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SURVIVORSHIP OF THE CHARNLEY TOTAL HIP ARTHROPLASTY IN JUVENILE CHRONIC ARTHRITIS

A FOLLOW-UP OF 186 CASES FOR 22 YEARS

M. Y. Lehtimäki, MD, Senior Consultant in Orthopaedics1; M. U. K. Lehto, MD, PhD, Associate Professor in Orthopaedics1; H. Kautiainen, BA, Consultant in Biostatistics2; H. A. Savolainen, MD, Senior Consultant in Pediatric Rheumatology2; and M. M. J. Hämäläinen, MD, PhD, Associate Professor in Orthopaedics3

1 Department of Rheumatoid Surgery and Orthopaedics, Tampere University Hospital, PO Box 2000, 33521 Tampere, Finland.
2 Rheumatism Foundation Hospital, 18120 Heinola, Finland.
3 Oulu University Hospital, PO Box 22, 90221 Oulu, Finland.

Correspondence should be sent to Dr. M. Y. Lehtimäki.

Between 1971 and 1991 we performed Charnley low-friction arthroplasty (LFA) on 116 patients (186 hips) with juvenile chronic arthritis (JCA). We have now carried out a survival study, taking endpoints as revision, death or the end of the year 1993.

Overall survival was 91.9% at ten years and 83.0% at 15 years. That of the femoral component was 95.6% at ten years and 91.9% at 15 years and of the acetabulum 95.0% and 87.8%, respectively. Only the use of steroids significantly impaired the survival.

We therefore recommend the use of Charnley LFA for young patients with JCA requiring total hip replacement.




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