Cementless total hip arthroplasty in patients 50 years or younger.
This report examines the mean 9-year results of 100 second-generation cementless total hip arthroplasty in 91 patients 50 years or younger. The mean age at arthroplasty was 39 years (range, 14-50 years), and follow up averaged 9 years (range, 5-13 years). There were 13 revisions (7 related to polyethylene wear and/or osteolysis, 5 for instability, and 1 for infection). No femoral components were revised for loosening and none were radiographically loose. Two acetabular shells were revised for loosening secondary to extensive osteolysis. Ten-year survivorship using revision for any reason as the end point was 87.5%, using femoral component aseptic loosening as the end point was 100%, and using acetabular component aseptic loosening as the end point was 97.1%.
Archibeck
Michael J
MJ
New Mexico Center for Joint Replacement Surgery, New Mexico Orthopaedics, 201 Cedar SE, Suite 6600, Albuquerque, NM 87106, USA. archibeckmj@comcast.net
Surdam
Jonathan W
JW
Schultz
Steven C
SC
Junick
Daniel W
DW
White
Richard E
RE
D000293:Adolescent; D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001843:Bone Cements; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D012189:Retrospective Studies; D017741:Survivors; D013997:Time Factors; D016896:Treatment Outcome
D001843:Bone Cements