First Series of Exeter Small Stem Primary Total Hip Arthroplasty Minimum 5 Years of Follow-Up
Abstract We carried out a prospective study of 47 Exeter (Stryker Inc, Warsaw, Ind) small stem total hip arthroplasty in 42 patients with an average age of 58 years and a mean follow-up of 8.5 years. The Oxford hip score improved from a preoperative mean of 47 to 17 at last follow-up. More than 87%...
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| Published in: | The Journal of arthroplasty Vol. 24; no. 8; pp. 1200 - 1204 |
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| Abstract | Abstract We carried out a prospective study of 47 Exeter (Stryker Inc, Warsaw, Ind) small stem total hip arthroplasty in 42 patients with an average age of 58 years and a mean follow-up of 8.5 years. The Oxford hip score improved from a preoperative mean of 47 to 17 at last follow-up. More than 87% patients had excellent or good Harris hip scores, and 90% were able to walk with little or no pain. Stem subsidence within the cement mantle was observed in 26% of cases, and none showed evidence of aseptic loosening or implant failure. Two stems were removed due to infection. The survival rate of this implant was 95.7% at 10 years. This first series of Exeter small stem showed excellent medium-term results, comparable to its larger counterparts. |
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| AbstractList | We carried out a prospective study of 47 Exeter (Stryker Inc, Warsaw, Ind) small stem total hip arthroplasty in 42 patients with an average age of 58 years and a mean follow-up of 8.5 years. The Oxford hip score improved from a preoperative mean of 47 to 17 at last follow-up. More than 87% patients had excellent or good Harris hip scores, and 90% were able to walk with little or no pain. Stem subsidence within the cement mantle was observed in 26% of cases, and none showed evidence of aseptic loosening or implant failure. Two stems were removed due to infection. The survival rate of this implant was 95.7% at 10 years. This first series of Exeter small stem showed excellent medium-term results, comparable to its larger counterparts. We carried out a prospective study of 47 Exeter (Stryker Inc, Warsaw, Ind) small stem total hip arthroplasty in 42 patients with an average age of 58 years and a mean follow-up of 8.5 years. The Oxford hip score improved from a preoperative mean of 47 to 17 at last follow-up. More than 87% patients had excellent or good Harris hip scores, and 90% were able to walk with little or no pain. Stem subsidence within the cement mantle was observed in 26% of cases, and none showed evidence of aseptic loosening or implant failure. Two stems were removed due to infection. The survival rate of this implant was 95.7% at 10 years. This first series of Exeter small stem showed excellent medium-term results, comparable to its larger counterparts. We carried out a prospective study of 47 Exeter (Stryker Inc, Warsaw, Ind) small stem total hip arthroplasty in 42 patients with an average age of 58 years and a mean follow-up of 8.5 years. The Oxford hip score improved from a preoperative mean of 47 to 17 at last follow-up. More than 87+ACU- patients had excellent or good Harris hip scores, and 90+ACU- were able to walk with little or no pain. Stem subsidence within the cement mantle was observed in 26+ACU- of cases, and none showed evidence of aseptic loosening or implant failure. Two stems were removed due to infection. The survival rate of this implant was 95.7+ACU- at 10 years. This first series of Exeter small stem showed excellent medium-term results, comparable to its larger counterparts. Abstract We carried out a prospective study of 47 Exeter (Stryker Inc, Warsaw, Ind) small stem total hip arthroplasty in 42 patients with an average age of 58 years and a mean follow-up of 8.5 years. The Oxford hip score improved from a preoperative mean of 47 to 17 at last follow-up. More than 87% patients had excellent or good Harris hip scores, and 90% were able to walk with little or no pain. Stem subsidence within the cement mantle was observed in 26% of cases, and none showed evidence of aseptic loosening or implant failure. Two stems were removed due to infection. The survival rate of this implant was 95.7% at 10 years. This first series of Exeter small stem showed excellent medium-term results, comparable to its larger counterparts. |
