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Total articular replacement arthroplasty.

B T Cohn1, A I Froimson, M A Brahms

  • 1Department of Orthopedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Orthopedics
|April 1, 1988
PubMed
Summary
This summary is machine-generated.

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Total articular replacement arthroplasty (TARA) shows favorable outcomes in select patients under 60 with good bone quality. This resurfacing technique warrants reconsideration despite current trends in hip arthroplasty.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Surface replacement arthroplasty (hip resurfacing) has declined in popularity.
  • Conventional cementless total hip arthroplasty is currently favored but presents potential issues.

Observation:

  • The authors report favorable outcomes with 29 cemented total articular replacement arthroplasties (TARAs) in 25 patients.
  • Patient selection criteria included physiologic age <60, good bone quality, viable femoral head, and preserved acetabular subchondral plate.
  • The mean patient age was 52 years, with follow-up ranging from 3.5 to 7 years, and two failures.

Findings:

  • Cemented TARA demonstrated favorable results in a carefully selected patient cohort.
  • The study highlights specific patient factors contributing to successful outcomes.

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Implications:

  • Orthopedic surgeons should reconsider TARA for suitable candidates, especially given concerns with cementless total hip arthroplasty.
  • Further evaluation of long-term cementless prosthesis results may influence future TARA component considerations.