Document Detail


Total hip replacement with insertion of an acetabular component without cement and a femoral component with cement. Four to seven-year results.
MedLine Citation:
PMID:  7822359     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One hundred and fifty-three so-called hybrid total hip replacements were performed in 142 patients from 1985 to 1987 at Rush-Presbyterian-St. Luke's Medical Center. A hemispherical porous-coated acetabular component was inserted without cement and was fixed with screws, and a femoral stem was inserted with the use of so-called third-generation cementing techniques. The average age of the patients at the time of the operation was sixty-seven years (range, thirty-nine to eighty-five years). The average preoperative Harris hip score was 46 points (range, 9 to 73 points). One hundred and eleven patients (120 hips) were available for clinical review; 100 of these patients (109 hips) had a complete set of radiographs available. The average Harris hip score was 86 points (range, 29 to 100 points) at the time of follow-up (average duration, sixty-two months; range, forty-eight to eighty-five months). There was progressive migration of one cup (1 per cent); another cup migrated one centimeter in the first two years after the operation, with no additional migration evident after that time. The remaining acetabular components were stable. Two femoral components (2 per cent) were determined to be definitely loose. The remaining femoral components were stable. This population of patients had a good result after so-called hybrid total hip replacement with insertion of a porous-coated acetabular component without cement and a femoral component with cement for the reconstruction of a painful hip.
Authors:
C G Mohler; L R Kull; J M Martell; A G Rosenberg; J O Galante
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  77     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1995 Jan 
Date Detail:
Created Date:  1995-02-14     Completed Date:  1995-02-14     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:  86-96     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Ilinois 60612.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cementation*
Female
Hip Joint / radiography
Hip Prosthesis*
Humans
Male
Middle Aged
Postoperative Complications
Prosthesis Failure

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


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