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lüll Hip resurfacing arthroplasty: risk factors for failure over 25 years Yue EJ; Cabanela ME; Duffy GP; Heckman MG; O'Connor MIClin Orthop Relat Res 2009[Apr]; 467 (4): 992-9Many early metal-on-polyethylene hip resurfacing arthroplasty designs were abandoned after reports of high short-term and midterm failure rates. To investigate factors associated with failure, we retrospectively reviewed our experience with early-design hip resurfacing implants in 75 patients during a 25-year period (median followup, 7.9 years; range, 0.1-25.2 years). Implant failure was defined as revision for any reason. One of 75 patients was lost to followup. The estimated rate of implant survival was 73% at 5 years, 34% at 10 years, 27% at 15 years, 12% at 20 years, and 8% at 25 years. Of the many clinical and radiographic factors considered, only age, implant type, and gender were associated with implant survival independent of other variables considered. Hip resurfacing arthroplasty showed poor overall long-term survival in this series. Particular attention should be paid to the identified risk factors as long-term followup data become available for modern designs. LEVEL OF EVIDENCE: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.|*Hip Prosthesis[MESH]|*Prosthesis Failure[MESH]|Adult[MESH]|Aged[MESH]|Arthroplasty, Replacement, Hip/*methods[MESH]|Cohort Studies[MESH]|Female[MESH]|Hip Injuries/diagnosis/surgery[MESH]|Humans[MESH]|Joint Diseases/diagnosis/surgery[MESH]|Male[MESH]|Middle Aged[MESH]|Prosthesis Design[MESH]|Reoperation[MESH]|Retrospective Studies[MESH]|Risk Factors[MESH]|Young Adult[MESH] |