title: Results of Conserve Plus® metal-on-metal hip resurfacing for post-traumatic arthritis and osteonecrosis.
abstract: The safety and efficacy of metal-on-metal surface arthroplasty in post-traumatic arthritis and post-traumatic osteonecrosis (PT OA and PT ON) cases has not previously been thoroughly investigated. This study compared the outcomes of metal-on-metal hip resurfacing (HR) in patients performed for an indication of OA secondary to trauma to compared to PT ON. Metal-on-metal resurfacing arthroplasties were performed on 62 hips, 43 with PT OA and 19 with PT ON with secondary osteoarthritis. There were 51 males and 11 females. All patients were followed up clinically and radiographically with a mean follow-up of 87.2 months. Clinical outcome scores, survivorship, and radiographs were compared between the PT OA and PT ON group. The clinical outcomes for the PT ON and PT OA groups were similar with a survival rate of 95% (95% CI 82.1% to 98.8%) for the PT OA group alone at 8 years and 91% for those with PT OA with ON at 8 years (95% CI 50.8%-98.7%). The Kaplan-Meier survivorship curves for the cohorts of PT OA and PT ON patients were not statistically significantly different (Log rank, p=0.6036). Metal-on-metal hip resurfacing appears to be a safe and effective procedure for the treatment of both post-traumatic osteoarthritis and osteonecrosis.
authors.affiliation: Children's Hospital Los Angeles, Los Angeles, USA.
authors.forename: Regina P
authors.initials: RP
authors.lastname: Woon
authors.forename: Alicia J
authors.initials: AJ
authors.lastname: Johnson
authors.forename: Harlan C
authors.initials: HC
authors.lastname: Amstutz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D005260:Female; D006304:Health Status; D025981:Hip Injuries / Q000150:complications / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008670:Metals / Q000009:adverse effects; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000209:etiology / Q000601:surgery*; D010020:Osteonecrosis / Q000150:complications / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure / Q000209:etiology; D020127:Recovery of Function; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D008670:Metals