title: Total hip replacement with a short metaphyseal-fitting anatomical cementless femoral component in patients aged 70 years or older.
abstract: We reviewed the results of 84 total hip replacements performed with a short metaphyseal-fitting anatomical cementless femoral component in 84 unselected consecutive patients with a mean age of 78.9 years (70 to 88). The mean follow-up was 4.6 years (4 to 5). The mean pre-operative Harris hip score was 26 points (0 to 56), which improved to 89 (61 to 100) at the final follow-up. No patient had thigh pain. The mean pre-operative Western Ontario and McMaster Universities osteoarthritis index score was 61 points (48 to 75), which improved to 21 (6 to 46). The mean University of California, Los Angeles activity score was 5.5 points (3 to 7) at the final follow-up. Osseointegration was seen in all femoral and acetabular components. All hips had grade 1 stress shielding of the proximal femur. No acetabular or femoral osteolysis was identified. These results demonstrate that a short metaphyseal-fitting femoral component achieves optimal fixation without diaphyseal anchorage in elderly patients.
authors.affiliation: The Joint Replacement Center of Korea, Ewha Women's University, MokDong Hospital, 911-1, Mokdong, YangChun-Gu, Seoul 158-710, Korea. younghookim@ewha.ac.kr
authors.forename: Y-H
authors.initials: YH
authors.lastname: Kim
authors.forename: J-S
authors.initials: JS
authors.lastname: Kim
authors.forename: J-W
authors.initials: JW
authors.lastname: Park
authors.forename: J-H
authors.initials: JH
authors.lastname: Joo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000379:methods; D002484:Cementation; D004812:Epidemiologic Methods; D005260:Female; D005269:Femur / Q000601:surgery; D005271:Femur Head Necrosis / Q000601:surgery; D006620:Hip Fractures / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000601:surgery; D011474:Prosthesis Design; D011859:Radiography; D016896:Treatment Outcome