The Exeter Universal cemented femoral component at 15 to 17 years: AN UPDATE ON THE FIRST 325 HIPS
The first 325 Exeter Universal stems (309 patients) implanted at the originating centre were inserted between March 1988 and February 1990 by a group of surgeons with differing experience. In this report we describe the clinical and radiological results at a mean of 15.7 years (14.7 to 17.3) after o...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 2009-06, Vol.91 (6), p.730-737 |
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| container_title | Journal of bone and joint surgery. British volume |
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| creator | CARRINGTON, N. C SIERRA, R. J GIE, G. A HUBBLE, M. J. W TIMPERLEY, A. J HOWELL, J. R |
| description | The first 325 Exeter Universal stems (309 patients) implanted at the originating centre were inserted between March 1988 and February 1990 by a group of surgeons with differing experience. In this report we describe the clinical and radiological results at a mean of 15.7 years (14.7 to 17.3) after operation with no loss to follow-up. There were 97 patients (108 hips) with replacements still in situ and 31 (31 hips) who had undergone a further procedure. With an endpoint of revision for aseptic loosening, the survivorship at 17 years was 100% and 90.4% for the femoral and acetabular component, respectively. The mean Merle D'Aubigné and Postel scores at review were 5.4 (SD 0.97) for pain and 4.5 (SD 1.72) for function. The mean Oxford score was 38.4 (SD 9.8) (0 to 48 worst-to-best scale) and the mean combined Harris pain and function score was 73.2 (SD 16.9). Radiological review showed excellent preservation of bone stock in the proximal femur and no failures of the femoral component. |
| doi_str_mv | 10.1302/0301-620X.91B6.21627 |
| format | Article |
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C ; SIERRA, R. J ; GIE, G. A ; HUBBLE, M. J. W ; TIMPERLEY, A. J ; HOWELL, J. R</creator><creatorcontrib>CARRINGTON, N. C ; SIERRA, R. J ; GIE, G. A ; HUBBLE, M. J. W ; TIMPERLEY, A. J ; HOWELL, J. R</creatorcontrib><description>The first 325 Exeter Universal stems (309 patients) implanted at the originating centre were inserted between March 1988 and February 1990 by a group of surgeons with differing experience. In this report we describe the clinical and radiological results at a mean of 15.7 years (14.7 to 17.3) after operation with no loss to follow-up. There were 97 patients (108 hips) with replacements still in situ and 31 (31 hips) who had undergone a further procedure. With an endpoint of revision for aseptic loosening, the survivorship at 17 years was 100% and 90.4% for the femoral and acetabular component, respectively. The mean Merle D'Aubigné and Postel scores at review were 5.4 (SD 0.97) for pain and 4.5 (SD 1.72) for function. The mean Oxford score was 38.4 (SD 9.8) (0 to 48 worst-to-best scale) and the mean combined Harris pain and function score was 73.2 (SD 16.9). Radiological review showed excellent preservation of bone stock in the proximal femur and no failures of the femoral component.</description><edition>British volume</edition><identifier>ISSN: 0301-620X</identifier><identifier>ISSN: 2049-4394</identifier><identifier>EISSN: 2044-5377</identifier><identifier>EISSN: 2049-4408</identifier><identifier>DOI: 10.1302/0301-620X.91B6.21627</identifier><identifier>PMID: 19483224</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - methods ; Biological and medical sciences ; Cementation - methods ; Diseases of the osteoarticular system ; Equipment Failure Analysis ; Female ; Follow-Up Studies ; Hip Joint - diagnostic imaging ; Hip Joint - surgery ; Hip Prosthesis - standards ; Humans ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Pain Measurement ; Prosthesis-Related Infections - diagnostic imaging ; Prosthesis-Related Infections - surgery ; Radiography ; Surgery (general aspects). 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With an endpoint of revision for aseptic loosening, the survivorship at 17 years was 100% and 90.4% for the femoral and acetabular component, respectively. The mean Merle D'Aubigné and Postel scores at review were 5.4 (SD 0.97) for pain and 4.5 (SD 1.72) for function. The mean Oxford score was 38.4 (SD 9.8) (0 to 48 worst-to-best scale) and the mean combined Harris pain and function score was 73.2 (SD 16.9). Radiological review showed excellent preservation of bone stock in the proximal femur and no failures of the femoral component.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Biological and medical sciences</subject><subject>Cementation - methods</subject><subject>Diseases of the osteoarticular system</subject><subject>Equipment Failure Analysis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - surgery</subject><subject>Hip Prosthesis - standards</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Pain Measurement</subject><subject>Prosthesis-Related Infections - diagnostic imaging</subject><subject>Prosthesis-Related Infections - surgery</subject><subject>Radiography</subject><subject>Surgery (general aspects). 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R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Exeter Universal cemented femoral component at 15 to 17 years: AN UPDATE ON THE FIRST 325 HIPS</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>91</volume><issue>6</issue><spage>730</spage><epage>737</epage><pages>730-737</pages><issn>0301-620X</issn><issn>2049-4394</issn><eissn>2044-5377</eissn><eissn>2049-4408</eissn><coden>JBSUAK</coden><abstract>The first 325 Exeter Universal stems (309 patients) implanted at the originating centre were inserted between March 1988 and February 1990 by a group of surgeons with differing experience. In this report we describe the clinical and radiological results at a mean of 15.7 years (14.7 to 17.3) after operation with no loss to follow-up. 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| subjects | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip - methods Biological and medical sciences Cementation - methods Diseases of the osteoarticular system Equipment Failure Analysis Female Follow-Up Studies Hip Joint - diagnostic imaging Hip Joint - surgery Hip Prosthesis - standards Humans Male Medical sciences Middle Aged Orthopedic surgery Pain Measurement Prosthesis-Related Infections - diagnostic imaging Prosthesis-Related Infections - surgery Radiography Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Time Factors Treatment Outcome Young Adult |
| title | The Exeter Universal cemented femoral component at 15 to 17 years: AN UPDATE ON THE FIRST 325 HIPS |
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