Minimally invasive hip resurfacing
Allison C
Record ID 32005000214
English, French
Authors' objectives:
The aim of this report is to review the use of metal-on-metal hip resurfacing (surface arthroplasty) as a surgical alternative for young patients who are expected to outlive a conventional total hip replacement (THR) implant.
Authors' recommendations:
The hip resurfacing procedure is more technically demanding than conventional THR and may require longer operating times. In addition, hip surgery is more difficult through a minimal incision and the technique is difficult to learn. Enhanced training and specialized instruments are necessary for accurate, reproducible results. Gaining proficiency with the procedure may be challenging, as potential candidates for hip resurfacing make up 10% to 20% of a typical surgeon s patient population. A limited number of Canadian surgeons have the necessary skills. Computer navigation systems and fluoroscopic imaging may allow improved visualization and hip implant positioning with mini-incisions, which may encourage more surgeons to attempt minimally invasive hip resurfacing. There are disadvantages to navigational systems, including increased cost and operating time; and the possibility of error from computer malfunction or inappropriate commands. It is unknown if increased costs would be offset by savings from a shorter hospital stay.
Outcome-based research and long-term followup are necessary to assess the clinical and economic impact of a minimally invasive approach to hip resurfacing. There is also a need for defined criteria to determine which patients might benefit from this surgical approach.
Authors' methods:
Overview
Details
Project Status:
Completed
Year Published:
2005
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Arthroplasty, Replacement, Hip
- Costs and Cost Analysis
Contact
Organisation Name:
Canadian Coordinating Office for Health Technology Assessment
Contact Address:
600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553, Fax: +1 613 226 5392;
Contact Name:
requests@cadth.ca
Contact Email:
requests@cadth.ca
Copyright:
Canadian Coordinating Office for Health Technology Assessment (CCOHTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.