Loosening of the cemented hip prosthesis

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Does bone quality predict loosening of cemented total hip replacements?

We matched 78 patients with a loose cemented Charnley Elite Plus total hip replacement (THR) by age, gender, race, prosthesis and time from surgery with 49 patients with a well-fixed stable hip replacement, to determine if poor bone quality predisposes to loosening. Clinical, radiological, biomechanical and bone mineral density indicators of bone quality were assessed. Patients with loose repla...

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Early femoral loosening in one design of cemented hip replacement.

We have studied aseptic loosening of the femoral component in 76 patients with primary total hip replacement using the Capital prosthesis. The mean follow-up was 26 months (10 to 37). Twelve femoral components (16%) were definitely and eight (10%) were possibly loose. They were characterised by a thin cement mantle (p < 0.001) and excessive residual cancellous bone in the proximomedial region (...

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Radiological loosening after cemented hip replacement for juvenile chronic arthritis.

We reviewed the results of 14 total hip replacements in patients with juvenile chronic arthritis. The mean age at operation was 16 years (range 12 to 22 years); follow-up was from four to 11 years (mean 8.5 years). Postoperatively pain relief was sustained in all but one hip, while movement generally remained significantly restricted. No hip has as yet required a revision operation, although ei...

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Cemented versus uncemented femoral components in the ring hip prosthesis.

A prospective, randomised and independently assessed trial of the Ring UPM total hip replacement showed that the quality of the early result was better if the femoral prosthesis was cemented than if it was not. More patients with cemented prostheses were painfree at four months (58% cemented:42% uncemented) and at one year (63% cemented:50% uncemented), but at two years pain relief was equal in...

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Asymptomatic Chronic Dislocation of a Cemented Total Hip Prosthesis

Dislocation of a total hip prosthesis is a painful and mentally stressful orthopaedic emergency.1 It may be long-standing and asymptomatic, typically involving the femoral portion.2-4 This report describes a peculiar chronic dislocation of both components of a total hip prosthesis. A 93-year-old female patient, thin and of short stature, had come to our attention for recent onset of lumbar pain...

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ژورنال

عنوان ژورنال: Acta Orthopaedica Scandinavica

سال: 1986

ISSN: 0001-6470

DOI: 10.3109/17453678609157925