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Cementless double-tapered total hip arthroplasty in patients 75 years of age and older.
- Source :
-
The Journal of arthroplasty [J Arthroplasty] 2004 Apr; Vol. 19 (3), pp. 288-95. - Publication Year :
- 2004
-
Abstract
- Concerns exist with cementless total hip arthroplasty (THA) femoral fixation in the elderly patient population. This study reviews the outcomes of a tapered cementless femoral component in elderly patients 75 years of age and older. Forty-seven patients (49 hips) older than 74 years of age (average age, 79 years) underwent primary cementless THA with a double-tapered stem between 1996 and 2000. Radiographs and clinical data were reviewed. At a mean follow-up of 5 years, the mean postoperative Harris Hip Score was 84, with 87% having no or minimal pain; none had severe thigh pain. Two cases of stem subsidence and no progressive radiolucencies were seen. One well-fixed stem was revised for unexplained pain (2%). Survival with aseptic loosening as an end-point was 100%. Overall implant survival was 98% at an average of 5 years. No perioperative deaths or significant orthopedic complications were identified. Advanced age is not a contraindication for tapered cementless THA.
Details
- Language :
- English
- ISSN :
- 0883-5403
- Volume :
- 19
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- The Journal of arthroplasty
- Publication Type :
- Academic Journal
- Accession number :
- 15067639
- Full Text :
- https://doi.org/10.1016/j.arth.2003.11.002