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Related Experiment Videos

Uncemented total hip replacement

P A Ring

    Journal of the Royal Society of Medicine
    |October 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Uncemented total hip replacements offer low infection rates for arthritis patients. Interface pain is the most common failure, but revision surgery is typically successful.

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    Area of Science:

    • Orthopedic Surgery
    • Biomaterials Science

    Background:

    • Over 3000 uncemented total hip replacements have been utilized in the past two decades for osteoarthritis and rheumatoid arthritis.
    • The evolution of axially located prostheses and their failure modes are discussed.

    Purpose of the Study:

    • To outline the development of uncemented total hip prostheses.
    • To identify the common causes of failure in these implants.

    Main Methods:

    • Review of clinical data and outcomes for uncemented total hip replacements.
    • Analysis of failure modes including interface pain, loosening, and component migration.

    Main Results:

    • Uncemented prostheses demonstrate low mortality, morbidity, and infection rates.

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  • Interface pain, with or without loosening, is the primary reason for failure.
  • Distal femoral component migration can lead to functional loss over time.
  • Uncemented metal-on-plastic joints show superior short-term outcomes compared to metal-on-metal articulations.

    • Conclusions:

    • Uncemented hip replacements are a viable option with manageable failure modes.
    • Revisional surgery for failed uncemented prostheses is generally effective.
    • Metal-on-plastic bearings offer improved initial results in uncemented hip arthroplasty.