| Total hip replacement with cemented, uncemented, and hybrid prostheses. A comparison of clinical and radiographic results at two to four years. | |
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MedLine Citation:
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PMID: 1899667 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One hundred and thirty-one patients who had 144 cemented or uncemented hip prostheses were followed prospectively for two to four years. A cemented or a hybrid prosthesis (consisting of a cemented femoral component and an uncemented acetabular component) was used in men older than seventy years, in women older than sixty years, and in younger patients in whom adequate initial fixation could not be obtained without cement. Uncemented, porous-surfaced implants were used in all other patients. The over-all clinical results were similar for the three groups. For the fifty-two hips that had a cemented prosthesis, the mean total Harris hip rating was 91 points and the score for pain, 42 points; for the twenty-seven hips that had a hybrid prosthesis, 90 and 43 points; and for the sixty-five hips that had an implant allowing ingrowth of bone in both the acetabulum and the femur, 95 and 43 points. Two prosthetic stems that were designed to allow ingrowth of bone had aseptic loosening; one was revised. Pain in the thigh, usually slight and not disabling, occurred at one year in 24 per cent of the patients in whom a femoral component allowing ingrowth had been used; the prevalence of pain then declined. The incidences of migration of the components and of radiolucent lines were greater in the acetabula that had a cemented component than in those that had a cup allowing ingrowth of bone. |
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Authors:
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R L Wixson; S D Stulberg; M Mehlhoff |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The Journal of bone and joint surgery. American volume Volume: 73 ISSN: 0021-9355 ISO Abbreviation: J Bone Joint Surg Am Publication Date: 1991 Feb |
Date Detail:
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Created Date: 1991-03-19 Completed Date: 1991-03-19 Revised Date: 2010-10-25 |
Medline Journal Info:
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Nlm Unique ID: 0014030 Medline TA: J Bone Joint Surg Am Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 257-70 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedic Surgery, Northwestern University Medical School, Chicago, Illinois. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Bone Cements Bone Resorption / radiography Female Follow-Up Studies Hip Joint / radiography Hip Prosthesis* Humans Male Middle Aged Osseointegration / physiology Ossification, Heterotopic / radiography Pain / physiopathology Prospective Studies Prosthesis Design Prosthesis Failure Reoperation |
| Grant Support | |
ID/Acronym/Agency:
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AR30692/AR/NIAMS NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Bone Cements |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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