Cemented total hip arthroplasty in patients with osteonecrosis. A 6-year minimum follow-up study of second-generation cement techniques.
Twenty patients with osteonecrosis of the femoral head underwent 28 total hip arthroplasties using cement from 1981 to 1985. Femoral reconstruction was by use of second-generation cement techniques. Twenty-four hips in 17 patients were available for review at a mean follow-up period of 7.7 years. The mean age at surgery was 55 years. Clinical evaluation demonstrated 79% excellent, 4% good, and 4% fair results. Three hips (12.5%) required revision for loosening. The cumulative probability of survival was estimated to be 85.7% at 10 years. Second-generation cement techniques and implant designs did improve the clinical results in this high-risk group; however, the overall mechanical failure rate remained high.
Kantor
S G
SG
Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Huo
M H
MH
Huk
O L
OL
Salvati
E A
EA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements; D005260:Female; D005271:Femur Head Necrosis / Q000601:surgery*; D006622:Hip Prosthesis / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D016019:Survival Analysis
D001843:Bone Cements