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LONG-TERM RESULTS OF HYDROXYAPATITE-COATED (FURLONG) TOTAL HIP REPLACEMENTS



Abstract

Introduction and Aims: We describe the survival at 10 years of 134 consecutive JRI Furlong H.A.-coated uncemented total hip replacements.

Method: The follow-up was a minimum of 10 years (10.5–12 years). Patients were assessed by clinical and radiological means. We used Merle d’Aubigné and Postel (MDP) clinical score.

Radiological assessments identified radio-lucent lines, spot welding, pedestal formation and migration in order to assess fixation and stability of the femoral stem according to Engh’s criteria. DeLee and Charnley zones were used to assess loosening of the ace tabular cup. Subsidence, migration and cup-angle were also measured. The criteria for failure was revision or impending revision due to either pain, septic or aseptic loosening.

Results: The mean results of the MDP score were 7.4 pre-operation, and 15.9 post-operation. None of the acetabular cups in this series were revised. No femoral stem was revised for loosening. Six patients were lost to follow-up. Of the 128 femoral stems reviewed, only one was revised for periprosthetic fracture following a fall.

These abstracts were prepared by Editorial Secretary, George Sikorski. Correspondence should be addressed to Australian Orthopaedic Association, Ground Floor, The William Bland Centre, 229 Macquarie Street, Sydney, NSW 2000, Australia.

None of the authors is receiving any financial benefit or support from any source.