We believe that the risk of secondary osteonecrosis is high after operative treatment of traumatic periprosthetic fracture after resurfacing replacement; thus, a revision to total hip arthroplasty is probably preferable in such cases.
Periprosthetic fracture after hip resurfacing replacement is a well-documented early-onset complication of this modern arthroplasty method, with an incidence of 1 3% (Beaule et al. 2004, Amstutz et al. 2004, De Smet 2005, Shimmin and Back 2005, Marker et al. 2007, Amstutz and Le Duff 2008, Steffen et al. 2008).
All uncemented, inverse hybrids and resurfacing replacements were associated with increased risk for early reoperation compared to all-cemented components.
All uncemented, inverse hybrids and resurfacing replacements were associated with increased risk for early reoperation and revision compared to all cemented implants.
The subtended angles are important parameters in the design of the acetabular component of a hip replacement and particularly important in resurfacing hip replacement when the volume available is tightly constrained.
We also excluded operations performed for reasons other than primary osteoarthritis (acute hip fracture or revision of failed osteosynthesis, n = 74; inflammatory arthritis, n = 70; secondary OA, n = 23; osteonecrosis, n = 19; bone tumor or metastasis, n = 10; or other miscellaneous diagnoses, n = 6), unicondylar knee replacement (n = 47), and resurfacing hip replacement (n = 6).
Some medical tourists go abroad for orthopaedic surgeries, including hip and knee resurfacing and replacement.
Resurfacing hip replacement accounts for 8% of all primary total hip arthroplasties recorded by the Australian Orthopaedic Association National Joint Replacement Registry AOANJRRR) up to the end of 2008.
A relatively new prosthesis design, the SR™ TMC prosthesis (Avanta, San Diego, CA), is a resurfacing joint replacement that closely duplicates the anatomy of the articular surfaces of the first metacarpal and trapezium (Fig. 1) [ 7].
HRRKR: Hip replacement and resurfacing and knee replacement.
Orthopaedic surgeries, including hip replacement and resurfacing and knee replacement (HRRKR), are one of the procedures sought by international patients at medical tourism hospitals [ 1, 11- 13].
