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Arthroplasty

SURVIVORSHIP OF THE CHARNLEY TOTAL HIP ARTHROPLASTY IN JUVENILE CHRONIC ARTHRITIS

A FOLLOW-UP OF 186 CASES FOR 22 YEARS



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Abstract

Between 1971 and 1991 we performed Charnley low-friction arthroplasty (LFA) on 116 patients (186 hips) with juvenile chronic arthritis (JCA). We have now carried out a survival study, taking endpoints as revision, death or the end of the year 1993.

Overall survival was 91.9% at ten years and 83.0% at 15 years. That of the femoral component was 95.6% at ten years and 91.9% at 15 years and of the acetabulum 95.0% and 87.8%, respectively. Only the use of steroids significantly impaired the survival.

We therefore recommend the use of Charnley LFA for young patients with JCA requiring total hip replacement.


Correspondence should be sent to Dr. M. Y. Lehtimäki.

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