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Metal-on-Metal Hip Resurfacing Arthroplasty Versus Total Hip Replacement for Osteoarthritis

Purpose of Technology

Hip resurfacing arthroplasty (HRA) has been proposed as an alternative to total hip replacement (THR) for the treatment of young (age ≤ 65 years), active patients who have radiographic evidence of joint damage and/or chronic pain or disability that interferes with daily activities and is refractory to conservative treatment. HRA involves the removal and replacement of the surface of the femoral head with a hollow metal hemisphere that fits into a metal cup inserted into the acetabulum of the pelvis.

Relevant Questions

  • How does HRA compare with THR in terms of improved clinical outcomes?

  • Is HRA associated with greater revision risk compared with THR?

  • How does HRA compare with THR in terms of safety outcomes?

  • Have definitive patient selection criteria been established for HRA?

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