Long-term outcome of surface replacement with comparison to an age- and time-matched primary total hip arthroplasty cohort
| Autor: | Justin J. Park, Russell Meldrum, G. Peter Maiers, William N. Capello, J. Andrew Parr, Judy R. Feinberg |
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| Rok vydání: | 2006 |
| Předmět: |
musculoskeletal diseases
Adult Male Reoperation medicine.medical_specialty medicine.medical_treatment Arthroplasty Replacement Hip Survivorship curve Outcome Assessment Health Care Medicine Humans Orthopedics and Sports Medicine Hip Dislocation Congenital Aged Retrospective Studies End point Bone Transplantation business.industry Retrospective cohort study Stress shielding Middle Aged equipment and supplies musculoskeletal system Arthroplasty Surgery Surface replacement surgical procedures operative Treatment Outcome Cohort Female Hip Joint Joint Diseases business Total hip arthroplasty |
| Zdroj: | The Journal of arthroplasty. 23(1) |
| ISSN: | 0883-5403 |
| Popis: | Surface replacement (SR) was introduced as a bone-conserving alternative to total hip arthroplasty (THA) 3 decades ago, then was abandoned due to polyethylene wear, stress shielding, and loosening. Improved bearing surfaces have renewed interest in SR. This study examined long-term SR outcome compared to an age- and time-matched THA cohort. Average age was 47 years at index procedure with 16 years follow-up (range, 5-28). Revision rates were 86% and 40% in SR and THA groups, respectively. However, at 20 years, with an end point of either intact SR or primary THA in the SR group, survivorship was 64% +/- 6% versus 39% +/- 7% unrevised in THA cohort. Contemporary and rapidly changing technology may result in longer-term SR success and improved THA longevity in young patients. |
| Databáze: | OpenAIRE |
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