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dc.creatorHartofilakidis, G.en
dc.creatorKarachalios, T.en
dc.creatorGeorgiades, G.en
dc.creatorKourlaba, G.en
dc.date.accessioned2015-11-23T10:29:56Z
dc.date.available2015-11-23T10:29:56Z
dc.date.issued2011
dc.identifier10.2106/JBJS.J.00875
dc.identifier.issn219355
dc.identifier.urihttp://hdl.handle.net/11615/28437
dc.description.abstractWe report the updated results at a minimum of fifteen years after eighty-four consecutive total hip arthroplasties performed in sixty-seven female patients with high dislocation of the hip. Sixty-four arthroplasties were performed in forty-nine patients, between 1976 and 1994, with Charnley low-friction acetabular and femoral components inserted with cement; nineteen arthroplasties were performed in seventeen patients, between 1990 and 1994, with the hybrid technique (acetabular component inserted without cement and femoral component inserted with cement); and one arthroplasty was done in 1991, with cementless acetabular and femoral components. All patients were followed prospectively on the basis of clinical assessment according to the Merle D'Aubigné and Postel scoring system, as modified by Charnley, and with radiographic analysis. At the time of the latest follow-up, twenty-six hips (41%) in the low-friction arthroplasty series, ten hips (53%) in the hybrid series, and the one hip with the cementless components had been revised for various reasons. The primary reason for revision in the low-friction arthroplasty group was aseptic loosening of the components (twenty-four hips), whereas the predominant reason for the revisions in the hybrid series and in the hip with cementless components was progressive polyethylene liner wear (six hips). After the minimal follow-up of fifteen years, twenty-five low-friction hip replacements and eight hybrid-type hip replacements had remained intact for an average of twenty-one years (range, seventeen to thirty-two years) and sixteen years (range, fifteen to nineteen years), respectively. These findings may be used in comparisons of results with newer techniques and designs. Level of Evidence: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence. Copyright © 2011 by The Journal of Bone and Joint Surgery, Incorporated.en
dc.source.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-80052890679&partnerID=40&md5=9f957723cf4819b92a8112a00fff1951
dc.subjectacetabulumen
dc.subjectadulten
dc.subjectageden
dc.subjectfemuren
dc.subjecthip diseaseen
dc.subjecthip radiographyen
dc.subjecthumanen
dc.subjectimage analysisen
dc.subjectmajor clinical studyen
dc.subjectmaleen
dc.subjectnoteen
dc.subjectpriority journalen
dc.subjectprosthesis looseningen
dc.subjectreoperationen
dc.subjectsurvival rateen
dc.subjecttotal hip prosthesisen
dc.subjectArthroplasty, Replacement, Hipen
dc.subjectCementationen
dc.subjectCohort Studiesen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectHip Dislocationen
dc.subjectHip Prosthesisen
dc.subjectHumansen
dc.subjectMiddle Ageden
dc.subjectProsthesis Designen
dc.subjectProsthesis Failureen
dc.subjectRecovery of Functionen
dc.subjectRetrospective Studiesen
dc.subjectRisk Assessmenten
dc.subjectSeverity of Illness Indexen
dc.subjectTime Factorsen
dc.subjectTreatment Outcomeen
dc.subjectYoung Adulten
dc.titleTotal hip arthroplasty in patients with high dislocation: A concise follow-up, at a minimum of fifteen years, of previous reportsen
dc.typejournalArticleen


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