The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

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

Document Type : In Brief

Authors
Ali Parsa
Mohammad Ghorbani
Neda Mirzaei
Mohammad H. Ebrahimzadeh
Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical sciences, Mashhad, Iran
10.22038/abjs.2024.80526.3679
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
Gender
Hip
Resurfacing
Subjects
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The Archives of Bone and Joint Surgery
Volume 12, Issue 11
November 2024
Pages 810-812

  • Receive Date 21 June 2024
  • Revise Date 17 September 2024
  • Accept Date 31 August 2024