: VV
authors.lastname: Killampalli
authors.forename: Rakesh K
authors.initials: RK
authors.lastname: Kundra
authors.forename: Fouad
authors.initials: F
authors.lastname: Chaudhry
authors.forename: Majid
authors.initials: M
authors.lastname: Chowdhry
authors.forename: Noel E
authors.initials: NE
authors.lastname: Fisher
authors.forename: Alexander D
authors.initials: AD
authors.lastname: Reading
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation / Q000379:methods* / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D011474:Prosthesis Design; D020127:Recovery of Function