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OrthoVellum

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Adult Reconstruction
intermediate
X-Type

Hip Resurfacing Arthroplasty Principles

Hip Arthroplasty

A 52-year-old active male presents with severe left hip osteoarthritis. He works in construction and wishes to return to high-demand activities. He asks about hip resurfacing as an alternative to total hip arthroplasty. His femoral head measures 52mm on templating. He has no history of renal impairment. His BMD is normal. Regarding hip resurfacing arthroplasty:

Mark each as TRUE or FALSE

A

Hip resurfacing preserves proximal femoral bone stock by capping the femoral head rather than replac...

B

Ideal candidates are: young (less than 60 years), male, high activity demands, large femoral head (g...

C

Women have better outcomes than men; small femoral heads are preferable; polyethylene wear is the ma...

D

Metal-on-metal complications include: elevated metal ions (cobalt, chromium), ALVAL/ARMD (adverse re...

E

Femoral neck fracture is a specific complication (1-2%) related to notching, varus placement, poor b...

Answer the questions to see explanations

Click T (True) or F (False) for each option