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Comparison of total hip replacement with and without cement in patients younger than 50 years of age : The results at 18 years

Title
Comparison of total hip replacement with and without cement in patients younger than 50 years of age : The results at 18 years
Authors
Kim Y.-H.Kim J.-S.Park J.-W.Joo J.-H.
Ewha Authors
김영후김준식박장원
SCOPUS Author ID
김영후scopus; 김준식scopus; 박장원scopus
Issue Date
2011
Journal Title
Journal of Bone and Joint Surgery - Series B
ISSN
0301-620XJCR Link
Citation
vol. 93 B, no. 4, pp. 449 - 455
Indexed
SCOPUS WOS scopus
Abstract
There have been comparatively few studies of the incidence of osteolysis and the survival of hybrid and cementless total hip replacements (THRs) in patients younger than 50 years of age. We prospectively reviewed 78 patients (109 hips) with a hybrid THR having a mean age of 43.4 years (21 to 50) and 79 patients (110 hips) with a cementless THR with a mean age of 46.8 years (21 to 49). The patients were evaluated clinically using the Harris hip score, the Western Ontario and McMaster Universities (WOMAC) osteoarthritis score and the University of California, Los Angeles (UCLA) activity score. Radiographs and CT scans were assessed for loosening and osteolysis. The mean follow-up was for 18.4 years (16 to 19) in both groups. The mean post-operative Harris hip scores (91 points versus 90 points), the mean WOMAC scores (11 points versus 13 points) and UCLA activity scores (6.9 points versus 7.1 points) were similar in both groups. The revision rates of the acetabular component (13% versus 16%) and the femoral component (3% versus 4%), and the survival of the acetabular component (87% versus 84%) and the femoral component (97% versus 96%) were similar in both groups. Although the long-term fixation of the acetabular metallic shell and the cemented and cementless femoral components was outstanding, wear and peri-acetabular osteolysis constitute the major challenges of THR in young patients. © 2011.
DOI
10.1302/0301-620X.93B4.26149
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의학전문대학원 > 의학과 > Journal papers
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