title: Cementless hip arthroplasty in Paget's disease at medium-term follow-up (average of 6.7 years).
abstract: We performed 33 cementless total hip arthroplasties for arthritis in 27 patients with an established diagnosis of Paget's disease on the acetabular or femoral side of the hip. There were 3 revisions. One stem for aseptic loosening at 55 months, and 2 stems after periprosthetic fractures at 9 and 70 months. Twenty-three cases were available for follow-up at an average of 6.7 years (range, 2-14 years). Harris hip score improved from 56/100 preoperatively (16-98/100) to 90/100 postoperatively (78-100/100). All surviving components were radiographically bone ingrown. Based on our findings, it appears that a cementless total hip arthroplasty can have a good outcome in Paget's disease.
authors: Sydney Hip & Knee Surgeons, Sydney, NSW, Australia; Australian Institute of Musculo-Skeletal Research, St Leonards, NSW, Australia.
authors: Patrick James
authors: PJ
authors: Lusty
authors: William L
authors: WL
authors: Walter
authors: William K
authors: WK
authors: Walter
authors: Bernard
authors: B
authors: Zicat
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D020099:Coated Materials, Biocompatible; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010001:Osteitis Deformans / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy; D011183:Postoperative Complications; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D016896:Treatment Outcome
chemical_list: D020099:Coated Materials, Biocompatible