title: Fracture and loosening of Charnley femoral stems. Comparison between first-generation and subsequent designs.
abstract: We report the results of a 4- to 17-year clinical and radiological follow-up of 264 Charnley first-generation stems in comparison with those of 402 second- and subsequent-generation stems. The incidence of fracture was 4.1% in first-generation stems and 0.5% in second- and subsequent-generation stems. The incidence of stem loosening requiring or likely to require revision was 3.1% in first-generation and 11.4% in second-generation stems. We believe that the increased loosening rate in second- and subsequent-generation stems is due to their larger cross-sectional area, which produces an increase in flexural stiffness.
authors.affiliation: Hospital of the Good Samaritan, Los Angeles, California.
authors.forename: D M
authors.initials: DM
authors.lastname: Dall
authors.forename: I D
authors.initials: ID
authors.lastname: Learmonth
authors.forename: M I
authors.initials: MI
authors.lastname: Solomon
authors.forename: A W
authors.initials: AW
authors.lastname: Miles
authors.forename: J M
authors.initials: JM
authors.lastname: Davenport
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001696:Biomechanical Phenomena; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging; D006622:Hip Prosthesis / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D016019:Survival Analysis