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                                        NICE GUIDELINES


Nice Guidelines

In April 2002, the National Institute for clinical excellence, the government body
which reviews and gives judgment on all products associated with the medical
and pharmaceutical industries, issued guidance that recommended the selective
use of metal on metal hip resurfacing.

The main points of the guidance state that:

1.    Hip resurfacing is considered as an option for people with advanced hip
       disease who would otherwise receive and are likely to outlive a conventional
       primary total hip replacement.

2.    Hip resurfacing arthroplasty should only be performed by a surgeon who is
       trained specifically in the technique.

3.    The informed consent of the patient should include information about the
       safety and reliability of the device and the likely outcome of revision
       surgery in comparison to conventional total hip replacement.

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Last modified: 10/01/05