Information de reference pour ce titreAccession Number: | 00003086-200312000-00008.
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Author: | Roder, Christoph MD *; Parvizi, Javad MD *; Eggli, Stefan MD **; Berry, Daniel J. MD +; Muller, Maurice E. MD *; Busato, Andre PhD *
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Institution: | From the *Maurice E. Muller Research Center in Orthopaedic Surgery, University of Bern, Bern, Switzerland; **Dept. of Orthopedic Surgery, Inselspital, University of Bern, Bern, Switzerland; +Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
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Title: | |
Source: | Clinical Orthopaedics & Related Research. 417:62-73, December 2003.
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Abstract: | We report the outcome of total hip arthroplasty (THA) in a cohort of patients with complete long-term radiographic and clinical followup information from our database of more than 48,000 primary hip replacements. The purpose of the study was to evaluate the influence of various demographic factors and patient comorbidity (Charnley classification) on the long-term outcome of THA. The cohort was comprised of 25,990 total hip replacements (THRs) in 10,243 (46.6%) men and 11,754 (53.4%) women with a median age of 66 years (range, 20-96 years) at the time of arthroplasty. Our study confirmed that THA has an impressive efficiency and reliability in alleviating pain and improving function for almost all of the patients. Furthermore, the results are enduring with more than 90% of patients being satisfied with the outcome at 15 years. Clinical outcome measures reach their maximum at 2 to 5 years after arthroplasty and thereafter they decline gradually. Furthermore, patient age, gender, body mass index, and main diagnosis all have an influence on specific functional parameters. The Charnley classification has the most profound effect on the overall functional status of patients.
(C) 2003 Lippincott Williams & Wilkins, Inc.
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References: | Berry DJ, Harmsen WS, Cabanela ME, Morrey BF: Twenty-five-year survivorship of two thousand consecutive primary Charnley total hip replacements: Factors affecting survivorship of acetabular and femoral components. J Bone Joint Surg 84A:171-177, 2002.
2. Brand RA, Pedersen DR, Yoder SA: How definition of "loosening" affects the incidence of loose total hip reconstructions. Clin Orthop 210:185-191, 1986.
3. Bryant MJ, Kernohan WG, Nixon JR, Mollan RA: A statistical analysis of hip scores. J Bone Joint Surg 75B:705-709, 1993.
4. Callaghan JJ, Albright JC, Goetz DD, Olejniczak JP, Johnston RC: Charnley total hip arthroplasty with cement: Minimum twenty-five-year follow-up. J Bone Joint Surg 82A:487-497, 2000.
5. Callaghan JJ, Dysart SH, Savory CF, Hopkinson WJ: Assessing the results of hip replacement: A comparison of five different rating systems. J Bone Joint Surg 72B:1008-1009, 1990.
6. Charnley J: The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg 54B:61-76, 1972.
7. Dawson J, Jameson-Shortall E, Emerton M, et al: Issues relating to long-term follow-up in hip arthroplasty surgery: A review of 598 cases at 7 years comparing 2 prostheses using revision rates, survival analysis, and patient-based measures. J Arthroplasty 15:710-717, 2000.
8. DeLee JG, Charnley J: Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop 121:20-32, 1976.
9. Emery D, Britton A, Clarke H, Grover M: The Stanmore total hip arthroplasty: A 15- to 20-year follow-up study. J Arthroplasty 12:728-735, 1997.
10. Engh CA, Massin P, Suthers KE: Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop 257:107-128, 1990.
11. Ferguson AB, Howorth MB: Slipping of the upper femoral epiphysis. JAMA 97:1867-1872, 1931.
12. Greenfield S, Apolone G, McNeil BJ, Cleary PD: The importance of co-existent disease in the occurrence of postoperative complications and one-year recovery in patients undergoing total hip replacement: Comorbidity and outcomes after hip replacement. Med Care 31:141-154, 1993.
13. Gruen TA, McNeice GM, Amstutz HC: "Modes of failure" of cemented stem-type femoral components: A radiographic analysis of loosening. Clin Orthop 141:17-27, 1979.
14. Harris WH: Traumatic arthritis of the hip after dislocation and acetabular fractures: Treatment by mold arthroplasty. J Bone Joint Surg 51A:737-755, 1969.
15. Hodgkinson JP, Shelley P, Wroblewski BM: The correlation between the roentgenographic appearance and operative findings at the bone-cement junction of the socket in Charnley low friction arthroplasties. Clin Orthop 228:105-109, 1988.
16. Johanson NA: Outcomes Assessment. In Callaghan JJ, Rosenberg AG, Rubash HE, (eds). The Adult Hip. Philadelphia, Lippincot Raven Publishers 853-863, 1998.
17. Johnsson R, Thorngren KG: Function after total hip replacement for primary osteoarthritis. Int Orthop 13:221-225, 1989.
18. Johnston RC, Fitzgerald RH, Harris WH, et al: Clinical and radiographic evaluation of total hip replacement: A standard system of terminology for reporting results. J Bone Joint Surg 72A:161-168, 1990.
19. Jones CA, Voaklander DC, Johnston DW, Suarez-Almazor ME: Health related quality of life outcomes after total hip and knee arthroplasties in a community based population. J Rheumatol 27:1745-1752, 2000.
20. Liang MH, Cullen KE, Larson MG, et al: Cost-effectiveness of total joint arthroplasty in osteoarthritis. Arthritis Rheum 29:937-943, 1986.
21. Lingard E, Hashimoto H, Sledge C: Development of outcome research for total joint arthroplasty. J Orthop Sci 5:175-177, 2000.
22. March LM, Cross MJ, Lapsley H, et al: Outcomes after hip or knee replacement surgery for osteoarthritis: A prospective cohort study comparing patients' quality of life before and after surgery with age-related population norms. Med J Aust 171:235-238, 1999.
23. Merle d'Aubigne R, Postel M: Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg 36A:451-475, 1954.
24. Paterson D: The International Documentation and Evaluation System (IDES). Orthopedics 16:11-14, 1993.
25. Pettine KA, Aamlid BC, Cabanela ME: Elective total hip arthroplasty in patients older than 80 years of age. Clin Orthop 266:127-132, 1991.
26. Wiklund I, Romanus B: A comparison of quality of life before and after arthroplasty in patients who had arthrosis of the hip joint. J Bone Joint Surg 73A:765-769, 1991.
27. Wroblewski BM, Fleming PA, Siney PD: Charnley low-frictional torque arthroplasty of the hip: 20-to-30 year results. J Bone Joint Surg 81B:427-430, 1999.
28. Wroblewski BM, Siney PD: Charnley low-friction arthroplasty of the hip: Long-term results. Clin Orthop 292:191-201, 1993.
29. Young NL, Cheah D, Waddell JP, Wright JG: Patient characteristics that affect the outcome of total hip arthroplasty: A review. Can J Surg 41:188-195, 1998.
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Language: | English.
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Document Type: | SECTION I SYMPOSIUM: Papers Presented at the Hip Society Meeting 2003:.
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Journal Subset: | Clinical Medicine.
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ISSN: | 0009-921X
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NLM Journal Code: | 0075674, dfy
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DOI Number: | https://dx.doi.org/10.1097/01.bl...- ouverture dans une nouvelle fenêtre
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