The Journal of Arthroplasty
Volume 22, Issue 5 , Pages 692-696, August 2007

Cementless Hip Arthroplasty in Paget's Disease at Medium-Term Follow-Up (Average of 6.7 Years)

  • Patrick James Lusty, FRCS (Orth)

      Affiliations

    • Sydney Hip & Knee Surgeons, Sydney, NSW, Australia
    • Australian Institute of Musculo-Skeletal Research, St Leonards, NSW, Australia
    • ,
  • William L. Walter, MBBS, FRACS, FAOrthA, PhD

      Affiliations

    • Sydney Hip & Knee Surgeons, Sydney, NSW, Australia
    • Corresponding Author InformationReprint requests: William L. Walter, MBBS, FRACS, FAOrthA, PhD, Level 3, 100 Bay Road, Sydney, NSW, 2060, Australia.
    • ,
  • William K. Walter, MBBS, FRACS, FAOrthA

      Affiliations

    • Sydney Hip & Knee Surgeons, Sydney, NSW, Australia
    • ,
  • Bernard Zicat, MD, FRACS, FAOrthA

      Affiliations

    • Sydney Hip & Knee Surgeons, Sydney, NSW, Australia

Received 16 June 2006; accepted 26 September 2006.

Abstract 

We performed 33 cementless total hip arthroplasties for arthritis in 27 patients with an established diagnosis of Paget's disease on the acetabular or femoral side of the hip. There were 3 revisions. One stem for aseptic loosening at 55 months, and 2 stems after periprosthetic fractures at 9 and 70 months. Twenty-three cases were available for follow-up at an average of 6.7 years (range, 2-14 years). Harris hip score improved from 56/100 preoperatively (16-98/100) to 90/100 postoperatively (78-100/100). All surviving components were radiographically bone ingrown. Based on our findings, it appears that a cementless total hip arthroplasty can have a good outcome in Paget's disease.

Key words: hip arthroplasty, Paget's disease, cementless fixation, hydroxyapatite

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 No benefits or funds were received in support of the study.

PII: S0883-5403(06)00696-6

doi:10.1016/j.arth.2006.09.010

The Journal of Arthroplasty
Volume 22, Issue 5 , Pages 692-696, August 2007

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