Long-term results of Charnley low-friction arthroplasty in young patients
| Autor: | Martyn L. Porter, Atul B. Joshi, I. A. Trail, Kevin Hardinge, Linda P. Hunt, John C. M. Murphy |
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| Rok vydání: | 1993 |
| Předmět: |
musculoskeletal diseases
Adult Male Reoperation medicine.medical_specialty Adolescent medicine.medical_treatment Osteoarthritis Prosthesis Postoperative Complications Sex Factors Risk Factors medicine Humans Orthopedics and Sports Medicine Young adult Pathological Survival analysis business.industry Age Factors medicine.disease Arthroplasty Survival Analysis Surgery Prosthesis Failure Radiography England Rheumatoid arthritis Female Hip Joint Implant Hip Prosthesis business Follow-Up Studies |
| Zdroj: | The Journal of bone and joint surgery. British volume. 75(4) |
| ISSN: | 0301-620X |
| Popis: | We report the long-term outcome of 218 Charnley low-friction arthroplasties in 141 patients who were 40 years old or younger at the time of surgery. The minimum follow-up was ten years with a mean of 16 years. The probability of the femoral component surviving 20 years was 86% and of the acetabular component, 84%. The chance that both components would survive for this period was 75%. The pathological diagnosis significantly influenced implant survival. In rheumatoid patients the probability of both components surviving at 20 years was 96% compared with 51% in patients with osteoarthritis. Clinical assessment of 103 patients (166 hips) in whom the arthroplasty was still functioning showed that 94% of hips had minimal pain or none. We conclude that in young patients cemented total hip replacement is a good procedure for those with rheumatoid arthritis but that the results are much less reliable in those with osteoarthritis. |
| Databáze: | OpenAIRE |
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