Journal article
Results of Charnley Total Hip Arthroplasty with Use of Improved Femoral Cementing Techniques: A Concise Follow-up, at a Minimum of Twenty-five Years, of a Previous Report
Journal of bone and joint surgery. American volume, Vol.88(7), pp.1481-1485
07/2006
DOI: 10.2106/JBJS.E.00818
PMID: 16818973
Abstract
The current study was performed to determine the status, at a minimum of twenty-five years, of a prospective, single-surgeon series of patients treated with primary Charnley total hip arthroplasty with a contemporary femoral cementing technique that included use of a distal cement plug and a retrograde cement-delivery system. Since our review at a minimum of twenty years postoperatively, two primary total hip prostheses were revised (one because of acetabular loosening, and one because of femoral loosening). Of the original cohort of 357 hips (320 patients), ten (2.8%) had revision of the femoral stem because of aseptic loosening. Forty-nine patients (fifty-two hips, 14.6%) who had been in the initial study group were still living at the time of the present review. Five hips (10%) in living patients had required a femoral revision because of aseptic loosening. Including those that were revised, eight femoral components (17%) in living patients were seen to be loose radiographically. Although this study demonstrates the remarkable durability of the femoral fixation obtained with the polished flatback Charnley prosthesis and the contemporary cementing technique, there was some deterioration of the results with time. These results provide a standard for comparison with cementless fixation after hips treated with that technique have been followed for a similar duration.Level of EvidenceTherapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.
Details
- Title: Subtitle
- Results of Charnley Total Hip Arthroplasty with Use of Improved Femoral Cementing Techniques: A Concise Follow-up, at a Minimum of Twenty-five Years, of a Previous Report
- Creators
- Andrea Buckwalter - University of Iowa Hospitals and ClinicsJohn Callaghan - University of IowaSteve Liu - University of IowaDouglas Pedersen - University of IowaDevon Goetz - Iowa Orthopaedic CenterPatrick Sullivan - Iowa Orthopaedic CenterJessica Leinen - University of Iowa Hospitals and ClinicsRichard Johnston - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of bone and joint surgery. American volume, Vol.88(7), pp.1481-1485
- DOI
- 10.2106/JBJS.E.00818
- PMID
- 16818973
- ISSN
- 0021-9355
- eISSN
- 1535-1386
- Language
- English
- Date published
- 07/2006
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation
- Record Identifier
- 9984622053202771
Metrics
4 Record Views