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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 6, 730-737.
doi: 10.1302/0301-620X.91B6.21627  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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The Exeter Universal cemented femoral component at 15 to 17 years

AN UPDATE ON THE FIRST 325 HIPS

N. C. Carrington, FRCS(Trauma & Orth), Consultant Orthopaedic Surgeon1; R. J. Sierra, MD, Assistant Professor2; G. A. Gie, FRCSEd(Orth), Consultant Orthopaedic Surgeon3; M. J. W. Hubble, FRCS(Trauma & Orth), Consultant Orthopaedic Surgeon3; A. J. Timperley, DPhil, Consultant Orthopaedic Surgeon3; and J. R. Howell, FRCS(Trauma & Orth), Consultant Orthopaedic Surgeon3

1 York Hospital, Wigginton Road, York YO31 8HE, UK.
2 Department of Orthopaedic Surgery Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.
3 Exeter Hip Unit Princess Elizabeth Orthopaedic Centre, Barrack Road, Exeter, Devon EX2 5DW, UK.

Correspondence should be sent to Mr J. R. Howell; e-mail: jrhowell{at}doctors.org.uk

The first 325 Exeter Universal stems (309 patients) implanted at the originating centre were inserted between March 1988 and February 1990 by a group of surgeons with differing experience. In this report we describe the clinical and radiological results at a mean of 15.7 years (14.7 to 17.3) after operation with no loss to follow-up. There were 97 patients (108 hips) with replacements still in situ and 31 (31 hips) who had undergone a further procedure. With an endpoint of revision for aseptic loosening, the survivorship at 17 years was 100% and 90.4% for the femoral and acetabular component, respectively. The mean Merle D’Aubigné and Postel scores at review were 5.4 (SD 0.97) for pain and 4.5 (SD 1.72) for function. The mean Oxford score was 38.4 (SD 9.8) (0 to 48 worst-to-best scale) and the mean combined Harris pain and function score was 73.2 (SD 16.9). Radiological review showed excellent preservation of bone stock in the proximal femur and no failures of the femoral component.






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