The management of local complications of total hip replacement by the McKee-Farrar technique.

Late infection after total hip replacement.

Four patients who developed deep infection of six hips, on average three and a half years after total replacement by McKee-Farrar prostheses, are described. In each case there was strong evidence that the source of the infection was a distant focus.

Total hip replacement using the McKee-Farrar prosthesis. In rheumatoid arthritis, Still's disease, and ankylosing spondylitis.

Severe destructive change in the hip joint is not infrequent in patients with long-standing rheumatoid arthritis and Still's disease. In ankylosing spondylitis, whether primary or secondary to other diseases such as Still's disease, there may be a bony fusion or destruction. Various types of hip arthroplasty have been carried out in the last 30 years (Smith-Petersen, 1939; Chamley, 1961). The e...

Replacement of arthritic hips by the McKee-Farrar prosthesis.

The pathology of failed McKee-Farrar implants: correlation with modern metal-on-metal-implant failure

The McKee-Farrar (MF) prosthesis was the first widely used total hip replacement (THR) to employ a metal-on-metal (MoM) articulation. These implants had a high rate of early aseptic loosening but a number achieved good long-term implant survival, stimulating the reintroduction of second and third generation implants of this type. In this study we analysed archival histopathology of periprosthet...

Knee and Hip Joint Replacement Surgery in a Patient with Ochronotic Arthropathy: Surgical Tips

Ochronosis or black joints disorder is a rare autosomal recessive disorder caused by deficiency of homogentisic acidoxidase. Orthopaedic manifestations are common and mostly involve spine and large joints such as knee and hip.Arthropathy is progressive and will eventually leads to arthroplasty. Not being familiar with this disorder might lead todevastating complications. We present a 57 year-ol...