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Charnley Total Hip Arthroplasty in Patients Less Than Fifty Years Old. A Twenty to Twenty-five-Year Follow-up Note*
JOHN J. CALLAGHAN, M.D.†; ERIN E. FOREST, M.D.†; JASON P. OLEJNICZAK, B.A.†, IOWA CITY; DEVON D. GOETZ, M.D.‡, WEST DES MOINES; RICHARD C. JOHNSTON, M.D.†, IOWA CITY, IOWA
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Investigation performed at the Iowa Methodist Medical Center, Des Moines, and the University of Iowa College of Medicine, Iowa City
J Bone Joint Surg Am, 1998 May 01;80(5):704-14
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Abstract

We evaluated the results twenty to twenty-five years after ninety-three consecutive, non-selected Charnley total hip arthroplasties performed with cement by the senior one of us in sixty-nine patients who were less than fifty years old at the time of the procedure. Seventy of the seventy-two hips in the living patients were followed radiographically for at least twenty years.Twenty-seven hips (29 per cent) had a revision or a resection of the prosthesis during the follow-up period. The revision or the resection was performed because of aseptic loosening in twenty-one hips (23 per cent), infection in four (4 per cent), dislocation in one (1 per cent), and fracture of the femur in one. Eighteen acetabular components (19 per cent) and five femoral components (5 per cent) were revised because of aseptic loosening, and an additional fourteen acetabular components (15 per cent) and seven femoral components (8 per cent) demonstrated definite or probable radiographic loosening.The present study demonstrates the long-term durability of total hip arthroplasty performed with cement in an active population of patients. The fixation of the femoral component was found to perform better than that of the acetabular component at twenty to twenty-five years after the procedure.

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    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.
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