Fifteen-Year to Twenty-Year Results of Cementless Harris-Galante Porous Femoral and Harris-Galante Porous I and II Acetabular Components

Anseth, Scott D.; Pulido, Pamela A.; Adelson, Wendy S.; Patil, Shantanu; Sandwell, Julie C.; Colwell, Clifford W.

doi:10.1016/j.arth.2009.05.033

« Previous Next »The Journal of Arthroplasty
Volume 25, Issue 5 , Pages 687-691, August 2010

Fifteen-Year to Twenty-Year Results of Cementless Harris-Galante Porous Femoral and Harris-Galante Porous I and II Acetabular Components

Scott D. Anseth, MD
- Twin Cities Orthopaedics, Minneapolis, Minnesota
Pamela A. Pulido, BSN
- Shiley Center for Orthopaedic Research and Education at Scripps Clinic, Scripps Research Services, La Jolla, California
Wendy S. Adelson, MS
- Shiley Center for Orthopaedic Research and Education at Scripps Clinic, Scripps Research Services, La Jolla, California
Shantanu Patil, MD
- Shiley Center for Orthopaedic Research and Education at Scripps Clinic, Scripps Research Services, La Jolla, California
Julie C. Sandwell, MPH(c)
- Shiley Center for Orthopaedic Research and Education at Scripps Clinic, Scripps Research Services, La Jolla, California
Clifford W. Colwell Jr, MD
- Shiley Center for Orthopaedic Research and Education at Scripps Clinic, Scripps Research Services, La Jolla, California
- Reprint requests: Clifford W. Colwell, Jr, MD, Shiley Center for Orthopaedic Research and Education at Scripps Clinic, 11025 North Torrey Pines Road, Suite 140, La Jolla, CA 92037.

Received 2 November 2008; accepted 24 May 2009. published online 30 July 2009.

Abstract

This study examined long-term survivorship of primary total hip arthroplasty (THA) using cementless Harris-Galante porous femoral and Harris-Galante porous I or II acetabular components. Of 113 hips (101 patients) studied, 60 hips (53 patients) were available for follow-up at a mean of 17.2 years after surgery. A total of 10 hips had documented revision, and 2 hips had failed radiographically. The average Harris hip score was 82. Radiographically, 12 hips demonstrated eccentric wear, 8 had osteolysis, and 1 had a broken tine. The overall survival rate was 87.7%; the mean volumetric wear rate was 74.96 mm³; and the mean polyethylene linear penetration rate was 0.153 mm/y, similar to that of well-cemented THA in other series. This long-term outcome for an early-generation cementless THA is promising and provides a standard by which to judge the newer generation of cementless implants.

Keywords: cementless total hip arthroplasty, revision, femoral head penetration, polyethylene wear, survival