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Journal of Bone and Joint Surgery - British Volume, Vol 71-B, Issue 2, 209-212
Copyright © 1989 by British Editorial Society of Bone and Joint Surgery

Articles

Radiological loosening after cemented hip replacement for juvenile chronic arthritis

ID Learmonth, AW Heywood, J Kaye, and D Dall

Department of Orthopaedic Surgery, Princess Alice Orthopaedic Hospital, University of Cape Town, Republic of South Africa.

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 eight hips (57%) show radiological changes suggestive of impending failure. All patients had severe polyarticular involvement with associated restriction of locomotor activity. Potential causes contributing to loosening such as continuing diaphyseal bone growth and increased immunocompetence in adolescence are discussed.


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(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General