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Related Experiment Videos

Total articular replacement arthroplasty. A three- to ten-year case-controlled study

J W Mesko1, F G Goodman, S Stanescu

  • 1Ingham Medical Joint Replacement Center, Lansing, Michigan.

Clinical Orthopaedics and Related Research
|March 1, 1994
PubMed
Summary

Cemented total articular replacement arthroplasty (TARA) hip resurfacing showed an 84.5% survival rate at ten years. Younger patients (55.7 years) had higher revision rates, suggesting TARA is less durable than traditional hip replacements.

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Total articular replacement arthroplasty (TARA) is a hip resurfacing technique.
  • Cemented fixation is commonly used in hip arthroplasty.

Purpose of the Study:

  • To evaluate the long-term outcomes of cemented primary TARA hip resurfacing.
  • To compare the survival rates and revision causes of TARA hip replacements.

Main Methods:

  • Retrospective review of 184 cemented primary TARA hip procedures performed between 1981-1985.
  • Follow-up of 174 hips for a mean of 8 years (range, 3.5-10.4 years).
  • Survival analysis using Kaplan-Meier curves.

Main Results:

  • Implant failure requiring revision occurred in 13.2% of patients.

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  • The revised group was significantly younger at implantation (55.7 vs. 65.3 years, p < 0.01).
  • Ten-year survival rate was 84.5%, with 87.1% at seven years.

    • Conclusions:

    • Cemented TARA hip replacement demonstrates better intermediate-to long-term success than other cemented resurfacing designs.
    • However, TARA longevity does not favorably compare with cemented Charnley total hip replacements at similar intervals.