Cementless hip arthroplasty in Paget's disease at medium-term follow-up (average of 6.7 years).
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.
Lusty
Patrick James
PJ
Sydney Hip & Knee Surgeons, Sydney, NSW, Australia; Australian Institute of Musculo-Skeletal Research, St Leonards, NSW, Australia.
Walter
William L
WL
Walter
William K
WK
Zicat
Bernard
B
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
D020099:Coated Materials, Biocompatible