Fifteen-year clinical survivorship of Harris-Galante total hip arthroplasty.
We studied the long-term outcome of uncemented total hip arthroplasty using HG-I components in 90 hips (80 patients) with an average age of 57.5 years who were operated on between 1984 and 1986 at our institution. Average follow-up was 14.9 years, and no patient was lost to follow-up. Hip scores improved significantly, and there was clinical and radiographic evidence of bony ingrowth on the acetabular components in all patients. There were 11 revisions in the study population for reasons related to failure of the femoral component (8 hips), acetabular liner dissociation (2 hips), and deep infection (1 hip). At the latest follow-up, 3 femoral components were determined to be loose. No acetabular component was revised for aseptic loosening. In addition to the revisions, there were 2 reoperations, 1 for psoas tendon release, and 1 for excision of heterotopic ossification. Thus, the survivorship free of revision and free of mechanical failure for the acetabular component at 15 years was 95.7% (95% confidence interval [CI], 0.89-1.0) and 91.9% (95% CI, 0.83-0.98), respectively. The survivorship at 15 years for the femoral component was 86.8% (95% CI, 0.78-0.95) free of revision and 82.0% (95% CI, 0.71-0.92) free of mechanical failure.
Parvizi
Javad
J
Department of Orthopedics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
Sullivan
Thomas
T
Duffy
Gavan
G
Cabanela
Miguel E
ME
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012042:Registries; D012086:Reoperation; D018709:Statistics, Nonparametric; D015996:Survival Rate; D016896:Treatment Outcome