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The Journal of Bone and Joint Surgery, Vol 60, Issue 3 306-313, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc
Total hip arthroplasty
RD Beckenbaugh and DM Ilstrup
A review of 333 consecutive Charnley total hip arthroplasties four to seven
years after operation showed that twenty-eight patients had died, and three
deaths were directly related to the surgery. The survivors had an average
improvement of 46.6 points in their evaluation scores to a level of 91.3
points. Four deep infections occurred for which removal of the prosthesis
was required. Thirteen hips dislocated postoperatively, and five of them
required additional surgery. Three were four sciatic-nerve injuries and all
but one resolved. Wear of the acetabular component was evident in seventeen
hips, measuring two millimeters in six and one millimeter in eleven. With
the marking system used, accurate measurement of wear was not possible.
Roentgenographic evidence of loosening of the femoral component was found
in 24 per cent of the hips, atributable more often to the quality of cement
fixation than to the position of the components (varus-valgus). Varus
loosening of two millimeters or more was associated with lower evaluation
scores.
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