Joint Implant Surgeons, Inc., 7277 Smith's Mill Road, Suite 200, New Albany, OH 43054, USA.
J Bone Joint Surg Am. 2011 May;93 Suppl 2:89-92. doi: 10.2106/JBJS.J.01719.
Hip resurfacing is considered by many to be a conservative alternative to conventional total hip arthroplasty. There are advantages and drawbacks to any procedure, and there is a learning curve associated with the introduction of any new technology. The purpose of this study is to report the complication rate, types of complications, and outcomes of hip resurfacing during the early experience of two high-volume hip surgeons.
Seventy-three hip resurfacing procedures were performed in sixty-four patients between September 2006 and March 2009. These procedures represented 6% of all of the primary hip arthroplasty procedures performed by the two surgeons.
After an average duration of follow-up of twenty-five months, there were six revisions--i.e., an early failure rate of 8%. These revisions were performed to treat two deep infections, two femoral neck fractures, one case of femoral implant loosening, and one failure of an acetabular implant.
Because of a high early failure rate, we have reduced the utilization of hip resurfacing in our patients who are candidates for hip arthroplasty.
髋关节表面置换术被许多人认为是传统全髋关节置换术的一种保守选择。任何手术都有其优缺点，而任何新技术的引入都存在学习曲线。本研究的目的是报告两位高容量髋关节外科医生在早期经验中髋关节表面置换术的并发症发生率、并发症类型和结果。
2006 年 9 月至 2009 年 3 月期间，64 名患者接受了 73 次髋关节表面置换术。这些手术占两位外科医生进行的所有初次髋关节置换手术的 6%。
平均随访 25 个月后，有 6 次翻修手术，即早期失败率为 8%。这些翻修手术是为了治疗 2 例深部感染、2 例股骨颈骨折、1 例股骨植入物松动和 1 例髋臼植入物失败。
由于早期失败率较高，我们已经减少了髋关节表面置换术在适合髋关节置换术的患者中的应用。
