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The Harris-Galante porous-coated, hemispherical, polyethylene-lined acetabular component in patients under 50 years of age

A 12- TO 16-YEAR REVIEW

M. R. Utting, FRCS(Orth), Western Australian Arthroplasty Fellow^1,; M. Raghuvanshi, MRCS, Clinical Research Fellow in Orthopaedic Surgery²; R. Amirfeyz, MRCS, Specialist Registrar in Trauma and Orthopaedics³; A. W. Blom, MD, PhD, FRCS(TrandOrth), Head of Orthopaedic Surgery³; I. D. Learmonth, FCS(SA)Orth, Professor of Orthopaedic Surgery³; and G. C. Bannister, MD, Professor of Orthopaedic Surgery³

¹ Royal Perth Rehabilitation Hospital, 6 Selby Street, Shenton Park, Western Australia 6008, Australia.
² Department of Orthopaedics
³ Avon Orthopaedic Centre, Southmead Hospital, Westbury-on-Trym, Bristol, BS10 5NB, UK.

Correspondence should be sent to Mr A. W. Blom at; e-mail: ashley.blom{at}nbt.nhs.uk

We have reviewed 70 Harris-Galante uncemented acetabular components implanted as hybrid hip replacements with cemented stems between 1991 and 1995 in 53 patients whose mean age was 40 years (19 to 49). The mean follow-up was for 13.6 years (12 to 16) with no loss to follow-up. We assessed the patients both clinically and radiologically.

The mean Oxford hip score was 20 (12 to 46) and the mean Harris hip score 81 (37 to 100) at the final review. Radiologically, 27 hips (39%) had femoral osteolysis, 13 (19%) acetabular osteolysis, and 31 (44%) radiolucent lines around the acetabular component. Kaplan-Meier survival curves were constructed for the outcomes of revision of the acetabular component, revision of the component and polyethylene liner, and impending revision for progressive osteolysis.

The cumulative survival for revision of the acetabular component was 94% (95% confidence interval 88.4 to 99.7), for the component and liner 84% (95% confidence interval 74.5 to 93.5) and for impending revision 55.3% (95% confidence interval 40.6 to 70) at 16 years.

Uncemented acetabular components with polyethylene liners undergo silent lysis and merit regular long-term radiological review.

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