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Uncemented total hip arthroplasty in the elderly.
C Konstantoulakis1, G Anastopoulos, A Papaeliou
1Second Orthopedic Department, G. Gennimatas General State Hospital of Athens, Holargos, Greece.
International Orthopaedics
|March 31, 2000
Summary
Uncemented total hip arthroplasty (THA) shows good results in elderly patients over 65. This study found satisfactory function and minimal complications in patients receiving THA.
Area of Science:
- Orthopedic Surgery
- Geriatric Medicine
- Biomaterials Science
Background:
- Total hip arthroplasty (THA) is a common procedure for hip joint issues.
- Assessing the long-term efficacy of uncemented THA in elderly populations is crucial.
- Previous studies have shown varied outcomes for uncemented implants in older adults.
Purpose of the Study:
- To evaluate the clinical and radiological outcomes of uncemented total hip arthroplasty in patients over 65 years of age.
- To determine the functional recovery and complication rates associated with this procedure in the elderly.
Main Methods:
- A retrospective review of 132 uncemented total hip arthroplasties (THA) performed between 1991 and 1994.
- Follow-up of 102 arthroplasties in 90 patients for a minimum of 4 years.
- Assessment of clinical outcomes using the Harris hip score (HHS) and radiological evaluation for subsidence and osteolysis.
Main Results:
- Post-operative Harris hip scores ranged from 87 to 99, indicating good functional recovery.
- No radiological signs of significant subsidence (>3 mm) or osteolysis were observed.
- One revision was required due to acetabular component fracture from trauma; five patients reported thigh pain.
Conclusions:
- Uncemented total hip arthroplasty can achieve satisfactory functional outcomes in elderly patients.
- The procedure demonstrates good radiological stability and a low complication rate in this demographic.
- Long-term follow-up supports the use of uncemented THA for improving hip function in geriatric patients.