Outcomes After Metal-on-Metal Hip Resurfacing: Could We Achieve Better Function?
Abstract Newman MA, Barker KL, Pandit H, Murray DW. Outcomes after metal-on-metal hip resurfacing: could we achieve better function? Objective To report functional outcomes after metal-on-metal (MOM) hip resurfacing. Design A cohort of 126 MOM hip resurfacing operations were reviewed 1 year after su...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2008-04, Vol.89 (4), p.660-666 |
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| creator | Newman, Meredith A., MSc, MCSP Barker, Karen L., PhD, MCSP Pandit, Hemant, FRCS (Orth) Murray, David W., FRCS (Orth) |
| description | Abstract Newman MA, Barker KL, Pandit H, Murray DW. Outcomes after metal-on-metal hip resurfacing: could we achieve better function? Objective To report functional outcomes after metal-on-metal (MOM) hip resurfacing. Design A cohort of 126 MOM hip resurfacing operations were reviewed 1 year after surgery. Setting Hospital trust specializing in orthopedic surgery. Participants Sixty-seven right and 59 left hips were reviewed in patients (N=120; 71 men, 49 women; mean age, 56±9y; range, 24–76y). Interventions Not applicable. Main Outcome Measures Administered once at follow-up. Function was measured using the Oxford Hip Score (OHS), Hip disability and Osteoarthritis Outcome Score, and UCLA Activity Score. Complications, pain, range of motion, Trendelenburg test, strength, walking, single-leg stand, stair climbing, and 10-m walk time were assessed. Results Overall examination was satisfactory with few complications. High functional levels were reported. The median OHS was 15 and median UCLA Activity Score 7 (active). For 25%, outcome was poor with persistent pain, reduced hip flexion (mean, 94.46°±12.7°), decreased strength ( P |
| doi_str_mv | 10.1016/j.apmr.2007.09.045 |
| format | Article |
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Outcomes after metal-on-metal hip resurfacing: could we achieve better function? Objective To report functional outcomes after metal-on-metal (MOM) hip resurfacing. Design A cohort of 126 MOM hip resurfacing operations were reviewed 1 year after surgery. Setting Hospital trust specializing in orthopedic surgery. Participants Sixty-seven right and 59 left hips were reviewed in patients (N=120; 71 men, 49 women; mean age, 56±9y; range, 24–76y). Interventions Not applicable. Main Outcome Measures Administered once at follow-up. Function was measured using the Oxford Hip Score (OHS), Hip disability and Osteoarthritis Outcome Score, and UCLA Activity Score. Complications, pain, range of motion, Trendelenburg test, strength, walking, single-leg stand, stair climbing, and 10-m walk time were assessed. Results Overall examination was satisfactory with few complications. High functional levels were reported. The median OHS was 15 and median UCLA Activity Score 7 (active). For 25%, outcome was poor with persistent pain, reduced hip flexion (mean, 94.46°±12.7°), decreased strength ( P <.001), restricted walking, and functional limitations. Conclusions Information about outcomes is important for patients undergoing surgery. Hip resurfacing remains an emergent technology, with further follow-up and investigation warranted. One explanation for suboptimal recovery may be current rehabilitation, originally developed after total hip arthroplasty. Rehabilitation tailored to hip resurfacing, paced for this active population and progressed to higher demand activities, may improve outcomes.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2007.09.045</identifier><identifier>PMID: 18373996</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Activities of Daily Living ; Adult ; Aged ; Arthroplasty, replacement, hip ; Arthroplasty, Replacement, Hip - adverse effects ; Arthroplasty, Replacement, Hip - methods ; Arthroplasty, Replacement, Hip - rehabilitation ; Biological and medical sciences ; Cohort Studies ; Diseases of the osteoarticular system ; Female ; Femur Head Necrosis - diagnosis ; Femur Head Necrosis - surgery ; Follow-Up Studies ; Gait - physiology ; Hip Fractures - diagnosis ; Hip Fractures - surgery ; Hip Prosthesis ; Humans ; Male ; Medical sciences ; Metals ; Middle Aged ; Miscellaneous. Osteoarticular involvement in other diseases ; Orthopedic surgery ; Osteoarthritis ; Osteoarthritis, Hip - diagnosis ; Osteoarthritis, Hip - surgery ; Pain Measurement ; Physical Medicine and Rehabilitation ; Postoperative Complications - surgery ; Prosthesis Design ; Prosthesis Failure ; Range of Motion, Articular - physiology ; Recovery of Function - physiology ; Rehabilitation ; Reoperation ; Risk Assessment ; Severity of Illness Index ; Statistics, Nonparametric ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome</subject><ispartof>Archives of physical medicine and rehabilitation, 2008-04, Vol.89 (4), p.660-666</ispartof><rights>American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-fc58654afa26048405cd60aa5313849387319688a109c5df519bd6cb05e1e3dd3</citedby><cites>FETCH-LOGICAL-c439t-fc58654afa26048405cd60aa5313849387319688a109c5df519bd6cb05e1e3dd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999308000063$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20257911$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18373996$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Newman, Meredith A., MSc, MCSP</creatorcontrib><creatorcontrib>Barker, Karen L., PhD, MCSP</creatorcontrib><creatorcontrib>Pandit, Hemant, FRCS (Orth)</creatorcontrib><creatorcontrib>Murray, David W., FRCS (Orth)</creatorcontrib><title>Outcomes After Metal-on-Metal Hip Resurfacing: Could We Achieve Better Function?</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Newman MA, Barker KL, Pandit H, Murray DW. Outcomes after metal-on-metal hip resurfacing: could we achieve better function? Objective To report functional outcomes after metal-on-metal (MOM) hip resurfacing. Design A cohort of 126 MOM hip resurfacing operations were reviewed 1 year after surgery. Setting Hospital trust specializing in orthopedic surgery. Participants Sixty-seven right and 59 left hips were reviewed in patients (N=120; 71 men, 49 women; mean age, 56±9y; range, 24–76y). Interventions Not applicable. Main Outcome Measures Administered once at follow-up. Function was measured using the Oxford Hip Score (OHS), Hip disability and Osteoarthritis Outcome Score, and UCLA Activity Score. Complications, pain, range of motion, Trendelenburg test, strength, walking, single-leg stand, stair climbing, and 10-m walk time were assessed. Results Overall examination was satisfactory with few complications. High functional levels were reported. The median OHS was 15 and median UCLA Activity Score 7 (active). For 25%, outcome was poor with persistent pain, reduced hip flexion (mean, 94.46°±12.7°), decreased strength ( P <.001), restricted walking, and functional limitations. Conclusions Information about outcomes is important for patients undergoing surgery. Hip resurfacing remains an emergent technology, with further follow-up and investigation warranted. One explanation for suboptimal recovery may be current rehabilitation, originally developed after total hip arthroplasty. Rehabilitation tailored to hip resurfacing, paced for this active population and progressed to higher demand activities, may improve outcomes.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>Arthroplasty, replacement, hip</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Arthroplasty, Replacement, Hip - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Femur Head Necrosis - diagnosis</subject><subject>Femur Head Necrosis - surgery</subject><subject>Follow-Up Studies</subject><subject>Gait - physiology</subject><subject>Hip Fractures - diagnosis</subject><subject>Hip Fractures - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metals</subject><subject>Middle Aged</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Orthopedic surgery</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Hip - diagnosis</subject><subject>Osteoarthritis, Hip - surgery</subject><subject>Pain Measurement</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Postoperative Complications - surgery</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Range of Motion, Articular - physiology</subject><subject>Recovery of Function - physiology</subject><subject>Rehabilitation</subject><subject>Reoperation</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Statistics, Nonparametric</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV2L1DAUhoMo7rj6B7yQ3uhd60nTtImIMg67rrCy4gd6FzLJqWZskzFpF_bfb-oMCl54lQSe9-TwvIQ8plBRoO3zXaX3Y6xqgK4CWUHD75AV5awuRU2_3SUrAGCllJKdkAcp7fKz5YzeJydUsI5J2a7Ih6t5MmHEVKz7CWPxHic9lMGXvy_FhdsXHzHNsdfG-e8vik2YB1t8xWJtfji8xuINTkvufPZmcsG_fkju9XpI-Oh4npIv52efNxfl5dXbd5v1ZWkaJqeyN1y0vNG9rltoRAPc2Ba0zvsx0UgmOkZlK4SmIA23Padya1uzBY4UmbXslDw7zN3H8GvGNKnRJYPDoD2GOakOmoYB4xmsD6CJIaWIvdpHN-p4oyioxaPaqcWjWjwqkCp7zKEnx-nzdkT7N3IUl4GnR0Ano4c-am9c-sPVUPNOUpq5lwcOs4trh1El49AbtC6imZQN7v97vPonbgbnXf7xJ95g2oU5-mxZUZVqBerT0vhSOAhY2mbsFladpBA</recordid><startdate>20080401</startdate><enddate>20080401</enddate><creator>Newman, Meredith A., MSc, MCSP</creator><creator>Barker, Karen L., PhD, MCSP</creator><creator>Pandit, Hemant, FRCS (Orth)</creator><creator>Murray, David W., FRCS (Orth)</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080401</creationdate><title>Outcomes After Metal-on-Metal Hip Resurfacing: Could We Achieve Better Function?