The Twenty to Twenty-five-Year Outcomes of the Harris Design-2 Matte-Finished Cemented Total Hip Replacement

Skutek, Michael; Bourne, Robert B.; Rorabeck, Cecil H.; Burns, Alexander; Kearns, Stephen; Krishna, Gajan
April 2007
Journal of Bone & Joint Surgery, American Volume;Apr2007, Vol. 89-A Issue 4, p814
Academic Journal
We previously reported the ten to fifteen-year results for 195 matte-finished Harris Design-2 total hip replacements that had been inserted with cement by two surgeons in 166 patients with osteoarthritis. The purpose of the present report is to update that study and report the twenty to twenty-five-year outcomes. The patients were followed prospectively on the basis of clinical assessment with use of the Harris hip score and radiographic analysis. One hundred and forty-nine patients (90%) had a functioning implant at the time of death or, if living, at twenty to twenty-five years of follow-up. A total of ten patients (ten hips; 5%) underwent a revision because of aseptic loosening of the acetabular component (two hips; 1%), the femoral component (four hips; 2%), or both components (four hips; 2%). At twenty-five years, Kaplan-Meier analysis revealed a survival rate of 83% ± 6% with revision for any reason as the end point. The survival rate was 86% ± 6% for the femoral component and 93% ± 3% for the acetabular component with aseptic loosening as the end point.


Related Articles

  • Verwendungsraten von Prothesen der unteren Extremität in Deutschland und der Schweiz. Falbrede, I.; Widmer, M.; Kurtz, S.; Schneidmüller, D.; Dudda, M.; Röder, C. // Der Orthopäde;Sep2011, Vol. 40 Issue 9, p793 

    Background: In the United States the use of total hip arthroplasty (THA) has substantially increased over the last decade. It is not known, however, if this trend can be applied to other countries as well. The aim of the current study was therefore a detailed comparison of hip, knee, and ankle...

  • Cementless Acetabular Revision with the Harris-Galante Porous Prosthesis. Hallstrom, Brian R.; Golladay, Gregory J.; Vittetoe, David A.; Harris, William H. // Journal of Bone & Joint Surgery, American Volume;May2004, Vol. 86-A Issue 5, p1007 

    Revisions of the acetabular component of a total hip arthroplasty have a higher rate of complications, particularly loosening and dislocation, than do primary procedures. The purpose of this study, in which the results of a consecutive series of revisions performed with the Harris-Galante Porous...

  • REVISION OF THE ACETABULAR COMPONENT WITHOUT CEMENT AFTER TOTAL HIP ARTHROPLASTY. Della Valle, Craig J.; Shuaipaj, Tasin; Berger, Richard A.; Rosenberg, Aaron G.; Shott, Susan; Jacobs, Joshua J.; Galante, Jorge O. // Journal of Bone & Joint Surgery, American Volume;Aug2005, Vol. 87-A Issue 8, p1795 

    Abstract: We previously reported our results at a minimum of three and seven years after use of a porous-coated acetabular metal shell in a consecutive series of 138 revision total hip arthroplasties. The current report presents the longer-term outcomes of these procedures, at fifteen to...

  • The influence of obesity on perioperative morbidity and mortality in revision total hip arthroplasty. Perka, Carsten; Labs, Karsten; Muschik, Michael; Buttgereit, Frank // Archives of Orthopaedic & Trauma Surgery;May2000, Vol. 120 Issue 5/6, p267 

    The significance of obesity as a risk factor for postoperative complications was determined in a consecutive series of 229 cases of revision total hip replacement. The body mass index (BMI) was used as an objective measure to classify the patients. The group-wise analysis of data included all...

  • Waiting for hip revision surgery: the impact on patient disability. Davis, Aileen M.; Agnidis, Zoe; Badley, Elizabeth; Davey, J. Roderick; Gafni, Amiram; Gollish, Jeffrey; Mahomed, Nizar N.; Saleh, Khaled J.; Schemitsch, Emil H.; Szalai, John Paul; Waddell, James P.; Gross, Allan E. // Canadian Journal of Surgery;Apr2008, Vol. 51 Issue 2, p92 

    Objective: Increased wait times for total joint arthroplasty (TJA) are a concern nationally and provincially. Additionally, the number of patients requiring revision of their initial TJA is increasing. The purpose of this study was to evaluate the wait times and impact of waiting for revision...

  • INDICATIONS FOR REVISION TOTAL HIP REPLACEMENT IN NORTHERN IRELAND. Stevenson, C. M.; Hanratty, B. M.; McAlinden, M. G. // Ulster Medical Journal;2009, Vol. 78 Issue 1, p60 

    Within Northern Ireland we have investigated the indications for revision hip procedures, car r ied out f rom Apr i l 2006 t o March 2007. This was to establish our indications for revision surgery and if these are comparable to other national registers. An audit of all hospitals that perform...

  • The Use of Long Cemented Stems for Femoral Impaction Grafting in Revision Total Hip Arthroplasty. Sierra, Rafael J.; Charity, John; Tsiridis, Eleftherios; Timperley, John A.; Gie, Graham A. // Journal of Bone & Joint Surgery, American Volume;Jun2008, Vol. 90-A Issue 6, p1330 

    Background: Following revision total hip arthroplasty involving femoral impaction grafting, fractures usually have occurred distal to a standard-length stem in an area of weakened bone that was left inadequately supported. The purpose of the present study was to determine whether the use of a...

  • Large (36 or 40-mm) Femoral Heads Decreased the Rate of Dislocation After Revision Total Hip Arthroplasty. Jacobs, Joshua J. // Journal of Bone & Joint Surgery, American Volume;11/21/2012, Vol. 94-A Issue 22, p2095 

    The article presents a study on patients who had revision total hip arthroplasty (THA), which aims to find whether a large femoral head result in lower dislocation rate than a standard head. A randomized clinical trial was performed to 184 patients who underwent revision THA in seven...

  • Reliability and Intraoperative Validity of Preoperative Assessment of Standardized Plain Radiographs in Predicting Bone Loss at Revision Hip Surgery. Saleh, Khaled J.; Holtzman, Jeremy; Gafni, Amiram; Saleh, Lena; Davis, Aileen; Resig, Scott; Gross, Allan E. // Journal of Bone & Joint Surgery, American Volume;Jul2001, Vol. 83-A Issue 7, p1040 

    Background: The most challenging aspect of revision hip surgery is the management of bone loss. A reliable and valid measure of bone loss is important since it will aid in future studies of hip revisions and in preoperative planning. We developed a measure of femoral and acetabular bone loss...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics