Hip Resurfacing Arthroplasty for Ankylosing Spondylitis

We compared the results of the metal-on-metal hip resurfacing with the ceramic-on-ceramic total hip arthroplasty (THA) in 2 groups. The preoperative and postoperative ranges of motion (ROMs) were recorded. At the latest follow-up, both of the groups make satisfactory clinical and radiographic results. There was no significant difference in Harris hip score of the 2 groups, but the ROM of the hips in hip resurfacing group was significantly wider than THA group (P < .01). Hip resurfacing has better ROM improvement than THA, with the same pain relief. Its high stability and low dislocation rate allow patients to do early function exercises, which is important for ankylosing spondylitis (AS) patients to avoid reankylosis. Hip resurfacing may be a reasonable option for young AS population.