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The effect of surgical approach on the histology of the femoral head following resurfacing of the hip : analysis of retrieval specimens

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Amarasekera, Hiran W., Campbell, P. C., Parsons, Nicholas R., Achten, Juul, Masters, James P. M., Griffin, Damian R. and Costa, Matthew L. (2013) The effect of surgical approach on the histology of the femoral head following resurfacing of the hip : analysis of retrieval specimens. Bone and Joint Research, Volume 2 (Number 9). pp. 200-205. doi:10.1302/2046-3758.29.2000179

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Official URL: http://dx.doi.org/10.1302/2046-3758.29.2000179

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Abstract

Objectives: We aimed to determine the effect of surgical approach on the histology of the femoral head following resurfacing of the hip.

Methods: We performed a histological assessment of the bone under the femoral component taken from retrieval specimens of patients having revision surgery following resurfacing of the hip. We compared the number of empty lacunae in specimens from patients who had originally had a posterior surgical approach with the number in patients having alternative surgical approaches.

Results: We found a statistically significant increase in the percentage of empty lacunae in retrieval specimens from patients who had the posterior approach compared with other surgical approaches (p < 0.001).

Conclusions: This indicates that the vascular compromise that occurs during the posterior surgical approach does have long-term effects on the bone of the femoral head, even if it does not cause overt avascular necrosis.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Library of Congress Subject Headings (LCSH): Total hip replacement -- Reoperation, Hip joint -- Reoperation , Total hip replacement, Hip joint -- Surgery, Arthroplasty
Journal or Publication Title: Bone and Joint Research
Publisher: British Editorial Society of Bone and Joint Surgery
ISSN: 2046-3758
Official Date: September 2013
Dates:
DateEvent
September 2013Published
Volume: Volume 2
Number: Number 9
Page Range: pp. 200-205
DOI: 10.1302/2046-3758.29.2000179
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access

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