RT Journal
A1 Valle, Craig J. Della
A1 Berger, Richard A.
A1 Shott, Susan
A1 Rosenberg, Aaron G.
A1 Jacobs, Joshua J.
A1 Quigley, Laura
A1 Galante, Jorge O.
T1 Primary Total Hip Arthroplasty with a Porous-Coated Acetabular ComponentA Concise Follow-up of a Previous Report*
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2004
FD June 1
VO 86
IS 6
SP 1217
OP 1222
DO 
UL http://dx.doi.org/
AB We previously reported the seven-to-ten-year results of the use of a
porous-coated acetabular metal shell in a consecutive series of 204 primary
total hip arthroplasties. In the present study, we evaluated the longer-term
outcomes of these arthroplasties, at fifteen to eighteen years. One hundred
and thirty-six (96%) of the 142 hips available for study retained the original
acetabular metal shell. Three of the 142 metal shells failed secondary to
aseptic loosening. Ten hips (7%) required a change of the modular acetabular
liner because of excessive wear or for the treatment of osteolysis. The
fifteen-year rate of survival of the metal shell, with failure defined as
revision because of loosening or radiographic evidence of loosening, was 99%.
The rate of survival of cementless acetabular reconstructions was excellent at
fifteen years, although osteolysis and reoperations were noted to occur much
more frequently as the duration of follow-up increased. The majority of the
complications were related to wear of the polyethylene liner.Level of Evidence: Therapeutic study, Level IV (case
series [no, or historical, control group]). See Instructions to Authors for a
complete description of levels of evidence.