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Revisional total hip replacement for failed ring arthroplasty.

J M Jones

    The Journal of Bone and Joint Surgery. American Volume
    |October 1, 1979
    PubMed
    Summary
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    This study reviewed 1,219 uncemented total hip replacements. Most revisions were due to loosening, but 81% of reoperations showed satisfactory results after three years.

    Area of Science:

    • Orthopedic Surgery
    • Biomaterials Science

    Background:

    • Uncemented total hip replacements (THRs) are widely used.
    • Long-term outcomes and revision rates require ongoing evaluation.

    Purpose of the Study:

    • To assess the outcomes of uncemented Ring total hip replacements.
    • To identify reasons for prosthesis removal and revision.
    • To evaluate the success rate of reoperations.

    Main Methods:

    • Retrospective review of 1,219 uncemented Ring total hip replacements.
    • Analysis of reasons for prosthesis removal (infection) and revision (loosening).
    • Assessment of results at an average of three years post-revision.

    Main Results:

    • Ten prostheses (0.8%) required removal, primarily due to infection.

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  • Eighty-two prostheses (6.7%) required revision, mainly for loosening.
  • 81% of reoperations yielded satisfactory results at an average three-year follow-up.

    • Conclusions:

    • Uncemented Ring THRs demonstrate acceptable revision rates for loosening and infection.
    • Reoperation for loosening yields satisfactory outcomes in a majority of cases.
    • Further research into infection prevention and implant fixation is warranted.