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Haynes JA, Stambough JB, Barrack RL, et al. Conversion of a failed hip resurfacing arthroplasty to total hip arthroplasty: pearls and pitfalls. Curr Rev Musculoskelet Med. 2016;9(1):103-11doi: 10.1007/s12178-016-9326-y.
Haynes, J. A., Stambough, J. B., Barrack, R. L., & Nam, D. (2016). Conversion of a failed hip resurfacing arthroplasty to total hip arthroplasty: pearls and pitfalls. Current reviews in musculoskeletal medicine, 9(1), 103-11. https://doi.org/10.1007/s12178-016-9326-y
Haynes, Jacob A, et al. "Conversion of a failed hip resurfacing arthroplasty to total hip arthroplasty: pearls and pitfalls." Current reviews in musculoskeletal medicine vol. 9,1 (2016): 103-11. doi: https://doi.org/10.1007/s12178-016-9326-y
Haynes JA, Stambough JB, Barrack RL, Nam D. Conversion of a failed hip resurfacing arthroplasty to total hip arthroplasty: pearls and pitfalls. Curr Rev Musculoskelet Med. 2016 Mar;9(1):103-11. doi: 10.1007/s12178-016-9326-y. PMID: 26803608; PMCID: PMC4762797.
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Curr Rev Musculoskelet Med. 2016 Mar;9(1):103-11. doi: 10.1007/s12178-016-9326-y.

Conversion of a failed hip resurfacing arthroplasty to total hip arthroplasty: pearls and pitfalls.

Current reviews in musculoskeletal medicine

Jacob A Haynes, Jeffrey B Stambough, Robert L Barrack, Denis Nam

Affiliations

  1. Department of Orthopaedic Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8233, St. Louis, MO, 63110, USA.
  2. Department of Orthopaedic Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8233, St. Louis, MO, 63110, USA. [email protected].

PMID: 26803608 PMCID: PMC4762797 DOI: 10.1007/s12178-016-9326-y

Abstract

Surface replacement arthroplasty (SRA) remains a viable alternative to total hip arthroplasty (THA) in appropriately selected, active adults with degenerative hip disease. However, orthopedic surgeons are facing a number of scenarios where revision of one or both components of an SRA is indicated. Indications for revision vary and impact the potential outcomes of conversion of a SRA to THA. While clinical outcomes are generally favorable, a growing body of data illustrates patients who undergo conversion of a SRA to THA to be at increased risk of requiring a repeat revision surgery and experiencing functional outcomes inferior to that of a primary THA. The results of patients undergoing conversion of a SRA to THA highlight the need for careful patient selection, thorough preoperative counseling, and technical precision when performing a SRA. Furthermore, a systematic approach to the failed SRA is necessary to ensure optimal clinical results.

Keywords: Aseptic loosening; Femoral neck fracture; Metallosis; Surface replacement arthroplasty; Total hip arthroplasty

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