Aims. The
Aims. The
Aims. We present the results, in terms of survival, clinical outcome, and radiological appearance at 20 years, in a cohort of 225 cemented
Aims. We carried out a further study of the long-term results of the
cemented
Aims. The
Aims. To compare long-term survival of all-cemented and hybrid total hip arthroplasty (THA) using the
Aims. The aim of this study was to determine whether fixation, as opposed to revision arthroplasty, can be safely used to treat reducible Vancouver B type fractures in association with a cemented collarless polished tapered femoral stem (the Exeter). Methods. This retrospective cohort study assessed 152 operatively managed consecutive unilateral Vancouver B fractures involving
Recent guidance recommends the use of a well-proven
cemented femoral stem for hemiarthroplasty in the management of
fractures of the femoral neck, and the
Although data on uncemented short stems are available, studies on cemented short-stemmed THAs are limited. These cemented short stems may have inferior long-term outcomes and higher femoral component fracture rates. Hence, we examined the long-term follow-up of cemented short
Aims. We report on the outcome of the
Objectives. Our primary aim was to describe migration of the
The
We reviewed 142 consecutive primary total hip replacements implanted into 123 patients between 1988 and 1993 using the
Aims. The aim of this study was to report the initial results of the
Exeter V40 stem, which became available in 2000. Patients and Methods. A total of 540 total hip arthroplasties (THAs) were performed
in our unit using this stem between December 2000 and May 2002.
Our routine protocol is to review patients postoperatively and at
one, five, and ten years following surgery. Results. A total of 145 patients (26.9%) died before ten years and of
the remaining 395 stems, 374 (94.7%) remain in situ.
A total of 21 well-fixed stems (5.3%) were revised. Ten were exchanged
using a cement-in-cement technique to facilitate acetabular revision.
Three were revised for infection, one for instability, one for fracture
of the stem, and six following a periprosthetic fracture. An additional
16 acetabular components (4.1%) were revised; five for aseptic loosening
and 11 for instability. There were no revisions for aseptic loosening of the stem, and
no evidence of aseptic loosening in any hip. The fate of every stem
is known and all patients remain under review. Survivorship, with
revision of the stem for aseptic loosening as the endpoint, was
100%. At 13.5 years, the Kaplan–Meier survival rate for all-cause
revision of the stem was 96.8% (95% confidence interval (CI) 94.8
to 98.8) and all-cause revision (including acetabular revision,
infection, and instability) was 91.2% (95% CI 88.3 to 94.1). Conclusion. No stem was revised for aseptic loosening in this series. The
contemporary
Cement-in-cement femoral revision is a proven technique in revision total hip arthroplasty, with excellent results when using standard sized
We describe the survivorship of the
We report the outcome of the flangeless, cemented all-polyethylene
Introduction. Historical studies have reported incidences of taper corrosion in retrieved MoP hips of 20–50%. These studies relied on visual assessments, rather than using modern analytical techniques. Patients/Materials and Methods. The Northern Retrieval Registry was initiated to routinely analyse all retrieved hips. The volumetric wear rates of retrieved
Previously, radiostereometric analysis following hip revision performed using impacted morsellised allograft bone and a cemented
We evaluated an operative technique, described
by the