Postoperative Gait Parameters in Hip Resurfacing Compared to Total Hip Arthroplasty: A Systematic Review
Authors
Parsa A, George T, Bruning R, Padilla P, Schinsky MF, Domb BG
Background
Younger and more active patients often consider hip resurfacing (HR) instead of total hip arthroplasty (THA) due to presumed benefits in mobility and joint preservation. This review compares gait and walking function post-surgery between HR and THA.
Methods
Following PRISMA guidelines, a systematic review included 8 studies (206 patients, 273 hips) comparing gait outcomes in patients who underwent HR or THA for hip osteoarthritis.
Key Findings
- HR patients demonstrated greater walking speed, longer stride length, and improved uphill walking ability in most studies.
- Several studies also showed greater stance times and better peak hip extension moments in HR patients.
- On flat surfaces, outcomes were similar between HR and THA.
Conclusion
Hip resurfacing may offer functional advantages over THA in select patients, especially for activities requiring higher mobility or endurance, though data remain limited.
What Does This Mean For Patients
If you're active and considering hip surgery, hip resurfacing might offer better walking ability and performance on inclines. However, both options are effective, and the best choice depends on your specific anatomy and lifestyle needs.