title: Survival of metal-on-metal hip resurfacing arthroplasty: a systematic review of the literature.
abstract: We systematically reviewed the peer-reviewed literature to relate the survival of hybrid metal-on-metal hip resurfacing arthroplasty devices to a National Institute of Clinical Excellence (NICE) benchmark for choosing a primary total hip replacement, which is a survival rate of 90% at a follow-up of ten years. A total of 29 articles (10 621 resurfaced hips) met the inclusion criteria. The mean follow-up ranged from 0.6 to 10.5 years and the survival of the implant ranged from 84% to 100%. Of the 10 621 hips, 370 were revised (3.5%), with aseptic loosening as the most frequent mode of failure. None of the hip resurfacing arthroplasty implants used to date met the full ten-year NICE benchmark of survival. A total of 13 studies showed satisfactory survival compared with the three-year NICE benchmark.
authors.affiliation: Department of Orthopaedic Surgery, St. Anna Hospital, Geldrop, The Netherlands. kog@st-anna.nl
authors.forename: W
authors.initials: W
authors.lastname: van der Weegen
authors.forename: H J
authors.initials: HJ
authors.lastname: Hoekstra
authors.forename: T
authors.initials: T
authors.lastname: Sijbesma
authors.forename: E
authors.initials: E
authors.lastname: Bos
authors.forename: E H
authors.initials: EH
authors.lastname: Schemitsch
authors.forename: R W
authors.initials: RW
authors.lastname: Poolman
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008670:Metals; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation / Q000706:statistics & numerical data; D016019:Survival Analysis
chemical_list: D008670:Metals