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TOTAL HIP REPLACEMENT AND HIP RESURFACING: A COMPARISON BETWEEN THE RATES OF MOBILISATION AND FINAL FUNCTION



Abstract

The aim of this retrospective study was to compare the rate of recovery and eventual level of function following total hip arthroplasty (THA) and hip resurfacing. Participants were 47 patients who had undergone THA and 43 who had undergone hip resurfacing. In all cases medical records were reviewed and function assessed, using the Harris hip score, visual assessment of gait and a functional score.

The rate of recovery, as measured by functional activities and range of motion, was notably better in patients who underwent hip resurfacing than in patients who underwent THA. No significant discrepancy was found in the presence of deformity and the levels of postoperative pain following either procedure.

We conclude that the hip resurfacing procedure may have important advantages over conventional THA, including more rapid mobilisation, higher levels of final function, increased range of motion, less physical limitation and shorter hospital stays. An important advantage is that the hip resurfacing procedure allows patients to resume work and sport earlier.

The abstracts were prepared by Professor M. B. E. Sweet. Correspondence should be addressed to him at PO Box 47363, Parklands, Johannesburg 2121, South Africa.