Table 3.
Study | Number of hips | Single- or multiple- surgeon series | Varying experience | Consecutive series | Age (years)* | Followup (years)* | Number of hips lost to followup | Number of stems revised for loosening/other | Stem survival (%) to end point of revision for: | Radiographic loosening (cement-bone) | Radiographic distal osteolysis | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Aseptic loosening | Any reason | Time (years) | |||||||||||
Patients < 55 years | |||||||||||||
Burston et al. [3] | 58 | Multiple | Yes | Yes | < 50 | 12.5 (10–17) | 0 | 0 | 100 | NR | 12 | 0 | NRS |
Lewthwaite et al. [21]† | 130 | Multiple | Yes | No | 42 (≤ 50) | 12.5 (10–17) | 0 | 0/1 | 100 | 99 | 17 | 0 | 0 |
Simon et al. [32] | 42‡ | Single | Yes | 25 (17–34) | 9.7 (5–17) | 2 | 0/0 | 100 | 100 | 10 | 0 | 0 | |
de Kam et al. [6] | 104 | Two | No | Yes | 31 (16–39) | 6.2 (2–13) | 0 | 0/3 | 100 | 96 | 7 | 0 | 0 |
Current study | 197 | Multiple | Yes | Yes | 44 (16–54) | 8 (2–19) | 2 | 0/3 | 100 | 97 | 13 | 0 | 0 |
All patients | |||||||||||||
Carrington et al. [5]† | 325 | Multiple | Yes | NR | 68 (24–87) | 15.7 (15–17) | 0 | 0/1 | 100 | NR | 17 | 0 | 1/106 (distal) |
Young et al. [37] | 230 | Multiple | Yes | Yes | 69 (44–89) | 11.2 (10–13) | 1 | 0/3 | 100 | 95 | 13 | 0 | 0 |
The criteria for inclusion were prospective series involving all hip disorders, using cemented polished collarless double-taper stem designs (Exeter™, CPT®); * values are expressed as mean, with range in parentheses; †Exeter™-based studies of Exeter™ stems; ‡bilateral THAs in all cases; NR = not reported; NRS = not reported separately from acetabular results.