“There is no significant difference in postoperative outcomes between younger and older patients undergoing HRA".

In a systematic review published earlier this year, Marwin et al. (2025) stated “There is no significant difference in postoperative outcomes between younger and older patients undergoing HRA. In fact, older patients seem to experience higher prosthesis survivorship rates compared with younger cohorts.”

The review investigates how age affects outcomes in Hip Resurfacing Arthroplasty, focusing on complication rates, functional recovery and implant survivorship. Covering 31 studies, and 22,691 patients the study compared those under and over 50 years of age to determine whether HRA remains effective in older, active individuals with adequate bone quality.

Key Outcomes:

• There is no significant difference in postoperative outcomes between younger and older patients undergoing HRA. 

• Older patients seem to experience higher prosthesis survivorship rates compared with younger cohorts. 

• Older patients who are active and possess good bone quality can achieve outcomes comparable to their younger counterparts.

  
  

JM Comments:

This study strongly suggests that hip resurfacing arthroplasty (HRA) could be a viable option for a wider age range than previously considered. This is a positive step for the field, reinforcing the value of HRA as a versatile solution that meets the needs of an increasingly diverse patient population.

Reference

Shanaa, J., Asad, S., Augustynski, R., Bernstein, E., Bindra, G.S. and Marwin, S. (2025). Older Patients May Fare Better Following Hip Resurfacing Arthroplasty. JBJS Reviews, 13(2). doi:https://doi.org/10.2106/jbjs.rvw.24.00201.