Neck narrowing in resurfacing hip arthroplasty: a vascular insult?

Abstract:

INTRODUCTION:Recent reports show increased failure rates in hip resurfacings that display >10 % neck narrowing. The etiology of neck narrowing remains unknown. METHODS:We assessed 80 hip resurfacings at mean 3.5 years follow-up. RESULTS:The overall rate of significant narrowing was 11.25 %. Neck narrowing occurred in 4 % of patients using an anterolateral approach and 23.3 % using a posterior approach (P = 0.019). Logistic regression showed that both surgical approach and cup inclination angle were the most important risk factors for the development of narrowing. The odds of the presence of narrowing increased for every degree increase in cup abduction angle (P = 0.021). There was no significant association with age, sex, pre-operative diagnosis, pre- and post-operative SF-36 scores, neck shaft angle, femoral or acetabular component sizes. CONCLUSION:We postulate that neck narrowing is a result of damage to the medial circumflex femoral vessel when resurfacing through a posterior approach.

journal_name

Ir J Med Sci

authors

Brennan SA,Khan F,McQuillan J,O'Neill CJ,Kenny P,O'Rourke SK,O'Byrne JM

doi

10.1007/s11845-012-0857-y

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

201-5

issue

2

eissn

0021-1265

issn

1863-4362

journal_volume

182

pub_type

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