Failure rates of metal-on-metal hip resurfacings: analysis of data from the National Joint Registry for England and Wales

Failure rates of metal-on-metal hip resurfacings: analysis of data from the National Joint Registry for England and Wales

2012 Oct 1 | Smith AJ, et al.
The study by Smith AJ et al. analyzed data from the National Joint Registry for England and Wales, examining the failure rates of metal-on-metal hip resurfacings. Among 31,932 resurfacings, women experienced worse implant survival compared to conventional total hip replacements (THR), regardless of head size. Men with smaller femoral heads also had poor implant survival. The results suggest that hip resurfacing is comparable to other surgical options in men with large femoral heads but has inferior outcomes in other patients, particularly women. Dumont et al. investigated the relationship between treatment time and patient-specific factors in pediatric anterior cruciate ligament (ACL) tears. Of 408 patients under 19 years old, 370 underwent primary ACL reconstruction. The study found that 160 patients were treated within 150 days of injury, while 129 were treated more than 150 days later. Medial meniscal tears were more common (43.2%) compared to lateral tears (56.5%). Chondral injuries were significantly associated with meniscal tears in the same compartment, more frequently medially. Patients over 15 years old and those weighing more than 65 kg had higher rates of medial meniscal tears. Medial meniscal tears were more common in patients treated more than 150 days after injury and were associated with increased age and weight. Kang HO et al. evaluated the long-term relief provided by carpal tunnel release in patients with hemodialysis-associated carpal tunnel syndrome (CTS). The study included 36 patients with CTS due to hemodialysis and 54 with idiopathic CTS. Short-term, the hemodialysis group showed impairment, but at 2 years, they showed some improvement, though not as much as the idiopathic group. Most patients experienced some reduction in symptom severity. Fillingham YA et al. assessed the postoperative function and complications of treating benign bone lesions with a calcium sulfate—calcium phosphate injectable bone graft (bioceramic). The study involved 56 patients with various benign bone lesions, including aneurysmal bone cyst, unicameral bone cyst, nonossifying fibroma, fibrous dysplasia, enchondroma, chondroblastoma, and others. At follow-up, functional scores were high, and complications were infrequent and not related to the graft material. The authors concluded that this material is a reasonable alternative to autogenous graft material.The study by Smith AJ et al. analyzed data from the National Joint Registry for England and Wales, examining the failure rates of metal-on-metal hip resurfacings. Among 31,932 resurfacings, women experienced worse implant survival compared to conventional total hip replacements (THR), regardless of head size. Men with smaller femoral heads also had poor implant survival. The results suggest that hip resurfacing is comparable to other surgical options in men with large femoral heads but has inferior outcomes in other patients, particularly women. Dumont et al. investigated the relationship between treatment time and patient-specific factors in pediatric anterior cruciate ligament (ACL) tears. Of 408 patients under 19 years old, 370 underwent primary ACL reconstruction. The study found that 160 patients were treated within 150 days of injury, while 129 were treated more than 150 days later. Medial meniscal tears were more common (43.2%) compared to lateral tears (56.5%). Chondral injuries were significantly associated with meniscal tears in the same compartment, more frequently medially. Patients over 15 years old and those weighing more than 65 kg had higher rates of medial meniscal tears. Medial meniscal tears were more common in patients treated more than 150 days after injury and were associated with increased age and weight. Kang HO et al. evaluated the long-term relief provided by carpal tunnel release in patients with hemodialysis-associated carpal tunnel syndrome (CTS). The study included 36 patients with CTS due to hemodialysis and 54 with idiopathic CTS. Short-term, the hemodialysis group showed impairment, but at 2 years, they showed some improvement, though not as much as the idiopathic group. Most patients experienced some reduction in symptom severity. Fillingham YA et al. assessed the postoperative function and complications of treating benign bone lesions with a calcium sulfate—calcium phosphate injectable bone graft (bioceramic). The study involved 56 patients with various benign bone lesions, including aneurysmal bone cyst, unicameral bone cyst, nonossifying fibroma, fibrous dysplasia, enchondroma, chondroblastoma, and others. At follow-up, functional scores were high, and complications were infrequent and not related to the graft material. The authors concluded that this material is a reasonable alternative to autogenous graft material.
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