H Sharma, B Rana, C Watson, AC Campbell, BJ Singh
Department of Trauma and Orthopaedics, Monklands Hospital, Airdrie, Lanarkshire, ML6 0JS, United Kingdom

Metal-on-metal hip resurfacing arthroplasty is increasingly popular for younger patients with advanced hip disease. Intra-operative or immediate postoperative femoral neck fracture after metalon- metal hip resurfacing is a well-described technical complication, ranging from 0% to 1.5%. We report 2 cases of late femoral neck fracture occurring 8 and 15 months following the index operation, with a review of the literature. We recommend that patient selection should be of prime importance before embarking on metal-on-metal surface hip replacement to avoid such complications.