The ideal method of fixation for femoral components in total hip arthroplasty (THA) is unknown. While good results have been reported for cemented and uncemented components, there is relatively little published prospective data with twenty years or more of follow up. Results of the Furlong femoral component have been presented at an average of 17 years follow up. We have extended this follow up period to an average of 22.5 years with a minimum of 22 years and a maximum of 25 years. This study included all patients treated using the Furlong femoral component between 1986 and 1991. Patients were reviewed preoperatively and then at 6, 12, 26 and 52 weeks post operatively and annually thereafter. They were assessed clinically and radiographically and the Merle d'Aubigne Postel hip score was calculated at each visit. A Visual Analog Score (VAS) was also recorded to assess patient satisfaction with their procedure. A Kaplan Meier survival analysis was performed.Introduction
Methods
Revision of the total hip femoral component in the presence of significant bone loss requires a variety of implants as well as fixation devices and bone substitute materials. Rule 1: Fix the implant into the best remaining bone. A variety of stem shapes and sizes are needed to fill the bone cylinder. Stem modularity is helpful to fashion a good fit, but every taper junction is a liability as a potential source of metal debris and a weak spot in the stem. Rather, fully porous-coated
Revision total hip replacement may be technically challenging, with component selection being one of the challenges. Modular
