The effect of hip resurfacing on oxygen concentration in the femoral head

R. T. Steffen; S. R. Smith; J. P. G. Urban; P. McLardy-Smith; D. J. Beard; H. S. Gill; D. W. Murray

doi:10.1302/0301-620X.87B11.16780

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The effect of hip resurfacing on oxygen concentration in the femoral head

R. T. Steffen
S. R. Smith
J. P. G. Urban
P. McLardy-Smith
D. J. Beard
H. S. Gill
D. W. Murray

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The effect of hip resurfacing on oxygen concentration in the femoral head

Steffen RT, Smith SR, Urban JPG, et al. The effect of hip resurfacing on oxygen concentration in the femoral head. J Bone Joint Surg Br. 2005;87-B(11):1468-1474. doi:10.1302/0301-620X.87B11.16780

Steffen, R. T., et al. “The effect of hip resurfacing on oxygen concentration in the femoral head.” The Journal of Bone & Joint Surgery British Volume, vol. 87-B, no. 11, 2005, pp. 1468-1474., https://doi.org/10.1302/0301-620X.87B11.16780

Steffen, R. T., Smith, S. R., Urban, J. P. G., McLardy-Smith, P., Beard, D. J., Gill, H. S., & Murray, D. W. (2005). The effect of hip resurfacing on oxygen concentration in the femoral head. The Journal of Bone & Joint Surgery British Volume, 87-B(11), 1468-1474. https://doi.org/10.1302/0301-620X.87B11.16780

Steffen, R. T., Smith, S. R., Urban, J. P. G., McLardy-Smith, P., Beard, D. J., Gill, H. S. et al. (2005) “The effect of hip resurfacing on oxygen concentration in the femoral head.” The Journal of Bone & Joint Surgery British Volume, 87-B(11), pp. 1468-1474. Available at: https://doi.org/10.1302/0301-620X.87B11.16780

Steffen, R. T., S. R. Smith, J. P. G. Urban, P. McLardy-Smith, D. J. Beard, H. S. Gill, and D. W. Murray. “The effect of hip resurfacing on oxygen concentration in the femoral head.” The Journal of Bone & Joint Surgery British Volume 87-B, no. 11 (2005): 1468-1474. https://doi.org/10.1302/0301-620X.87B11.16780

Steffen RT, Smith SR, Urban JPG, McLardy-Smith P, Beard DJ, Gill HS, et al. The effect of hip resurfacing on oxygen concentration in the femoral head. J Bone Joint Surg Br. 2005 Nov 1;87-B(11):1468-1474. https://doi.org/10.1302/0301-620X.87B11.16780

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Abstract

We inserted an electrode up the femoral neck into the femoral head of ten patients undergoing a metal-on-metal hip resurfacing arthroplasty through a posterior surgical approach and measured the oxygen concentration during the operation. In every patient the blood flow was compromised during surgery, but the extent varied. In three patients, the oxygen concentration was zero at the end of the procedure. The surgical approach caused a mean 60% drop (p < 0.005) in oxygen concentration while component insertion led to a further 20% drop (p < 0.04). The oxygen concentration did not improve significantly on wound closure. This study demonstrates that during hip resurfacing arthroplasty, patients experience some compromise to their femoral head blood supply and some have complete disruption.

Correspondence should be sent to Dr H. S. Gill; e-mail: richie.gill@ndos.ox.ac.uk

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