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 Adult Hip Reconstruction Test 7: Total Hip Arthroplasty Results
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The Journal of Bone and Joint Surgery (American) 86:690-695 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.

Results of Charnley Total Hip Arthroplasty at a Minimum of Thirty Years

A Concise Follow-up of a Previous Report*

John J. Callaghan, MD1, Jesse E. Templeton, MD1, Steve S. Liu, MD1, Douglas R. Pedersen, PhD1, Devon D. Goetz, MD2, Patrick M. Sullivan, MD2 and Richard C. Johnston, MD1

1 Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242. E-mail address for J.J. Callaghan: john-callaghan{at}uiowa.edu
2 Des Moines Orthopedic Surgeons, 6001 Westown Parkway, Des Moines, IA 50266

Investigation performed at the Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City, and the Iowa Methodist Medical Center, Des Moines, Iowa

In support of their research or preparation of this manuscript, one or more of the authors received National Institutes of Health Grants AR47653 and AR46601. In addition, one or more of the authors received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity (DePuy). Also, a commercial entity (DePuy) paid or directed, or agreed to pay or direct, benefits to a research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

* Original Publication

Johnston RC. Clinical follow-up of total hip replacement. Clin Orthop. 1973;95:118-26.

The purpose of the current study was to update the results of a prospective, single-surgeon series of primary Charnley total hip arthroplasties performed with cement. This investigation is one of the first studies in which hips treated with total hip arthroplasty with cement were followed for a minimum of thirty years.

Twenty-seven patients (thirty-four [10.3%] of the hips in the initial study group) were alive at a minimum of thirty years postoperatively. These patients served as the focus of the present study. Revision because of aseptic loosening of the acetabular component was performed in 7.3% (twenty-three) of the hips from the original study group (excluding those revised because of infection or dislocation) and 26% (eight) of the hips in the living cohort. Revision because of aseptic loosening of the femoral component was performed in 3.2% (ten) of the hips from the original study group (excluding those revised because of infection or dislocation) and 10% (three) of the hips in the living patients. Since the twenty-five-year review, three hips were revised (one because of acetabular loosening, one because of femoral loosening, and one because of instability).

This end-result study demonstrated the remarkable durability of cemented Charnley total hip replacements over a span of three decades, with 88% of the original prostheses intact at the time of the final follow-up or at the patient's death.

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.


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