Document Detail

A prospective randomised controlled trial comparing three alternative bearing surfaces in primary total hip replacement.
MedLine Citation:
PMID:  22434459     Owner:  NLM     Status:  In-Data-Review    
The ideal bearing surface for young patients undergoing total hip replacement (THR) remains controversial. We report the five-year results of a randomised controlled trial comparing the clinical and radiological outcomes of 102 THRs in 91 patients who were < 65 years of age. These patients were randomised to receive a cobalt-chrome on ultra-high-molecular-weight polyethylene, cobalt-chrome on highly cross-linked polyethylene, or a ceramic-on-ceramic bearing. In all, 97 hip replacements in 87 patients were available for review at five years. Two hips had been revised, one for infection and one for peri-prosthetic fracture. At the final follow-up there were no significant differences between the groups for the mean Western Ontario and McMaster Universities osteoarthritis index (pain, p = 0.543; function, p = 0.10; stiffness, p = 0.99), Short Form-12 (physical component, p = 0.878; mental component, p = 0.818) or Harris hip scores (p = 0.22). Radiological outcomes revealed no significant wear in the ceramic group. Comparison of standard and highly cross-linked polyethylene, however, revealed an almost threefold difference in the mean annual linear wear rates (0.151 mm/year versus 0.059 mm/year, respectively) (p < 0.001).
V S Nikolaou; M R Edwards; E Bogoch; E H Schemitsch; J P Waddell
Related Documents :
9678749 - Meeting the expectations of chronic tinnitus patients: comparison of a structured group...
23519049 - Opiate-dependent patients on a waiting list for methadone maintenance treatment are at ...
24332589 - Mandibular reconstruction in the growing patient with unilateral craniofacial microsomi...
24077689 - A comprehensive five-phase rehabilitation programme after hip arthroscopy for femoroace...
25086629 - Efficacy and safety of tnf-alpha antagonists in children with juvenile idiopathic arthr...
23250049 - Carvedilol for primary prophylaxis of variceal bleeding in cirrhotic patients with haem...
7641909 - Minimal monitoring of ovarian hyperstimulation: a useful simplification of the clinical...
8375529 - The effect of clomiphene citrate and menopausal gonadotropins on cervical mucus in ovul...
10807329 - Vibration does not improve results of the canalith repositioning procedure.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  94     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  459-65     Citation Subset:  AIM; IM    
St Michael's Hospital, 30 Bond Street, Toronto, Ontario M5B 1WB, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  An information revolution in orthopaedics.
Next Document:  Impact of arthroscopy of the hip for femoroacetabular impingement on quality of life at a mean follo...