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METAL-ON-METAL RESURFACING OF THE HIP WITH KINEMATIC NAVIGATION

M. Pink; M. Lis; T. Pink; and M. Janecek

Departement of Orthopaedics, Hospital Trebic, Departement of Orthopaedics, Traumatological Hospital, Brno, Czech Republic

To evaluate first short term results of the 82 Articular Surface Replacements (ASR) of the hip joint with kinematic navigation.

Between March 2006 and March 2007 we performed 82 resurfacings of the hip. In all cases we used Articular Surface Replacement of the Hip joint (ASR-DePuy) with kinematic navigation (Ci system). Our group included 47 women and 35 men. Patients’ mean age at surgery was 68.2 years. The indication for resurfacing was just primary osteoarthritis. Clinical evaluations were conducted using the Harris Hip Scoring system. Imaging studies: AP, axial X-rays.

Patients were followed for an average 12 months postoperative (7–20 months). The average postoperative Harris Hip Total Score was 97%, and 98% of the patients were in the good to excellent range of 80–100 points. No patients were lost to follow-up. We noted a greater range of movement, faster postoperative rehabilitation and shorter time of hospitalization compared with traditional total hip arthroplasty. There were no cases of neurological complication, deep infection, wound dehiscence or dislocation. All X-rays refer correct position of femoral component in both projections. Our experiences with Articular Surface Replacement of the Hip Joint (ASR-DePuy) powered by Ci navigation system are good, but long term followup will be continued.

Articular Surface Replacement of the Hip Joint with modern design, reproductible instrumentation and kinematic navigation can eliminate the previous cause of early resurface failures and loosening. The patient selection must be strict regarding. The kinematic navigation define precise position of the components of ASR. A continued long term follow-up is necessary after minimum 10 years.

Correspondence should be addressed to Mr K Deep, General Secretary CAOS UK, Dept of Orthopaedics, Golden Jubilee National Hospital, Glasgow G81 4HX, Scotland. Email: caosuk{at}gmail.com