</title><author>Newman, Meredith A., MSc, MCSP ; Barker, Karen L., PhD, MCSP ; Pandit, Hemant, FRCS (Orth) ; Murray, David W., FRCS (Orth)</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-fc58654afa26048405cd60aa5313849387319688a109c5df519bd6cb05e1e3dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>Arthroplasty, replacement, hip</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Arthroplasty, Replacement, Hip - rehabilitation</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Femur Head Necrosis - diagnosis</topic><topic>Femur Head Necrosis - surgery</topic><topic>Follow-Up Studies</topic><topic>Gait - physiology</topic><topic>Hip Fractures - diagnosis</topic><topic>Hip Fractures - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metals</topic><topic>Middle Aged</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Orthopedic surgery</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Hip - diagnosis</topic><topic>Osteoarthritis, Hip - surgery</topic><topic>Pain Measurement</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Postoperative Complications - surgery</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Range of Motion, Articular - physiology</topic><topic>Recovery of Function - physiology</topic><topic>Rehabilitation</topic><topic>Reoperation</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Statistics, Nonparametric</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Newman, Meredith A., MSc, MCSP</creatorcontrib><creatorcontrib>Barker, Karen L., PhD, MCSP</creatorcontrib><creatorcontrib>Pandit, Hemant, FRCS (Orth)</creatorcontrib><creatorcontrib>Murray, David W., FRCS (Orth)</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Newman, Meredith A., MSc, MCSP</au><au>Barker, Karen L., PhD, MCSP</au><au>Pandit, Hemant, FRCS (Orth)</au><au>Murray, David W., FRCS (Orth)</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes After Metal-on-Metal Hip Resurfacing: Could We Achieve Better Function?</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2008-04-01</date><risdate>2008</risdate><volume>89</volume><issue>4</issue><spage>660</spage><epage>666</epage><pages>660-666</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract Newman MA, Barker KL, Pandit H, Murray DW. Outcomes after metal-on-metal hip resurfacing: could we achieve better function? Objective To report functional outcomes after metal-on-metal (MOM) hip resurfacing. Design A cohort of 126 MOM hip resurfacing operations were reviewed 1 year after surgery. Setting Hospital trust specializing in orthopedic surgery. Participants Sixty-seven right and 59 left hips were reviewed in patients (N=120; 71 men, 49 women; mean age, 56±9y; range, 24–76y). Interventions Not applicable. Main Outcome Measures Administered once at follow-up. Function was measured using the Oxford Hip Score (OHS), Hip disability and Osteoarthritis Outcome Score, and UCLA Activity Score. Complications, pain, range of motion, Trendelenburg test, strength, walking, single-leg stand, stair climbing, and 10-m walk time were assessed. Results Overall examination was satisfactory with few complications. High functional levels were reported. The median OHS was 15 and median UCLA Activity Score 7 (active). For 25%, outcome was poor with persistent pain, reduced hip flexion (mean, 94.46°±12.7°), decreased strength ( P <.001), restricted walking, and functional limitations. Conclusions Information about outcomes is important for patients undergoing surgery. Hip resurfacing remains an emergent technology, with further follow-up and investigation warranted. One explanation for suboptimal recovery may be current rehabilitation, originally developed after total hip arthroplasty. Rehabilitation tailored to hip resurfacing, paced for this active population and progressed to higher demand activities, may improve outcomes.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18373996</pmid><doi>10.1016/j.apmr.2007.09.045</doi><tpages>7</tpages></addata></record> |
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| subjects | Activities of Daily Living Adult Aged Arthroplasty, replacement, hip Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - methods Arthroplasty, Replacement, Hip - rehabilitation Biological and medical sciences Cohort Studies Diseases of the osteoarticular system Female Femur Head Necrosis - diagnosis Femur Head Necrosis - surgery Follow-Up Studies Gait - physiology Hip Fractures - diagnosis Hip Fractures - surgery Hip Prosthesis Humans Male Medical sciences Metals Middle Aged Miscellaneous. Osteoarticular involvement in other diseases Orthopedic surgery Osteoarthritis Osteoarthritis, Hip - diagnosis Osteoarthritis, Hip - surgery Pain Measurement Physical Medicine and Rehabilitation Postoperative Complications - surgery Prosthesis Design Prosthesis Failure Range of Motion, Articular - physiology Recovery of Function - physiology Rehabilitation Reoperation Risk Assessment Severity of Illness Index Statistics, Nonparametric Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
| title | Outcomes After Metal-on-Metal Hip Resurfacing: Could We Achieve Better Function? |
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