CWICB Hip Resurfacing Policy

Metal on Metal hip resurfacing arthroplasty involves removal of the diseased or damaged surfaces of the head of the femur and the acetabulum

The femoral head is fitted with a metal surface and the acetabulum is lined with a metal cup to form a pair of metal bearings

Evidence supports short-term effectiveness, mainly in patients <65 years

Hip resurfacing may only be considered where:

• The patient qualifies for a primary total hip replacement AND
• They are younger and more active, and likely to outlive a conventional hip replacement AND
• The procedure and prosthesis comply with current NICE (TA304) and MHRA guidance.

Funding Criteria

ICB will fund MoM hip resurfacing only if:

• The patient qualifies for Primary THR; AND
• The patient is likely to outlive conventional hip replacements.
• Prosthesis must have ≤5% revision rate at 10 years (or consistent shorter-term data)