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Letters Hip resurfacing or arthroplasty?

Study lacks rigour to determine choice of hip resurfacing or arthroplasty

BMJ 2012; 344 doi: (Published 28 May 2012) Cite this as: BMJ 2012;344:e3667
  1. Sam Oussedik, specialist registrar, trauma and orthopaedics1,
  2. Sujith Konan, specialist registrar, trauma and orthopaedics2,
  3. Fares Haddad, divisional director surgical specialties3
  1. 1Northwick Park Hospital, Harrow HA1 3UJ, UK
  2. 2Chelsea and Westminster Hospital, London SW10 9NH, UK
  3. 3University College Hospital London, London NW1 2BU, UK
  1. fares.haddad{at}

Although Costa and colleagues’ prospective randomised study comparing total hip arthroplasty with resurfacing arthroplasty was laudable in orthopaedics, it lacks the necessary rigour and detail to reach useful conclusions.1

Costa and colleagues do not describe the surgical approach used, and this may have a clinically significant impact on outcome.2 At least one of them favours a trans-trochanteric approach, which …

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