2001, Number 5
<< Back Next >>
Acta Ortop Mex 2001; 15 (5)
Charnley’s total hip arthroplasty. An epidemiological report on fifteen cases with a twenty-five to thirty-year following period
Lazcano MMA
Language: Spanish
References: 17
Page: 204-206
PDF size: 45.30 Kb.
ABSTRACT
Objective. To demonstrate the long-lasting of the Charnley total hip prosthesis in the original series of the autor.
Material and methods. Out of 42 hips recorded at 20 to 25 years of duration, 10 needed a second surgery in that span, remaining 32 with their prosthesis able for the 25 to 30 year period. Results. Out from those 32 that started the period, 4 needed a revision surgery, 7 patients (8 hips) died and 8 were out of evaluation because of other diseases or severe senility. As a result, 12 patients with 15 otherwise well-preserved prosthetic hips, survived for the 25 to 30 years group. Waste of polyethylene cup was from 1 to 6 mm, with an average of 1 mm per every 9 years.
Conclusion. Our results with this still useful prosthesis are similar to those from the Mayo Clinic and others. Even more, such details as current appropriate cementation techniques, avoiding trochanteric osteotomy and a better structure in polyethylene cups, should eventually improve the local conditions of the prosthesis and its durability.
REFERENCES
Berry L, Charnley LF: A 20-25 years international Arthroplasty Symposium Charnley Era Meeting. Wraightinton Hospital England 25-30 June 2000.
Charnley I: Low friction arthroplasty operative technique. Internal publication No. 6 Wrightinton Hospital March 1970.
Charnley I: Low friction arthroplasty of the hip: Theory and practice. Berlin Springer Verlag 1979: 237-9.
Charnley I: Societe International Chirugie Orthopedic. Paris Francia Low friction. Arthroplasty 1990.
D’Aubigné M, Postel M: Functional results to hip arthroplasty with acrylic prosthesis. J Bone Joint Surg 1954; 36A: 451-75.
Eftekhar NS: Total hip replacement low friction arthroplasty. Ia Evans, CM. Surgery of the muscle-skeletal system. New York 1983.
Gruen Mc Neice, Amstutz NC: Modesof failure of cemented stem type femoral complements, a radiological analysis of loosening. Alin Orth 1979; 141: 17.
Griffith MH, Sendenstein MK, Williams, Charnley. Socket wear in Charnley low friction arthroplasty of the hip. Clin Orth 1978; 137: 37-47.
Hodgkinson IP, Sheley P, Wroblewski: The correlation between the roentgenographic appearances and postoperative findings at the bone cement-junction of the socket in Charnley low friction arthroplasties. Clin Orthop 1988; 228: 105-9.
Lazcano MA, Marín BJM, Parroquín MJ, Sauri AJC: Estudio prospectivo del desgaste acetabular del polietileno en la artroplastía de baja fricción. Revisión a largo plazo (18-22 años). Rev Mex Orthop Traum 1994: 8(2): 60-64.
Lazcano MA, Campos AL, Sauri-Arce JC: Charnley low friction arthroplasty at 20 to 25 years follow up and study of the failures in patients younger 65 years. International symposium, Charnley low F. Arthroplasty Lyon 1995.
Older J, Charnley LFA: At 25 years a world wide review. International symposium Charnley total hip arthroplasty. Group Alors Lyon 1995.
Pacheco V, Shelley M, Bound, Wroblewski. Mechanical loosening of the stem in Charnley Artroplasties. J Bone Joint Surg 1989; 70B: 596-9.
Wroblewski BM, Flening PA, Siney PD. J Bone Joint Surg 1999; 81(A): 13.
Wroblewski BM, Taylor GW: Charnley low friction arthroplasty, 19 to 15 years results. Rev Orthopaedics 1991; 15(4): 421-4.
Wroblewski BM, Siney PD, Dowson D, Colins SN: Prospective clinical and joint simulator studies of a new total hip arthroplasty using albumina ceramic heads and crossed linner polyethylene cpa. J Bone Joint Surg (Br) 78(B): 280-5.
Wroblewski BM, Flening PA, Siney PD: Charnley low friction torque arthroplasty of the hip 20 to 30 years results I. J Bone Joint Surg (Br) 1999; 81B (3).