| Author | Tai, Cheh Chin, FRCS (Orth) Choon, Siew Kit, FRCS Nam, Hui Yin, MSc Abbas, Azlina Amir, MS (Orth) Merican, Azhar M., AM |
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| Cites_doi | 10.1177/230949900301100112 10.2106/00004623-197860030-00005 10.1177/230949900301100208 10.2106/00004623-197355080-00006 10.1016/j.arth.2004.01.014 10.1097/00003086-197510000-00022 10.1302/0301-620X.84B3.12261 10.1302/0301-620X.88B12.18345 10.2106/00004623-196951040-00012 10.1097/00003086-198010000-00003 10.1302/0301-620X.74B3.1587883 |
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| References | Sivananthan, Arif, Choon (bib16) 2003; 11 Beckenbaugh, Ilstrup (bib4) 1978; 60 Chiu, Ng, Tang (bib6) 2003; 11 Salvati, Cornell (bib17) 1988; 37 Brooker, Bowerman, Robinson (bib15) 1973; 55 DeLee, Charnley (bib14) 1976; 121 Hoaglund, Low (bib5) 1980; 152 Chiu, Shen, Cheung (bib7) 2005; 20 Dawson, Fitzpatrick, Carr (bib9) 1976; 121 Merle D'Aubigne, Postel (bib10) 1954; 36A Hook, Moulder, Yates (bib3) 2006; 88B Barrack, Mulroy, Harris (bib13) 1992; 74 Halley, Charnley (bib8) 1975; 112 Fowler, Gie, Lee (bib2) 1988; 19 Harris (bib11) 1969; 51A William, Browne, Gie (bib1) 2002; 84 Gruen, McNeice, Amstutz (bib12) 1979; 141 Fowler (10.1016/j.arth.2009.07.001_bib2) 1988; 19 Barrack (10.1016/j.arth.2009.07.001_bib13) 1992; 74 Chiu (10.1016/j.arth.2009.07.001_bib7) 2005; 20 Beckenbaugh (10.1016/j.arth.2009.07.001_bib4) 1978; 60 Chiu (10.1016/j.arth.2009.07.001_bib6) 2003; 11 Halley (10.1016/j.arth.2009.07.001_bib8) 1975; 112 Hook (10.1016/j.arth.2009.07.001_bib3) 2006; 88B Brooker (10.1016/j.arth.2009.07.001_bib15) 1973; 55 Gruen (10.1016/j.arth.2009.07.001_bib12) 1979; 141 Harris (10.1016/j.arth.2009.07.001_bib11) 1969; 51A Hoaglund (10.1016/j.arth.2009.07.001_bib5) 1980; 152 Merle D'Aubigne (10.1016/j.arth.2009.07.001_bib10) 1954; 36A Sivananthan (10.1016/j.arth.2009.07.001_bib16) 2003; 11 DeLee (10.1016/j.arth.2009.07.001_bib14) 1976; 121 Salvati (10.1016/j.arth.2009.07.001_bib17) 1988; 37 William (10.1016/j.arth.2009.07.001_bib1) 2002; 84 Dawson (10.1016/j.arth.2009.07.001_bib9) 1976; 121 |
| References_xml | – volume: 74 start-page: 385 year: 1992 ident: bib13 article-title: Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review publication-title: J Bone Joint Surg Br contributor: fullname: Harris – volume: 141 start-page: 17 year: 1979 ident: bib12 article-title: “Mode of failure” of cemented stem-type femoral components: a radiographic analysis of loosening publication-title: Clin Orthop contributor: fullname: Amstutz – volume: 60 start-page: 306 year: 1978 ident: bib4 article-title: Total hip arthroplasty: a review of three hundred and thirty three cases with long-term follow-up publication-title: J Bone Joint Surg [Am] contributor: fullname: Ilstrup – volume: 84 start-page: 324 year: 2002 ident: bib1 article-title: The Exeter universal cemented femoral component at 8 to 12 years. A study of the first 325 hips publication-title: J Bone Joint Surg [Br] contributor: fullname: Gie – volume: 11 start-page: 53 year: 2003 ident: bib6 article-title: The shape and size of femoral components in revision total hip arthroplasty among Chinese patients publication-title: J Orthop Surg (Hong Kong) contributor: fullname: Tang – volume: 121 start-page: 20 year: 1976 ident: bib14 article-title: Radiological demarcation of cemented sockets in total hip replacement publication-title: Clin Orthop