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Journal of Bone and Joint Surgery, 1967;49:625-631.
© 1967 by The Journal of Bone and Joint Surgery, Inc

Idiopathic Osteo-Arthritis of the Hip

COMPARISON OF THE RESULTS OF TREATMENT BY AUSTIN MOORE PROSTHESIS AND MOLD ARTHROPLASTY

JAMES M. MCDONOUGH M.D.1, WILLIAM T. BRANDFASS M.D.1, and FRANK E. STINCHFIELD M.D.1

1 From The New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York

The results of 157 consecutive Vitallium mold arthroplasties and 107 consecutive prosthetic replacements performed for osteo-arthritis of the hip were analyzed and compared. The conclusions drawn from this study were:

1. Relief of pain in osteo-arthritis of the hip was greater and more lasting after mold arthroplasty than after insertion of a prosthesis.

2. When a prosthesis was used, the incidence of good and excellent results was 11 per cent higher in the group in which the acetabulum was remodeled and reamed than in the patients in whom the acetabulum was not reamed.

3. The best long-term results were obtained when a Vitallium mold was inserted after removal of hard sclerotic bone from both the head and the acetabulum.


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