Thirty-five-year results after Charnley total hip arthroplasty in patients less than fifty years old. A concise follow-up of previous reports.
We report the updated results for a previously described cohort of patients who were less than fifty years old at the time of the index Charnley total hip arthroplasty with cement. The original cohort consisted of ninety-three consecutive hips in sixty-nine patients. The patients were followed for a minimum of thirty-five years after surgery or until death. At the latest follow-up evaluation, there were forty-one total hip replacements (44%) in thirty-two living patients. Thirty-four (37%) of the ninety-three total hip replacements in the original cohort had been revised or removed. Twenty acetabular (22%) and seven femoral (8%) components had been revised for aseptic loosening. Since the twenty-five-year follow-up, the average six-minute-walk distance decreased from 395 m to 171 m, and this decrease correlated with increasing comorbidity. This study demonstrates the durability of cemented total hip replacements in a young patient population. Although 63% (fifty-nine) of the ninety-three original hip replacements were functioning at the latest follow-up or at the time of death, a significant decrease in activity level was seen over time (p < 0.001). Of the forty-one original implants in the patients who were alive at the time of the thirty-five-year follow-up, only 46% (nineteen) were retained.
Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, UIHC, 01029 JPP, Iowa City, IA 52242. E-mail address for J.J. Callaghan: john-callaghan@uiowa.edu.
Lucian C
LC
Warth
Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, UIHC, 01029 JPP, Iowa City, IA 52242. E-mail address for J.J. Callaghan: john-callaghan@uiowa.edu.
John J
JJ
Callaghan
Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, UIHC, 01029 JPP, Iowa City, IA 52242. E-mail address for J.J. Callaghan: john-callaghan@uiowa.edu.
Steve S
SS
Liu
Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, UIHC, 01029 JPP, Iowa City, IA 52242. E-mail address for J.J. Callaghan: john-callaghan@uiowa.edu.
Alison L
AL
Klaassen
Des Moines Orthopaedic Surgeons, 6001 Westown Parkway, West Des Moines, IA 50266.
Devon D
DD
Goetz
Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, UIHC, 01029 JPP, Iowa City, IA 52242. E-mail address for J.J. Callaghan: john-callaghan@uiowa.edu.
Richard C
RC
Johnston
D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods; D015897:Comorbidity; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D013997:Time Factors; D016138:Walking