Document Detail


Charnley low-friction arthroplasty in young patients with osteoarthritis: outcomes at a minimum of twenty-two years.
MedLine Citation:
PMID:  19952246     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We previously reported the outcomes at a minimum of twelve years after eighty-four Charnley low-friction arthroplasties performed in patients with osteoarthritis who were less than fifty-six years old at the time of the surgery. We now update the results of that cohort at a minimum of twenty-two years postoperatively. METHODS: Eighty-four hips (in sixty-nine patients) with osteoarthritis, which was secondary to congenital hip disease in sixty-four (76%) of them, were followed prospectively with use of the Merle D'Aubigné and Postel scoring system as modified by Charnley and with serial radiographs. RESULTS: At the time of the latest follow-up, thirty-seven hips (44%) had failed. Twenty-eight acetabular and thirty femoral components, in a total of thirty-two hips, had been revised because of aseptic loosening; six of the loose femoral components were broken. Three hips were infected and were converted to a resection arthroplasty. A periprosthetic femoral fracture occurred in two additional hips, three and ten years postoperatively, and both were treated with internal fixation. Thirty-seven original acetabular components and thirty-six original femoral components were in place for an average of twenty-nine years. The probability of survival for both components, with failure for any reason as the end point, was 0.51 (95% confidence interval, 0.39 to 0.62) at twenty-five years. CONCLUSIONS: These long-term results can be used as a benchmark with which to compare outcomes of different designs when total hip arthroplasty is performed in young patients when the majority have congenital hip disease.
Authors:
George Georgiades; George C Babis; George Hartofilakidis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  91     ISSN:  1535-1386     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-02     Completed Date:  2009-12-22     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2846-51     Citation Subset:  AIM; IM    
Affiliation:
Orthopaedic Department, Tripoli Hospital, N Psychiko, Athens, Greece. gegeorgiades@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthroplasty, Replacement, Hip*
Cohort Studies
Female
Follow-Up Studies
Hip Dislocation, Congenital / complications,  surgery*
Hip Prosthesis*
Humans
Male
Middle Aged
Osteoarthritis, Hip / etiology,  surgery*
Prospective Studies
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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