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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 12, 1562-1569.
doi: 10.1302/0301-620X.90B12.21151  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Cemented total hip replacement for primary osteoarthritis in patients aged 55 years or older

RESULTS OF THE 12 MOST COMMON CEMENTED IMPLANTS FOLLOWED FOR 25 YEARS IN THE FINNISH ARTHROPLASTY REGISTER

K. Mäkelä, MD, Orthopaedic Surgeon1; A. Eskelinen, MD, PhD, Orthopaedic Surgeon2; P. Pulkkinen, PhD, Statistician3; P. Paavolainen, MD, PhD, Orthopaedic Surgeon4; and V. Remes, MD, PhD, Orthopaedic Surgeon5

1 Department of Orthopaedics and Traumatology Turku University Central Hospital, Rauhankatu 24 D 32, 20100 Turku, Finland.
2 The Coxa Hospital for Joint Replacement, Tahmelan Viertotie 26 A, 33250 Tampere, Finland.
3 Department of Public Health University of Helsinki, Mannerheimintie 172, 00014 Helsinki, Finland.
4 Invalid Foundation Orton Orthopaedic Hospital, Tenholantie 10, 00280 Helsinki, Finland.
5 Department of Orthopaedics and Traumatology Helsinki University Central Hospital, Sepänkatu 7A 26, 00150 Helsinki, Finland.

Correspondence should be sent to Dr K. Mäkelä; e-mail: keijo.makela{at}tyks.fi

We have analysed from the Finnish Arthroplasty Register the long-term survivorship of the 12 most commonly-used cemented implants between 1980 and 2005 in patients aged 55 years or older with osteoarthritis.

Only two designs of femoral component, the Exeter Universal and the Müller Straight femoral component had a survivorship of over 95% at ten years with revision for aseptic loosening as the endpoint. At 15 years of the femoral and acetabular component combinations, only the Exeter Universal/Exeter All-poly implant had a survival rate of over 90% with revision for aseptic loosening as the endpoint. In the subgroup of patients aged between 55 and 64 years, survivorship overall was less than 90% at ten years.

The variation in the long-term rates of survival of different cemented hip implants was considerable in patients aged 55 years or older. In those aged between 55 and 64 years, none of the cemented prostheses studied yielded excellent long-term survival rates (≥ 90% at 15 years).




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(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General