Top

Published in:

01-10-2006 | Original Paper

A long-term follow-up of 60 Lord total hip arthroplasties in rheumatic disease: a mean follow-up of 14 years

Authors: C. C. Lybäck, C. O. Lybäck, A. Kyrö, H. J. Kautiainen, E. A. Belt

Published in: International Orthopaedics | Issue 5/2006

Abstract

The aim of the study was to analyse the survivorship of 60 total hip arthroplasties using the cementless Lord prosthesis in 51 patients with inflammatory joint disease. Patients were operated on between the years 1985 and 1988. The mean follow-up time was 13.8 (4.0–18.6) years. During the follow-up, one deep infection was encountered, and seven patients died of causes unrelated to the hip replacement. Revision surgery or death of the patient was used as an end point. The overall survival was 88.1% [95% confidence interval (CI) 76.6–94.1] for the stem, and 64.3% (95% CI 50.6–75.1) for the cup at 15 years. Causes for revision surgery were loosening of the cup in 17 hips, loosening of both components in five hips, and one deep infection.

Aldinger PR, Thomsen M, Lukoschek M, Mau H, Ewerbeck V, Breusch SJ (2004) Long-term fate of uncemented, threaded acetabular components with smooth surface treatment: minimum 10-year follow-up of two different designs. Arch Orthop Trauma Surg 124:469–475PubMedCrossRef

Effenberger H, Weber M, Dorn U, Hofer H (1997) Roentgen criteria and radiologic results of the Hofer–Imhof (H-I) threaded acetabulum cup in first time implantation [in German]. Z Orthop Ihre Grenzgeb 135:434–443PubMedCrossRef

Fernandez-Gonzalez J, Canosa Sevillano R, Garcia-Araujo C (1997) Cementless total hip arthroplasty with a threaded acetabular cup. Int Orthop 21:327–331PubMedCrossRef

Grant P, Nordsletten L (2004) Total hip arthroplasty with the Lord prosthesis. A long-term follow-up study. J Bone Joint Surg Am 86:2636–2641PubMed

Hardinge K (1982) The direct lateral approach to the hip. J Bone Joint Surg Br 64:17–19PubMed

Inoue S, Horii M, Suehara H et al. (2003) Minimum 10-year radiographic follow-up of a cementless acetabular component for primary total hip arthroplasty with a bulk autograft. J Orthop Sci 8:664–668PubMedCrossRef

Jana AK, Engh CA Jr, Lewandowski PJ, Hopper RH Jr, Engh CA (2001) Total hip arthroplasty using porous-coated femoral components in patients with rheumatoid arthritis. J Bone Joint Surg Br 83:686–690PubMedCrossRef

Keisu KS, Mathiesen EB, Lindgren JU (2001) The uncemented fully textured Lord hip prosthesis: a 10- to 15-year followup study. Clin Orthop 382:133–142PubMed

Kubo T, Inoue S, Maeda T et al. (2001) Cementless Lord total hip arthroplasty: cup loosening common after minimum 10-year follow-up of 103 hips. Acta Orthop Scand 72:585–590PubMedCrossRef

10.

Lachiewicz PF (1997) Rheumatoid arthritis of the hip. J Am Acad Orthop Surg 5:332–338PubMed

11.

Laine HJ, Puolakka TJ, Moilanen T, Pajamäki KJ, Wirta J, Lehto MU (2000) The effects of cementless femoral stem shape and proximal surface texture on “fit-and-fill” characteristics and on bone remodeling. Int Orthop 24:184–190PubMedCrossRef

12.

Larsen A, Dale K, Eek M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol Diagn 18:481–491

13.

Lehtimäki MY, Kautiainen H, Lehto UK, Hämäläinen MM (1999) Charnley low-friction arthroplasty in rheumatoid patients: a survival study up to 20 years. J Arthroplasty 14:657–661PubMedCrossRef

14.

Lord GA, Hardy JR, Kummer FJ (1979) An uncemented total hip replacement: experimental study and review of 300 madreporique arthroplasties. Clin Orthop 141:2–16PubMed

15.

Lord G, Bancel P (1983) The madreporic cementless total hip arthroplasty. New experimental data and a seven-year clinical follow-up study. Clin Orthop 176:67–76PubMed

16.

Lybäck CC, Lybäck CO, Kyrö A, Kautiainen H, Belt EA (2004) Survival of Bi-Metric femoral stems in 77 total hip arthroplasties for juvenile chronic arthritis. Int Orthop 28:357–361PubMedCrossRef

17.

Malchau H, Herberts P, Wang YX, Karrholm J, Romanus B (1996) Long-term clinical and radiological results of the Lord total hip prosthesis. A prospective study. J Bone Joint Surg Br 78:884–891PubMedCrossRef

18.

Nevalainen J, Keinonen A, Mäkelä A (2003) The 2000–2001 implant yearbook on orthopaedic endoprosthesis. Finnish Arthroplasty Register. Publications of the National Agency for Medicines 2/2003

19.

Palm TM, Kaarela K, Hakala MS, Kautiainen HJ, Kroger HP, Belt EA (2002) Need and sequence of large joint replacements in rheumatoid arthritis. A 25-year follow-up study. Clin Exp Rheumatol 20:392–394PubMed

20.

Pandit HG, Hand CJ, Ramos JL, Pradham NS, Boyd NA (1999) Middle-term results of a cementless threaded self-tapping acetabular cup. J R Nav Med Serv 85:174–177PubMed

21.

Wolfe F, Zwillich SH (1998) The long-term outcomes of rheumatoid arthritis: a 23-year prospective, longitudinal study of total joint replacement and its predictors in 1,600 patients with rheumatoid arthritis. Arthritis Rheum 41:1072–1082PubMedCrossRef

Title: A long-term follow-up of 60 Lord total hip arthroplasties in rheumatic disease: a mean follow-up of 14 years
Authors: C. C. Lybäck
C. O. Lybäck
A. Kyrö
H. J. Kautiainen
E. A. Belt
Publication date: 01-10-2006
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 5/2006
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-006-0114-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A long-term follow-up of 60 Lord total hip arthroplasties in rheumatic disease: a mean follow-up of 14 years

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2006

The incidence of avascular necrosis of the healthy, contralateral femoral head at the end of the use of Pavlik harness in unilateral hip dysplasia

The incidence of avascular necrosis of the healthy, contralateral femoral head at the end of the use of Pavlik harness in unilateral hip dysplasia

Rabbit articular cartilage defects treated by allogenic chondrocyte transplantation

Treatment of open tibial shaft fractures using tightly fitted interlocking nailing

Preservation of C7 spinous process does not influence the long-term outcome after laminoplasty for cervical spondylotic myelopathy

Long-term follow-up (11 years plus) results of JRI (Furlong) total hip arthroplasty in young patients: cause for concern regarding acetabular cup?