Failures with the Judet noncemented total hip.
Primary failures with 36 noncemented Judet total hip arthroplasties are reported. Steep-cup inclination in 7 cases resulted in two dislocations, two migrations, one skew insertion, and two painful hips. Moreover, two migrations were encountered in patients with rheumatoid arthritis. Femoral shaft fractures occurred intraoperatively in 7 cases and postoperatively in another 2 cases. In addition, major fractures of the greater trochanter occurred in 3 cases. The reoperation rate was 11/36, due to primary failures 8-37 months postoperatively. Consequently, the Judet design cannot be recommended for noncemented use.
D000077:Acetabulum / Q000000981:diagnostic imaging; D000328:Adult; D000368:Aged; D001843:Bone Cements; D005264:Femoral Fractures / Q000209:etiology; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging; D006622:Hip Prosthesis / Q000009:adverse effects; D006801:Humans; D008875:Middle Aged; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation
D001843:Bone Cements