Total Hip Arthroplasty With an Uncemented Tapered Femoral Component in Patients Younger Than 50 Years of Age: A Minimum 20-Year Follow-Up Study

The Journal of Arthroplasty
Jeffrey R McLaughlin, Kyla R Lee

Abstract

Previously, we reported the mean 16-year results of primary uncemented total hip arthroplasty using a tapered femoral component in patients <50 years. The purpose of this study was to update our previous report using the Taperloc femoral component in young patients who had been followed for a minimum of 20 years postoperatively. Between 1983 and 1990, 108 consecutive uncemented total hip arthroplasties were performed in 91 patients of age <50 years, with use of the Taperloc femoral component. Every patient was followed for a minimum of 20 years after surgery or until death. At a mean of 25 (range, 20-29 years) postoperatively, 76 patients (91 hips) were living. The Harris Hip Score, radiographic results, complications, and Kaplan-Meier survivorship were evaluated. In the entire cohort of 108 hips, 9 femoral components (8%) have been revised, none for aseptic loosening. Five well-fixed stems were removed during acetabular revision, 3 stems were revised for infection, and 1 stem was exchanged because of a peroneal nerve palsy. Distal femoral osteolysis was identified around 1 hip. With failure defined as stem removal for any reason, implant survival was 90% (CI = 82-95) at 29 years. With failure defined as stem removal for asepti...Continue Reading

References

Dec 30, 1999·The Journal of Arthroplasty·J C Clohisy, W H Harris
Feb 1, 1933·Proceedings of the National Academy of Sciences of the United States of America·W J Fisher
Jun 20, 2006·The Journal of Arthroplasty·Michael J ArchibeckRichard E White
Feb 23, 2010·The Journal of Arthroplasty·Jeffrey R McLaughlin, Kyla R Lee
Oct 5, 2011·The Journal of Bone and Joint Surgery. British Volume·C WainwrightM Melloh
Feb 19, 2013·The Journal of Arthroplasty·Nicholas A BedardRichard C Johnston
Mar 19, 2014·The Journal of Arthroplasty·Young-Hoo KimJeong-Soo Park
Nov 8, 2014·The Journal of Bone and Joint Surgery. American Volume·Lucian C WarthRichard C Johnston

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Citations

Apr 15, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Riccardo D'AmbrosiRenato Mario Facchini
Sep 23, 2016·The Journal of Bone and Joint Surgery. American Volume·James T NinomiyaStephen J Incavo
Nov 1, 2018·Revista Brasileira De Ortopedia·Felipe Spinelli BessaJosé Ricardo Negreiros Vicente
May 15, 2018·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Eun Ho Shin, Kyoung Ho Moon
Dec 26, 2018·Acta orthopaedica et traumatologica turcica·Murat MertSibel Çağlar Okur
Jun 3, 2017·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Christiaan SmeekesAlexander F W Barnaart
Mar 1, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Shigeaki MiyazakiEtsuo Chosa
Apr 27, 2021·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Kazuhiro YamazakiTakashi Sakai
May 15, 2021·International Journal of Surgery Case Reports·Hironori KitajimaNorio Kawahara
Jun 13, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Fernando Díaz-DilerniaMartin Buttaro
Feb 5, 2021·Bone & Joint Open·Jeffrey R McLaughlinMary Ann Johnson

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