No clinical difference between large metal-on-metal total hip arthroplasty and 28-mm-head total hip arthroplasty?

Zijlstra, W. P., van den Akker-Scheek, I., Zee, M. J. M. & van Raay, J. J. A. M., Dec-2011, In : INTERNATIONAL ORTHOPAEDICS. 35, 12, p. 1771-6 6 p.

Research output: Contribution to journalArticleAcademicpeer-review

PURPOSE: We aimed to test the claim of greater range of motion (ROM) with large femoral head metal-on-metal total hip arthroplasty.

METHODS: We compared 28-mm metal-on-polyethylene (MP) total hip arthroplasty with large femoral head metal-on-metal (MM) total hip arthroplasty in a randomised clinical trial. ROM one year postoperatively was determined in 50 patients. Mean head sizes were 28 mm (MP) and 48 mm (MM).

RESULTS: After one year, the large head MM group showed greater improvement in internal rotation (14 degrees) than the 28 mm group (seven degrees).There were no significant differences in the absolute values of postoperative internal rotation, external rotation, flexion, extension, abduction and abduction.

CONCLUSIONS: Absolute postoperative range of motion did not differ between the two groups. The improvement in internal rotation was greater after large femoral head metal-on-metal total hip arthroplasty. It is however questionable whether this difference is clinically relevant.

Original languageEnglish
Pages (from-to)1771-6
Number of pages6
Issue number12
Publication statusPublished - Dec-2011


  • Aged, Arthritis, Arthroplasty, Replacement, Hip, Bone Malalignment, Female, Femur Head, Femur Head Necrosis, Health Status, Hip Injuries, Hip Joint, Hip Prosthesis, Humans, Male, Metals, Middle Aged, Osteoarthritis, Hip, Outcome Assessment (Health Care), Polyethylene, Prosthesis Design, Range of Motion, Articular, Recovery of Function, Treatment Outcome

ID: 14212807