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Thirty-five-Year Results After Charnley Total Hip Arthroplasty in Patients Less Than Fifty Years Old: A Concise Follow-up of Previous Reports*

Warth, Lucian C. MD; Callaghan, John J. MD; Liu, Steve S. MD; Klaassen, Alison L. MA; Goetz, Devon D. MD; Johnston, Richard C. MD

Journal of Bone & Joint Surgery - American Volume: 5 November 2014 - Volume 96 - Issue 21 - p 1814–1819
doi: 10.2106/JBJS.M.01573
Scientific Articles
Supplementary Content
Disclosures

Abstract: We report the updated results for a previously described cohort of patients who were less than fifty years old at the time of the index Charnley total hip arthroplasty with cement. The original cohort consisted of ninety-three consecutive hips in sixty-nine patients. The patients were followed for a minimum of thirty-five years after surgery or until death. At the latest follow-up evaluation, there were forty-one total hip replacements (44%) in thirty-two living patients. Thirty-four (37%) of the ninety-three total hip replacements in the original cohort had been revised or removed. Twenty acetabular (22%) and seven femoral (8%) components had been revised for aseptic loosening. Since the twenty-five-year follow-up, the average six-minute-walk distance decreased from 395 m to 171 m, and this decrease correlated with increasing comorbidity. This study demonstrates the durability of cemented total hip replacements in a young patient population. Although 63% (fifty-nine) of the ninety-three original hip replacements were functioning at the latest follow-up or at the time of death, a significant decrease in activity level was seen over time (p < 0.001). Of the forty-one original implants in the patients who were alive at the time of the thirty-five-year follow-up, only 46% (nineteen) were retained.

Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

1Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, UIHC, 01029 JPP, Iowa City, IA 52242. E-mail address for J.J. Callaghan: john-callaghan@uiowa.edu

2Des Moines Orthopaedic Surgeons, 6001 Westown Parkway, West Des Moines, IA 50266

Copyright 2014 by The Journal of Bone and Joint Surgery, Incorporated
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