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James Pritchett MD discusses the preference his patients have for hip resurfacing compared to hip replacement. No metal on metal implants were included and the follow-up averaged 11 years and up to 26 years. A polyethylene acetabular component with a ceramic or ceramic coated femoral implant was used. 270 patients. This was a statistically valid independent, blinded, paired bilateral study. More than 85% of patients with a well functioning hip replacement preferred their hip resurfacing side because of better function, feel and performance. The risks and survivorship of hip resurfacing compared to hip replacement was also better in the hand of Dr. Pritchett with a long term failure rate of less than 3.5%. The patients average age was 48 and the majority pursued sports and an unlimited life style.