Cemented total hip replacement in patients under 55 years: Good results in 104 hips followed up for ≥22 years

Manish Kiran; Linda R. Johnston; Sankar Sripada; Gordon G. Mcleod; Arpit C. Jariwala

doi:10.1080/17453674.2018.1427320

Cemented total hip replacement in patients under 55 years: Good results in 104 hips followed up for ≥22 years

Manish Kiran (Lead / Corresponding author), Linda R. Johnston, Sankar Sripada, Gordon G. Mcleod, Arpit C. Jariwala

Postgraduate Medicine

Research output: Contribution to journal › Article › peer-review

18 Citations (Scopus)

194 Downloads (Pure)

Abstract

Background and purpose: About 86,000 total hip replacements (THR) have been registered in patients under 55 years in the National Joint Registry of England and Wales (NJR). The use of uncemented implants has increased, despite their outcomes not having been proven to be significantly better than cemented implants in this registry. We determined the implant survivorship and functional outcomes of cemented THR in patients under 55 years at a minimum follow-up of 22 years.

Patients and methods: 104 hips in 100 patients were included in this prospective study. Functional outcome was assessed using the Harris Hip Score and radiographs were assessed for implant failure and "at risk" of failure. Kaplan-Meier survivorship analysis was performed.

Results: 89% of hips showed good to excellent results at final follow-up with a mean Harris Hip Score of 88 at a mean follow-up of 25 years. Revision was performed in 3/104 hips. 14 acetabular components and 4 femoral components were "at risk" of failure. The survivorship at minimum 22 years with revision for any reason as the end-point was 97% (95% CI 95-98).

Interpretation: Cemented hip replacements perform well in young patients with good long-term functional and radiographic outcomes.

Original language	English
Pages (from-to)	152-155
Number of pages	4
Journal	Acta Orthopaedica
Volume	89
Issue number	2
Early online date	18 Jan 2018
DOIs	https://doi.org/10.1080/17453674.2018.1427320
Publication status	Published - 4 Mar 2018

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Journal article

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10.1080/17453674.2018.1427320Licence: CC BY-NC

Final Published Version
©2018 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation. This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non-Commercial License (https://creativecommons.org/licenses/by-nc/3.0
Final published version, 526 KBLicence: CC BY-NC

Cite this

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title = "Cemented total hip replacement in patients under 55 years: Good results in 104 hips followed up for ≥22 years",

abstract = "Background and purpose: About 86,000 total hip replacements (THR) have been registered in patients under 55 years in the National Joint Registry of England and Wales (NJR). The use of uncemented implants has increased, despite their outcomes not having been proven to be significantly better than cemented implants in this registry. We determined the implant survivorship and functional outcomes of cemented THR in patients under 55 years at a minimum follow-up of 22 years.Patients and methods: 104 hips in 100 patients were included in this prospective study. Functional outcome was assessed using the Harris Hip Score and radiographs were assessed for implant failure and {"}at risk{"} of failure. Kaplan-Meier survivorship analysis was performed.Results: 89% of hips showed good to excellent results at final follow-up with a mean Harris Hip Score of 88 at a mean follow-up of 25 years. Revision was performed in 3/104 hips. 14 acetabular components and 4 femoral components were {"}at risk{"} of failure. The survivorship at minimum 22 years with revision for any reason as the end-point was 97% (95% CI 95-98).Interpretation: Cemented hip replacements perform well in young patients with good long-term functional and radiographic outcomes.",

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T1 - Cemented total hip replacement in patients under 55 years

T2 - Good results in 104 hips followed up for ≥22 years

AU - Kiran, Manish

AU - Johnston, Linda R.

AU - Sripada, Sankar

AU - Mcleod, Gordon G.

AU - Jariwala, Arpit C.

N1 - No funding

PY - 2018/3/4

Y1 - 2018/3/4

N2 - Background and purpose: About 86,000 total hip replacements (THR) have been registered in patients under 55 years in the National Joint Registry of England and Wales (NJR). The use of uncemented implants has increased, despite their outcomes not having been proven to be significantly better than cemented implants in this registry. We determined the implant survivorship and functional outcomes of cemented THR in patients under 55 years at a minimum follow-up of 22 years.Patients and methods: 104 hips in 100 patients were included in this prospective study. Functional outcome was assessed using the Harris Hip Score and radiographs were assessed for implant failure and "at risk" of failure. Kaplan-Meier survivorship analysis was performed.Results: 89% of hips showed good to excellent results at final follow-up with a mean Harris Hip Score of 88 at a mean follow-up of 25 years. Revision was performed in 3/104 hips. 14 acetabular components and 4 femoral components were "at risk" of failure. The survivorship at minimum 22 years with revision for any reason as the end-point was 97% (95% CI 95-98).Interpretation: Cemented hip replacements perform well in young patients with good long-term functional and radiographic outcomes.

AB - Background and purpose: About 86,000 total hip replacements (THR) have been registered in patients under 55 years in the National Joint Registry of England and Wales (NJR). The use of uncemented implants has increased, despite their outcomes not having been proven to be significantly better than cemented implants in this registry. We determined the implant survivorship and functional outcomes of cemented THR in patients under 55 years at a minimum follow-up of 22 years.Patients and methods: 104 hips in 100 patients were included in this prospective study. Functional outcome was assessed using the Harris Hip Score and radiographs were assessed for implant failure and "at risk" of failure. Kaplan-Meier survivorship analysis was performed.Results: 89% of hips showed good to excellent results at final follow-up with a mean Harris Hip Score of 88 at a mean follow-up of 25 years. Revision was performed in 3/104 hips. 14 acetabular components and 4 femoral components were "at risk" of failure. The survivorship at minimum 22 years with revision for any reason as the end-point was 97% (95% CI 95-98).Interpretation: Cemented hip replacements perform well in young patients with good long-term functional and radiographic outcomes.

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DO - 10.1080/17453674.2018.1427320

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SN - 1745-3674

VL - 89

SP - 152

EP - 155

JO - Acta Orthopaedica

JF - Acta Orthopaedica

IS - 2

ER -

Cemented total hip replacement in patients under 55 years: Good results in 104 hips followed up for ≥22 years

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