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The Harris-Galante cementless femoral component: poor results in 57 hips followed for 3 years
1Department of Orthopaedics, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
Insights
The Harris-Galante femoral prosthesis showed poor early clinical results, with significant mid-thigh pain and femoral component loosening due to osteolysis in a 3.4-year follow-up study.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Materials Science
Background:
- The Harris-Galante prosthesis was used in hip replacement surgeries.
- Early clinical outcomes and potential complications require thorough evaluation.
Purpose of the Study:
- To assess the early clinical results and radiographic outcomes of the Harris-Galante femoral prosthesis.
Main Methods:
- A retrospective review of 68 Harris-Galante femoral prostheses implanted between 1986 and 1991.
- Follow-up of 57 hips in 53 patients after a mean of 3.4 years.
- Evaluation of clinical outcomes using the Harris Hip Score (HHS) and radiographic assessment for loosening and osteolysis.
Main Results:
- The average HHS improved from 39 preoperatively to 81 postoperatively.
- Only 34 hips (59.6%) achieved excellent or good results.
- Mid-thigh pain was reported in 30 cases (52.6%).
- Radiographic loosening of the femoral component occurred in 10 hips (17.5%) due to osteolysis.
- Seven acetabular cups (12.3%) also showed signs of radiographic loosening.
Conclusions:
- The Harris-Galante femoral prosthesis demonstrated suboptimal early clinical results, characterized by high rates of mid-thigh pain and femoral component osteolysis.
- Radiographic loosening of the femoral component was a significant issue.
- The findings suggest potential concerns regarding the long-term performance and design of this prosthesis.
Abstract:
Between 1986 and 1991, 68 Harris-Galante femoral prostheses were implanted in 63 patients. 53 patients (57 hips) attended for follow-up after a mean of 3.4 (2-6) years. The average Harris Hip Score (HHS) was 39 preoperatively and 81 postoperatively. Only 34 hips were excellent (27) or good (7). Mid-thigh pain occurred in 30 cases. 10 femoral components were radiographically loose because of osteolysis. Although 7 cups seemed to be radiographically loose, they probably played only a minor role in the poor overall early clinical results.