title: Poor results of the Freeman uncemented metal-backed acetabular component. Five-to-nine-year results.
abstract: We reviewed 120 consecutive primary total hip replacements in 109 patients in whom a Freeman uncemented metal-backed component had been used. Acetabular components were used with a Freeman neck-retaining stem in one of three configurations: cemented smooth stem, uncemented smooth stem or uncemented ridged stem. After a mean follow up of 72 months (62 to 113) there were nine cases of aseptic loosening; a survivorship at eight years of 83%. In addition, more than one-third of the remaining surviving cups showed loosening radiologically. The Freeman acetabular component demonstrated a characteristic pattern of loosening on radiographs. The high incidence of aseptic loosening can be explained by poor design and material failure.
authors.affiliation: Princess Alexandra Hospital, Brisbane, Queensland, Australia.
authors.forename: S F
authors.initials: SF
authors.lastname: Journeaux
authors.forename: D A
authors.initials: DA
authors.lastname: Morgan
authors.forename: W J
authors.initials: WJ
authors.lastname: Donnelly
mesh_terms: D000077:Acetabulum / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019544:Equipment Failure Analysis; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011474:Prosthesis Design; D011859:Radiography; D016019:Survival Analysis