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Outcome of Charnley total hip replacement across a single health region in England. The results at five years from a regional hip register

Lookup NU author(s): Professor Paul Gregg

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Abstract

Using a regional arthroplasty register we assessed the outcome at five years of 1198 primary Charnley total hip replacements (THRs) carried out in 1152 patients across a single UK health region in 1990. Information regarding outcome was available for 1080 hips (90%) and 499 had an independent clinical and radiological assessment. By five years the known rate of aseptic loosening was 2.3%, of deep infection 1.4%, of dislocation 5.0% and of revision 3.2%. The radiological assessment of 499 THRs revealed gross failure in a further 5.2%, which had been previously unrecognised. The combined rate of failure of nearly 9% is higher than those published from specialist centres and surgeons, but is probably more representative of the norm. Our study supports the need for a national register and surveillance of THRs. It emphasises that all implants should be followed, and suggests that the results of such surgery, when performed in the general setting, may not be as good as expected.

Publication metadata

Author(s): Fender D, Harper WM, Gregg PJ

Publication type: Article

Publication status: Published

Journal: Journal of Bone and Joint Surgery - Series B

Year: 1999

Volume: 81-B

Issue: 4

Pages: 577-581

Print publication date: 01/07/1999

ISSN (print): 0301-620X

ISSN (electronic): 2044-5377

Publisher: British Editorial Society of Bone and Joint Surgery

URL: http://dx.doi.org/10.1302/0301-620X.81B4.9859

DOI: 10.1302/0301-620X.81B4.9859

PubMed id: 10463724

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