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Surgical Approach Determines Pseudotumor and Muscle Atrophy Patterns in MoM Hip Resurfacing

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Ace Report Cover
September 2025

Surgical Approach Determines Pseudotumor and Muscle Atrophy Patterns in MoM Hip Resurfacing

Vol: 307| Issue: 9| Number:43| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

The anatomical location of cystic pseudotumors and muscle atrophy in metal-on-metal resurfacing hip arthroplasty is related to the surgical approach used for implantation. A subgroup analyses of a randomized controlled trial.

Arch Orthop Trauma Surg . 2023 Sep;143(9):5967-5976.

Contributing Authors:
MH Hjorth I Mechlenburg K Soballe L Romer SS Jakobsen M Stilling

Synopsis

Forty-nine patients with hip osteoarthritis were randomized to receive MoM resurfacing via an anterolateral approach (n=25) or a posterior approach (n=24). The primary outcome of interest was the anatomical location, grade, and prevalence of pseudotumors and muscle atrophy on MARS-MRI. Secondary outcomes of interest included acetabular component position (inclination/anteversion), femoral neck nar...

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