Comparative Study of Total Hip Arthroplasty Between Younger and Older Patients

What is the Midterm Survivorship and Function After Hip Resurfacing?

“…These results from an independent single-surgeon series are similar to other published studies (Table 3). The results presented here compare well with those of THA, particularly in the younger population [7,15,24,28,34], although the etiology, the indications and patient demographic data may be different between patients in hip resurfacing arthroplasty and those in THA. There is also a potential advantage of conservation of proximal femoral bone when compared with THA, although further comparative studies are required to elucidate the benefits.…”

“…Over the last decade, hip resurfacing has become an increasingly common option, predominantly for younger patients with greater physical demand particularly because the revision rates of conventional THA in younger patients are generally higher, ranging from 12% to 67% at 4.5 to 16.2 years [7,15,24,28,34]. However, Marker et al [35] reported similar functional hip scores and radiographic assessment in a recent review of the literature comparing hip resurfacing with THA, although a number of studies included in the review did show better clinical outcomes after hip resurfacing [35].…”

Second Letter to the Editor concerning ”Total hip arthroplasty for primary osteoarthrosis in younger patients in the Finnish arthroplasty register” by Eskelinen et al. and correspondence, Acta Orthop 2005; 76: 28-41, 604-607

“…Regarding the study of Kobayashi et al (1997), the authors did not actually report survival of the total hip at 10 years; instead, survival rates of acetabular and femoral components were reported separately. So, one cannot conclude anything about the NICE criteria from the study of Kobayashi and colleagues.…”

“…Although we sincerely believe that they have reported this to the best of their knowledge, the truth is somewhat different. We have found at least 8 studies on cemented hips in patients younger than 50 years and all of them have fulfilled the NICE criteria; many of them were already published some time ago (Boeree and Bannister 1993, Joshi et al 1993, Devitt et al1997, Emery et al 1997, Kobayashi et al 1997, Sochart et al 1997a,b, Keener et al 2003.…”

Long-term results of valgus-extension femoral osteotomy for advanced osteoarthritis of the hip

“…Total hip arthroplasty (THA) in such patients is associated with a high rate of early loosening. [1][2][3][4] Recently, THA using hydroxyapatitecoated components or a ceramic head has been used in these patients with good results. [5][6][7] Aseptic loosening requires revision arthroplasty which has many technical problems.…”