title: Early results and complications of surface replacement of the hip.
abstract: We analyzed the early results and complications of surface replacement arthroplasties of the hip performed at The Hospital for Special Surgery. Fifty-six hips in fifty-one patients were operated on from August 1977 through April 1979. Fifty-five of these hips in fifty patients were available for study after an average follow-up of thirty-six months. Thirty-five hips had an excellent result and thirteen, a good result. Seven arthroplasties were failures, an alarming number in view of the relatively short follow-up. Three of the seven failures were in hips with rheumatoid arthritis, even though only 21 per cent of the hips that had surface replacement were rheumatoid. As a result of this high failure rate, our present attitude toward surface replacement is one of caution, especially in patients with inflammatory arthritis.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000601:surgery; D005069:Evaluation Studies as Topic; D005260:Female; D005272:Femur Neck / Q000473:pathology; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006622:Hip Prosthesis / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D014945:Wound Healing