Abstract
Aim: To assess the factors affecting cup survivorship in cemented Total Hip Replacements carried out for DDH.
Methods: A retrospective study of 292 cemented total hip replacements carried out at Wrightington. The hips were classified according to the Crowe and Hartofilakidis classifications. Revision was used as the end point for prosthetic survivorship. The results were analysed statistically using SPSS for Windows.
Results: The mean age at time of surgery was 42.6 years with a mean follow-up of 15.7 years. The acetabulum was grafted in 48 cases. The commonest cause for revision was aseptic loosening of the acetabular component (88.3%). There was a higher rate of premature failure of the acetabular component with increasing severity of hip dysplasia, especially after 10years. There was a correlation with age of the patient, accelerated socket wear and previous pelvic osteotomy. There were higher rates of failure with the Charnley CDH stem and the offset bore cup.
Conclusion: Factors having an adverse effect on cup survival are severity of hip dysplasia, younger age at time of primary surgery, accelerated polyethylene wear and previous pelvic osteotomy. Bone grafting of the acetabulum and the operating surgeon did not influence long term cup survival.
The abstracts were prepared by Mr Peter Kay, Editorial Secretary. Correspondence should be addressed to British Hip Society, The Hip Centre, Wrightington Hospital, Appley Bridge, Wigan, Lancashire WN6 9EP.