contributor: fullname: Charnley – volume: 152 start-page: 10 year: 1980 ident: bib5 article-title: Anatomy of the femoral neck and head, with comparative data from Caucasians and Hong Kong Chinese publication-title: Clin Orthop contributor: fullname: Low – volume: 20 start-page: 275 year: 2005 ident: bib7 article-title: Primary Exeter total hip arthroplasty in patients with small femurs: a minimal of 10 years follow-up publication-title: J Arthroplasty contributor: fullname: Cheung – volume: 88B start-page: 1584 year: 2006 ident: bib3 article-title: The Exeter Universal stem. A minimum ten-year review from an independent centre publication-title: J Bone Joint Surg [Br] contributor: fullname: Yates – volume: 51A start-page: 737 year: 1969 ident: bib11 article-title: Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty publication-title: J Bone Joint Surg [Am] contributor: fullname: Harris – volume: 37 start-page: 67 year: 1988 ident: bib17 article-title: Long-term follow-up of total hip replacements in patients with avascular necrosis publication-title: AAOS Instructional Course Lectures contributor: fullname: Cornell – volume: 19 start-page: 477 year: 1988 ident: bib2 article-title: Experience with the Exeter total hip replacement since 1970 publication-title: Orthop Clin North Am contributor: fullname: Lee – volume: 121 start-page: 20 year: 1976 ident: bib9 article-title: Questionnaire on the perceptions of patients about total hip replacement publication-title: Clin Orthop contributor: fullname: Carr – volume: 11 start-page: 148 year: 2003 ident: bib16 article-title: Small stem Exeter total hip replacement: clinical and radiological follow-up over a minimum of 2.5 years publication-title: Journal of Ortho Surg contributor: fullname: Choon – volume: 36A start-page: 451 year: 1954 ident: bib10 article-title: Functional results of hip arthroplasty with acrylic prostheses publication-title: J Bone Joint Surg [Am] contributor: fullname: Postel – volume: 55 start-page: 1629 year: 1973 ident: bib15 article-title: Ectopic ossification following total hip replacement. Incidence and a method of classification publication-title: J Bone Joint Surg [Am] contributor: fullname: Robinson – volume: 112 start-page: 180 year: 1975 ident: bib8 article-title: Results of low friction arthroplasty in patients thirty years of age or younger publication-title: Clin Orthop contributor: fullname: Charnley – volume: 11 start-page: 53 year: 2003 ident: 10.1016/j.arth.2009.07.001_bib6 article-title: The shape and size of femoral components in revision total hip arthroplasty among Chinese patients publication-title: J Orthop Surg (Hong Kong) doi: 10.1177/230949900301100112 contributor: fullname: Chiu – volume: 36A start-page: 451 year: 1954 ident: 10.1016/j.arth.2009.07.001_bib10 article-title: Functional results of hip arthroplasty with acrylic prostheses publication-title: J Bone Joint Surg [Am] contributor: fullname: Merle D'Aubigne – volume: 60 start-page: 306 year: 1978 ident: 10.1016/j.arth.2009.07.001_bib4 article-title: Total hip arthroplasty: a review of three hundred and thirty three cases with long-term follow-up publication-title: J Bone Joint Surg [Am] doi: 10.2106/00004623-197860030-00005 contributor: fullname: Beckenbaugh – volume: 141 start-page: 17 year: 1979 ident: 10.1016/j.arth.2009.07.001_bib12 article-title: “Mode of failure” of cemented stem-type femoral components: a radiographic analysis of loosening publication-title: Clin Orthop contributor: fullname: Gruen – volume: 11 start-page: 148 year: 2003 ident: 10.1016/j.arth.2009.07.001_bib16 article-title: Small stem Exeter total hip replacement: clinical and radiological follow-up over a minimum of 2.5 years publication-title: Journal of Ortho Surg doi: 10.1177/230949900301100208 contributor: fullname: Sivananthan – volume: 55 start-page: 1629 year: 1973 ident: 10.1016/j.arth.2009.07.001_bib15 article-title: Ectopic