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10 years follow up of fully hydroxyapatite coated JRI (Furlong)Total hip replacement

Sharma DK, Brooks S

Category: Furlong Clinical Results

Birmingham

Trial Design Retrospective analysis of all JRI total hip replacement performed at Solihull district general hospital from 1988 to early part of 1995 predominantly performed by a single surgeon.

Methodology; All the patients who had JRI total hip replacement performed during this period were invited to the clinic for follow up. Harris Hip Score, Date of operation, Age, Sex, Side of operation diagnosis, any complications, thigh pain and Operating Surgeon were recorded. Revision of Total hip replacement and the reason for it, operation date of primary and revision surgery, operating surgeon, type of total hip replacement used for revision and any complication were recorded. A fresh Radiograph was taken in the clinic for radiological evaluation.

Results: Total 64 JRI Total hip replacements were followed up. Mean age of patients 53 years, main complication limb length discrepancy in 10 (15.6%), DVT3, PE 2, recurrent dislocation 3, superficial infection in 2. Thigh pain was noticed in 7 (11 %).

11 (17%) acetabular cups were revised during this time 10 because of aseptic loosing and 1 because of septic loosing.

Conclusion: Femoral component has survival rate of more than 98% after 10 years.
2. There is failure rate of 17% for the threaded acetabular component. We need to find out the reasons for cup failure.
Paper presented at BOA 2004, Manchester, England, September 18th 2004