Articles   |    
Total hip replacement with insertion of an acetabular component without cement and a femoral component with cement. Four to seven-year results
CG Mohler; LR Kull; JM Martell; AG Rosenberg; JO Galante
J Bone Joint Surg Am, 1995 Jan 01;77(1):86-96
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


One hundred and fifty-three so-called hybrid total hip replacements were performed in 142 patients from 1985 to 1987 at Rush-Presbyterian-St. Luke's Medical Center. A hemispherical porous-coated acetabular component was inserted without cement and was fixed with screws, and a femoral stem was inserted with the use of so-called third-generation cementing techniques. The average age of the patients at the time of the operation was sixty-seven years (range, thirty-nine to eighty-five years). The average preoperative Harris hip score was 46 points (range, 9 to 73 points). One hundred and eleven patients (120 hips) were available for clinical review; 100 of these patients (109 hips) had a complete set of radiographs available. The average Harris hip score was 86 points (range, 29 to 100 points) at the time of follow-up (average duration, sixty-two months; range, forty-eight to eighty-five months). There was progressive migration of one cup (1 per cent); another cup migrated one centimeter in the first two years after the operation, with no additional migration evident after that time. The remaining acetabular components were stable. Two femoral components (2 per cent) were determined to be definitely loose. The remaining femoral components were stable. This population of patients had a good result after so-called hybrid total hip replacement with insertion of a porous-coated acetabular component without cement and a femoral component with cement for the reconstruction of a painful hip.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    California - UCLA/OH Department of Orthopaedic Surgery
    Louisiana - Ochsner Health System
    Ohio - OhioHealth Research and Innovation Institute (OHRI)