The Journal of Bone and Joint Surgery (American). 2007;89:814-818.
doi:10.2106/JBJS.F.00837
© 2007 The Journal of Bone and Joint Surgery, Inc.
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The Twenty to Twenty-five-Year Outcomes of the Harris Design-2 Matte-Finished Cemented Total Hip Replacement

A Concise Follow-up of a Previous Report*

Michael Skutek, MD1, Robert B. Bourne, MD, FRCSC1, Cecil H. Rorabeck, MD, FRCSC1, Alexander Burns, MD, FRACS1, Stephen Kearns, MD, FRCS1 and Gajan Krishna, HBSc1

1 London Health Sciences Centre, 339 Windermere Road, London, Ontario N6A 5A5, Canada

Investigation performed at the London Health Sciences Centre, London, Ontario, Canada

Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.

* Original Publication

Bourne RB, Rorabeck CH, Skutek M, Mikkelsen S, Winemaker M, Robertson D. The Harris Design-2 total hip replacement fixed with so-called second-generation cementing techniques. A ten to fifteen-year follow-up. J Bone Joint Surg Am. 1998;80:1775-80.


We previously reported the ten to fifteen-year results for 195 matte-finished Harris Design-2 total hip replacements that had been inserted with cement by two surgeons in 166 patients with osteoarthritis. The purpose of the present report is to update that study and report the twenty to twenty-five-year outcomes. The patients were followed prospectively on the basis of clinical assessment with use of the Harris hip score and radiographic analysis. One hundred and forty-nine patients (90%) had a functioning implant at the time of death or, if living, at twenty to twenty-five years of follow-up. A total of ten patients (ten hips; 5%) underwent a revision because of aseptic loosening of the acetabular component (two hips; 1%), the femoral component (four hips; 2%), or both components (four hips; 2%).

At twenty-five years, Kaplan-Meier analysis revealed a survival rate of 83% ± 6% with revision for any reason as the end point. The survival rate was 86% ± 6% for the femoral component and 93% ± 3% for the acetabular component with aseptic loosening as the end point.

Level of Evidence: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.


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