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The Journal of Bone and Joint Surgery 79:313-4 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

William H. Harris, M.D., Craig G. Mohler, M.D., Dennis K. Collis, M.D., John J. Callaghan, M.D. and Richard C. Johnston, M.D.

TO THE EDITOR:

The article "Early Loosening of the Femoral Component at the Cement-Prosthesis Interface after Total Hip Replacement" (77-A: 1315–1322, Sept. 1995), by Mohler et al., raised several questions. First, one wonders why the results reported with the use of the Iowa prostheses with a matte finish, with or without precoating differ so substantially from those in several other large long-term series that also included the matte-finish devices but without adverse results. A colleague and I5 reported the results a minimum of ten years (average, 11.2 years) after the use of 105 femoral components with a matte finish in primary total hip replacements. Only two components had been revised for aseptic loosening, and none showed the pattern described by Mohler et al. Our follow-up was extended to an average of fifteen years6 , and the rate of revision of the femoral components because of aseptic loosening was 2 per . . . [Full Text of this Article]


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