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Survivorship,Patient Reported Outcome and Satisfaction Following Resurfacing and Total Hip Arthroplasty
Authors:Michael R Whitehouse  PhD  MSc  FRCS  Alexander L Aquilina  Sajal PatelStephen J Eastaugh-Waring  FRCS  Ashley W Blom
Institution:1. Musculoskeletal Research Unit, Department of Academic Orthopaedics, University of Bristol, Lower Level AOC, Southmead Hospital, Westbury-on-Trym, United Kingdom;2. Avon Orthopaedic Centre, Southmead Hospital, North Bristol NHS Trust, Bristol, United Kingdom
Abstract:Resurfacing (RA) and total hip arthroplasty (THA) are options in the treatment of debilitating hip pathology. 381 patients that had undergone arthroplasty with a BHR RA, ASR RA, metal-on-metal (MoM) THA or ceramic-on-ceramic (CoC) THA were reviewed for satisfaction, function, health and survivorship at a median follow up of 50 months. Significantly lower survivorship for revision and reoperation was observed in the ASR group. The BHR and CoC demonstrated better outcome scores than the ASR (OHS and SAPS) and the BHR better scores than the MoM (OHS and SF12 PCS). In the short to medium term, survivorship and outcomes for the best performing RA (BHR) and THA (CoC) were comparable. There was a non-significant trend towards poorer outcome scores in the MoM THA group.
Keywords:arthroplasty  hip  treatment outcome  survival rate
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