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ICLH cemented douple cup hip replacement.

M A Freeman, G C Brown

    Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
    |August 30, 1978
    PubMed
    Summary
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    The Imperial College-London Hospital (ICLH) double cup hip replacement, since 1974, shows infrequent complications and results comparable to conventional hip replacement. Further follow-up is needed for definitive conclusions on this cemented arthroplasty.

    Area of Science:

    • Orthopedic surgery
    • Biomaterials science

    Background:

    • The Imperial College-London Hospital (ICLH) double cup hip replacement utilizes cemented metal femoral and polyethylene acetabular components.
    • Initial complications in 1972-1974 led to modifications in prosthesis design and surgical technique.

    Observation:

    • Since November 1974, the ICLH double cup hip replacement has maintained a consistent design and operative procedure.
    • A surgical approach avoiding trochanteric osteotomy has been developed.
    • 159 hip replacements were performed in 154 patients by December 1977.

    Findings:

    • Complications have been infrequent following the 1974 modifications.
    • Clinical outcomes of successful double cup arthroplasty are comparable to conventional hip replacement.
    • Early results show no deterioration in quality compared to patients with over two years of follow-up.

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    Implications:

    • The ICLH double cup hip replacement offers a viable alternative to conventional hip replacement with infrequent complications.
    • Avoiding trochanteric osteotomy simplifies the surgical approach.
    • Tentative conclusions highlight the need for longer-term follow-up to fully assess the durability and efficacy of this cemented hip arthroplasty.