Do we need to follow up primary total hip replacements?
No evidence based guidelines on surveillance of cemented total hip arthroplasty exist. We reviewed outcomes of this procedure from 1996 & 1997. Patients were identifed from theatre log books. Follow up data was retrieved from patient records. Evidence of radiological loosening & time of revision were recorded. Data was analysed using a ® statistical software package. We identified 425 primary total hip arthroplasties. Using radiological evidence of loosening as the end point we found an initial peak and another at 8 years. 10 year survival rate was 86%. Using revision surgery as the end point we found an initial peak & another at 8 years. 10 year survival rate was 92%. Once the patient has made it to 1 year, no follow up is required until 8 years; unless symptomatic.
Kerin
Cronan
C
Robert Jones and Agnes Hunt District & Orthopaedic Hospital, Gobowen, Shropshire, UK. cronankerin@doctors.org.uk
Cheung
G
G
Graham
N
N
Cool
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D003266:Continuity of Patient Care / Q000592:standards*; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013997:Time Factors; D055815:Young Adult