Breaking Barriers: Addressing Gender Disparities in Hip Resurfacing Surgery Access in the United States

Document Type : In Brief

Authors

Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical sciences, Mashhad, Iran

Abstract

Second-generation large-diameter head hip resurfacing (HR) arthroplasty has gained popularity in 
terms of its potential for minimal wear and the preservation of proximal femoral bone stock. HR faces 
challenges, such as increased hip fracture rates and adverse reactions to m etal detritus, despite the 
fact that over one million metal-on-metal (MoM) arthroplasties have been performed globally. FDA 
issued warnings in 2011 and 2016 regarding higher failure rates in women and categorized MoM 
implants as high-risk, influencing U.S. surgeons to limit HR in women. Conversely, European and 
Australian registries report 6.4% to 54.4% of HR procedures are performed on women. Addressing 
concerns via targeted follow-ups and age-specific recommendations can help provide equitable access 
to advanced medical treatments.
 Level of evidence: V

Keywords

Main Subjects


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