Minimum Five-Year Outcomes of Hip Resurfacing: Propensity-Score Matched Against Total Hip Arthroplasty Control Groups

Minimum Five-Year Outcomes of Hip Resurfacing: Propensity-Score Matched Against Total Hip Arthroplasty Control Groups

Authors

Domb BG, Bheem R, Monahan PF, Rosinsky PJ, Maldonado DR, Meghpara MB, Lall AC, Shapira J
DOI: 10.1016/j.arth.2021.01.042

Background

Hip resurfacing (BHR) is an alternative to total hip arthroplasty (THA) that may be especially beneficial for younger patients. This study compares the clinical outcomes of hip resurfacing with those of two common types of THA, focusing on a minimum 5-year follow-up.

Methods

Male patients who underwent either hip resurfacing or THA (direct anterior approach [DAA] or posterior approach [PA]) between 2008 and 2015 were compared. Propensity-score matching was used to create similar groups for a more accurate comparison of outcomes.

Key Findings

The 5-year patient-reported outcomes for hip resurfacing were comparable to those for both THA groups, with no significant differences in functional scores like the Forgotten Joint Score.

Conclusions

Hip resurfacing provides good long-term functional outcomes, similar to THA, and may be a suitable option for younger patients. The choice between resurfacing and THA should depend on factors like patient preference and surgeon recommendation.

What Does This Mean for Patients

If you're a younger patient considering hip replacement options, hip resurfacing might be a good alternative to traditional THA. Your doctor can help decide the best approach based on your lifestyle and goals.