ossification following total hip replacement. Incidence and a method of classification publication-title: J Bone Joint Surg [Am] doi: 10.2106/00004623-197355080-00006 contributor: fullname: Brooker – volume: 20 start-page: 275 year: 2005 ident: 10.1016/j.arth.2009.07.001_bib7 article-title: Primary Exeter total hip arthroplasty in patients with small femurs: a minimal of 10 years follow-up publication-title: J Arthroplasty doi: 10.1016/j.arth.2004.01.014 contributor: fullname: Chiu – volume: 121 start-page: 20 year: 1976 ident: 10.1016/j.arth.2009.07.001_bib14 article-title: Radiological demarcation of cemented sockets in total hip replacement publication-title: Clin Orthop contributor: fullname: DeLee – volume: 112 start-page: 180 year: 1975 ident: 10.1016/j.arth.2009.07.001_bib8 article-title: Results of low friction arthroplasty in patients thirty years of age or younger publication-title: Clin Orthop doi: 10.1097/00003086-197510000-00022 contributor: fullname: Halley – volume: 121 start-page: 20 year: 1976 ident: 10.1016/j.arth.2009.07.001_bib9 article-title: Questionnaire on the perceptions of patients about total hip replacement publication-title: Clin Orthop contributor: fullname: Dawson – volume: 19 start-page: 477 year: 1988 ident: 10.1016/j.arth.2009.07.001_bib2 article-title: Experience with the Exeter total hip replacement since 1970 publication-title: Orthop Clin North Am contributor: fullname: Fowler – volume: 84 start-page: 324 year: 2002 ident: 10.1016/j.arth.2009.07.001_bib1 article-title: The Exeter universal cemented femoral component at 8 to 12 years. A study of the first 325 hips publication-title: J Bone Joint Surg [Br] doi: 10.1302/0301-620X.84B3.12261 contributor: fullname: William – volume: 88B start-page: 1584 year: 2006 ident: 10.1016/j.arth.2009.07.001_bib3 article-title: The Exeter Universal stem. A minimum ten-year review from an independent centre publication-title: J Bone Joint Surg [Br] doi: 10.1302/0301-620X.88B12.18345 contributor: fullname: Hook – volume: 51A start-page: 737 year: 1969 ident: 10.1016/j.arth.2009.07.001_bib11 article-title: Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty publication-title: J Bone Joint Surg [Am] doi: 10.2106/00004623-196951040-00012 contributor: fullname: Harris – volume: 152 start-page: 10 year: 1980 ident: 10.1016/j.arth.2009.07.001_bib5 article-title: Anatomy of the femoral neck and head, with comparative data from Caucasians and Hong Kong Chinese publication-title: Clin Orthop doi: 10.1097/00003086-198010000-00003 contributor: fullname: Hoaglund – volume: 37 start-page: 67 year: 1988 ident: 10.1016/j.arth.2009.07.001_bib17 article-title: Long-term follow-up of total hip replacements in patients with avascular necrosis contributor: fullname: Salvati – volume: 74 start-page: 385 year: 1992 ident: 10.1016/j.arth.2009.07.001_bib13 article-title: Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review publication-title: J Bone Joint Surg Br doi: 10.1302/0301-620X.74B3.1587883 contributor: fullname: Barrack |
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| Snippet | Abstract We carried out a prospective study of 47 Exeter (Stryker Inc, Warsaw, Ind) small stem total hip arthroplasty in 42 patients with an average age of 58... We carried out a prospective study of 47 Exeter (Stryker Inc, Warsaw, Ind) small stem total hip arthroplasty in 42 patients with an average age of 58 years and... |
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| SubjectTerms | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip Asian Continental Ancestry Group Exeter Female Follow-Up Studies Hip Joint - surgery Hip Prosthesis Humans Joint Diseases - surgery Male Middle Aged Orthopedics small stem total hip arthroplasty Young Adult |
| Title | First Series of Exeter Small Stem Primary Total Hip Arthroplasty Minimum 5 Years of Follow-Up |
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