The Journal of Bone and Joint Surgery, Vol 77, Issue 10 1543-1550, Copyright © 1995 by Journal of Bone and Joint Surgery, Inc
The effect of the type of cement on early revision of Charnley total hip prostheses. A review of eight thousand five hundred and seventy-nine primary arthroplasties from the Norwegian Arthroplasty Register
LI Havelin, B Espehaug, SE Vollset and LB Engesaeter
Department of Orthopaedics and Traumatology, Haukeland University Hospital, Bergen, Norway.
We studied the survival of 8579 Charnley prostheses, in 7922 patients,
according to the different types of cement that had been used. All of the
patients had had a primary total hip replacement for primary coxarthrosis.
The mean duration of follow-up was 3.2 years (range, zero to 6.4 years).
The data were collected from the national Norwegian Arthroplasty Register.
The duration of survival was defined as the time to revision due to aseptic
loosening. The Kaplan-Meier estimate of survival at 5.5 years for the 1226
femoral components that had been implanted with low-viscosity cement was
94.1 per cent (95 per cent confidence interval, 92.1 to 96.2 per cent),
compared with 98.1 per cent (95 per cent confidence interval, 97.5 to 98.6
per cent) for the 6589 components that had been implanted with
high-viscosity cement (p < 0.0001). The remaining 764 femoral components
had been implanted with Boneloc cement, which was classified as neither
high nor low-viscosity, and these components were considered as a separate
group in the analyses. The Boneloc cement had been used for only three
years, and the two-year survival rate of these prostheses was 95.5 per cent
(p < 0.0001). The cement contained an antibiotic in 2801 (42 per cent of
the hips in which the femoral component had been implanted with
high-viscosity cement, compared with only thirty (2 per cent) of those in
which it had been implanted with low-viscosity cement.(ABSTRACT TRUNCATED
AT 250 WORDS)
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