Hip resurfacing arthroplasty: Risk factors for failure over 25 years

Eric J. Yue, Miguel E. Cabanela, Gavan P. Duffy, Michael G. Heckman, Mary I. O'Connor

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


Many early metal-on-polyethylene hip resurfacing arthroplasty designs were abandoned after reports of high short-term and midterm failure rates. To investigate factors associated with failure, we retrospectively reviewed our experience with early-design hip resurfacing implants in 75 patients during a 25-year period (median followup, 7.9 years; range, 0.1-25.2 years). Implant failure was defined as revision for any reason. One of 75 patients was lost to followup. The estimated rate of implant survival was 73% at 5 years, 34% at 10 years, 27% at 15 years, 12% at 20 years, and 8% at 25 years. Of the many clinical and radiographic factors considered, only age, implant type, and gender were associated with implant survival independent of other variables considered. Hip resurfacing arthroplasty showed poor overall long-term survival in this series. Particular attention should be paid to the identified risk factors as long-term followup data become available for modern designs. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Original languageEnglish (US)
Pages (from-to)992-999
Number of pages8
JournalClinical orthopaedics and related research
Issue number4
StatePublished - Apr 2009

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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