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Journal of Bone and Joint Surgery - British Volume, Vol 74-B, Issue 3, 385-389
Copyright © 1992 by British Editorial Society of Bone and Joint Surgery

Articles

Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review

RL Barrack, RD Mulroy Jr, and WH Harris

Massachusetts General Hospital, Boston 02114.

To assess the effect of improved methods of femoral cementing on the loosening rates in young patients, we reviewed 50 'second-generation' cemented hip arthroplasties in 44 patients aged 50 years or less. The femoral stems were all collared and rectangular in cross-section with rounded corners. The cement was delivered by a gun into a medullary canal occluded distally with a cement plug. A clinical and radiographic review was undertaken at an average of 12 years (10 to 14.8) and no patient was lost to follow-up. No femoral component was revised for aseptic loosening, and only one stem was definitely loose by radiographic criteria. By contrast, 11 patients had undergone revision for symptomatic aseptic loosening of the acetabular component and 11 more had radiographic signs of acetabular loosening.


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General