title: Surface replacement of the hip.
abstract: Attempts to resurface the hip joint date back to the 1930s. Throughout the last century many designs failed due to defective materials or fixation (or a combination). The metal-on-metal designs pioneered at the end of the century appeared to herald a new era, until difficulties associated with adverse reactions to metal debris were identified. Ultimately, a much narrower range of indications emerged - large, young males appear to be the ideal recipients. Implant design features and component orientation are crucial to the survivorship of these implants.
authors.affiliation: Orthopaedic Department, Weston General Hospital; Avon Orthopaedic Centre, Southmead Hospital, Bristol - UK.
authors.forename: Robert F
authors.initials: RF
authors.lastname: Spencer
mesh_terms: D000367:Age Factors; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008670:Metals / Q000009:adverse effects; D011379:Prognosis; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods / Q000706:statistics & numerical data; D018570:Risk Assessment; D012737:Sex Factors; D016896:Treatment Outcome
chemical_list: D008670:Metals