Cemented Polished Tapered Stems in Patients Less Than 50 Years of Age: A Minimum 10-year Follow-Up

Burston, Ben J.; Yates, Piers J.; Hook, Samantha; Moulder, Elizabeth; Whitley, Elise; Bannister, Gordon C.

doi:10.1016/j.arth.2009.05.010

« Previous Next »The Journal of Arthroplasty
Volume 25, Issue 5 , Pages 692-699, August 2010

Cemented Polished Tapered Stems in Patients Less Than 50 Years of Age: A Minimum 10-year Follow-Up

Ben J. Burston, BSc(Hons), MBChB(Hons), MRCS
- Avon Orthopaedic Centre, Southmead Hospital, Bristol
Piers J. Yates, BSc(Hons), MBBS(Hons), MRCS, FRCS(Tr & Orth)
- Fremantle Hospital, Department of Orthopaedics, Level 6, Block B, Alma Street, Fremantle, Western Australia, Australia
- Reprint requests: Piers J. Yates, BSc(Hons), MBBS(Hons), MRCS, FRCS(Tr & Orth), Fremantle Hospital, Department of Orthopaedics, Level 6, Block B, Alma Street, Fremantle, Western Australia 6160, Australia.
Samantha Hook, MBChB, MRCS
- Queen Alexandra Hospital, Cosham, Portsmouth
Elizabeth Moulder, MBChB, MRCS
- York District Hospital, Wigginton Road, York
Elise Whitley, BSc(Hons), MSc, PhD
- Avon Orthopaedic Centre, Southmead Hospital, Bristol
Gordon C. Bannister, MD, MCh Orth, FRCS, FRCS Ed(Orth)
- Avon Orthopaedic Centre, Southmead Hospital, Bristol

Received 19 October 2008; accepted 8 May 2009. published online 06 July 2009.

Abstract

We report the outcome of 58 consecutive polished tapered stems in 47 patients younger than 50 years, with a minimum of 10 years of follow-up. No stems were revised for aseptic loosening or osteolysis. The Harris hip scores were good or excellent in 76% of the patients. There was excellent preservation of proximal bone.

Despite higher patient weight and frequent previous surgery, the outcome of polished tapered stems in patients younger than 50 years is comparable to the general population undergoing total hip arthroplasty and superior to other non–polished tapered stem designs in young patients. Cup wear and cup failure were significantly worse in this group, with a higher incidence of periarticular osteolysis. Polished tapered stem designs are the benchmark for comparison to other arthroplasty options in young patients.

Keywords: total hip arthroplasty, polished tapered stems, cemented femoral component, young patients