Outcome of Charnley total hip replacement across a single health region in England : The results at ten years from a regional arthroplasty register

Using the Trent regional arthroplasty register, we analysed the survival at ten years of 1198 consecutive Charnley total hip replacements carried out across a single health region of the United Kingdom in 1990. At ten years, information regarding outcome was available for 1001 hips (83.6%). The crud...

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Bibliographic Details
Published in:	Journal of bone and joint surgery. British volume Vol. 88; no. 10; pp. 1293 - 1298
Main Authors:	ALLAMI, M. K, FENDER, D, KHAW, F. M, SANDHER, D. R, ESLER, C, HARPER, W. M, GREGG, P. J
Format:	Journal Article
Language:	English
Published:	London British Editorial Society of Bone and Joint Surgery 01-10-2006 British Editorial Society of Bone & Joint Surgery
Edition:	British volume
Subjects:	Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - methods Biological and medical sciences Diseases of the osteoarticular system England Female Hip Joint - surgery Humans Male Medical sciences Middle Aged Orthopedic surgery Patient Satisfaction Prospective Studies Prosthesis Failure Reoperation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Survival Analysis Treatment Outcome England United Kingdom Great Britain Europe Plasty Hip prosthesis Orthopedic surgery Prognosis Treatment Hip
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Summary:	Using the Trent regional arthroplasty register, we analysed the survival at ten years of 1198 consecutive Charnley total hip replacements carried out across a single health region of the United Kingdom in 1990. At ten years, information regarding outcome was available for 1001 hips (83.6%). The crude revision rate was 6.2% (62 of 1001) and the cumulative survival rate with revision of the components as an end-point was 93.1%. At five years, a review of this series of patients identified gross radiological failure in 25 total hip replacements which had previously been unrecognised. At ten years the outcome was known for 18 of these 25 patients (72%), of whom 13 had not undergone revision. This is the first study to assess the survival at ten years for the primary Charnley total hip replacement performed in a broad cross-section of hospitals in the United Kingdom, as opposed to specialist centres. Our results highlight the importance of the arthroplasty register in identifying the long-term outcome of hip prostheses.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0301-620X 2049-4394 2044-5377 2049-4408
DOI:	10.1302/0301-620X.88B10.17933