Thirty-Year Results of a Prospective Study of Charnley Total Hip Arthroplasty by the Posterior Approach

Mark M. Mullins, William Norbury, John K. Dowell, Mike Heywood-Waddington

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

We present the results of 228 consecutive Charnley low friction hip arthroplasties, performed in 193 patients, between July 1972 and December 1976. Unusually for this time, all hips were inserted by the posterior approach without a trochanteric osteotomy. All patients were enrolled into a prospective study; both preoperative and postoperative clinical and radiologic findings were recorded. This series was independently reviewed in 1985 (Atrah SGK. Long-term follow-up of Charnley total hip replacement through posterior approach. MSc thesis, University of London, 1987) and again in 2002. The preoperative and perioperative findings were similar to contemporary series. Implant positioning was also assessed. Because of our stable population, only 2 patients were lost to follow-up. Our survivorship results show a 10-year survival of 93% deteriorating to a 30-year survival of 73% (±6.1). The survivors were assessed radiologically and scored clinically using the Merle d'Aubigné-Postel score with a mean value of 12. The reason for revision was also recorded. These results are comparable to other studies and justify the use of the posterior approach.

Original languageEnglish (US)
Pages (from-to)833-839
Number of pages7
JournalJournal of Arthroplasty
Volume22
Issue number6
DOIs
StatePublished - Sep 1 2007
Externally publishedYes

Fingerprint

Arthroplasty
Hip
Prospective Studies
Survival
Hip Replacement Arthroplasties
Friction
Lost to Follow-Up
Population Dynamics
Osteotomy
Survivors
Survival Rate

Keywords

  • Charnley prosthesis
  • posterior approach
  • total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Thirty-Year Results of a Prospective Study of Charnley Total Hip Arthroplasty by the Posterior Approach. / Mullins, Mark M.; Norbury, William; Dowell, John K.; Heywood-Waddington, Mike.

In: Journal of Arthroplasty, Vol. 22, No. 6, 01.09.2007, p. 833-839.

Research output: Contribution to journalArticle

Mullins, Mark M. ; Norbury, William ; Dowell, John K. ; Heywood-Waddington, Mike. / Thirty-Year Results of a Prospective Study of Charnley Total Hip Arthroplasty by the Posterior Approach. In: Journal of Arthroplasty. 2007 ; Vol. 22, No. 6. pp. 833-839.
@article{b166ecd8aef74877bc8606af9d02468d,
title = "Thirty-Year Results of a Prospective Study of Charnley Total Hip Arthroplasty by the Posterior Approach",
abstract = "We present the results of 228 consecutive Charnley low friction hip arthroplasties, performed in 193 patients, between July 1972 and December 1976. Unusually for this time, all hips were inserted by the posterior approach without a trochanteric osteotomy. All patients were enrolled into a prospective study; both preoperative and postoperative clinical and radiologic findings were recorded. This series was independently reviewed in 1985 (Atrah SGK. Long-term follow-up of Charnley total hip replacement through posterior approach. MSc thesis, University of London, 1987) and again in 2002. The preoperative and perioperative findings were similar to contemporary series. Implant positioning was also assessed. Because of our stable population, only 2 patients were lost to follow-up. Our survivorship results show a 10-year survival of 93{\%} deteriorating to a 30-year survival of 73{\%} (±6.1). The survivors were assessed radiologically and scored clinically using the Merle d'Aubign{\'e}-Postel score with a mean value of 12. The reason for revision was also recorded. These results are comparable to other studies and justify the use of the posterior approach.",
keywords = "Charnley prosthesis, posterior approach, total hip arthroplasty",
author = "Mullins, {Mark M.} and William Norbury and Dowell, {John K.} and Mike Heywood-Waddington",
year = "2007",
month = "9",
day = "1",
doi = "10.1016/j.arth.2006.10.003",
language = "English (US)",
volume = "22",
pages = "833--839",
journal = "Journal of Arthroplasty",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "6",

}

TY - JOUR

T1 - Thirty-Year Results of a Prospective Study of Charnley Total Hip Arthroplasty by the Posterior Approach

AU - Mullins, Mark M.

AU - Norbury, William

AU - Dowell, John K.

AU - Heywood-Waddington, Mike

PY - 2007/9/1

Y1 - 2007/9/1

N2 - We present the results of 228 consecutive Charnley low friction hip arthroplasties, performed in 193 patients, between July 1972 and December 1976. Unusually for this time, all hips were inserted by the posterior approach without a trochanteric osteotomy. All patients were enrolled into a prospective study; both preoperative and postoperative clinical and radiologic findings were recorded. This series was independently reviewed in 1985 (Atrah SGK. Long-term follow-up of Charnley total hip replacement through posterior approach. MSc thesis, University of London, 1987) and again in 2002. The preoperative and perioperative findings were similar to contemporary series. Implant positioning was also assessed. Because of our stable population, only 2 patients were lost to follow-up. Our survivorship results show a 10-year survival of 93% deteriorating to a 30-year survival of 73% (±6.1). The survivors were assessed radiologically and scored clinically using the Merle d'Aubigné-Postel score with a mean value of 12. The reason for revision was also recorded. These results are comparable to other studies and justify the use of the posterior approach.

AB - We present the results of 228 consecutive Charnley low friction hip arthroplasties, performed in 193 patients, between July 1972 and December 1976. Unusually for this time, all hips were inserted by the posterior approach without a trochanteric osteotomy. All patients were enrolled into a prospective study; both preoperative and postoperative clinical and radiologic findings were recorded. This series was independently reviewed in 1985 (Atrah SGK. Long-term follow-up of Charnley total hip replacement through posterior approach. MSc thesis, University of London, 1987) and again in 2002. The preoperative and perioperative findings were similar to contemporary series. Implant positioning was also assessed. Because of our stable population, only 2 patients were lost to follow-up. Our survivorship results show a 10-year survival of 93% deteriorating to a 30-year survival of 73% (±6.1). The survivors were assessed radiologically and scored clinically using the Merle d'Aubigné-Postel score with a mean value of 12. The reason for revision was also recorded. These results are comparable to other studies and justify the use of the posterior approach.

KW - Charnley prosthesis

KW - posterior approach

KW - total hip arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=34548429095&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34548429095&partnerID=8YFLogxK

U2 - 10.1016/j.arth.2006.10.003

DO - 10.1016/j.arth.2006.10.003

M3 - Article

C2 - 17826273

AN - SCOPUS:34548429095

VL - 22

SP - 833

EP - 839

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

SN - 0883-5403

IS - 6

ER -