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- Talk
- 23/09/2021
- UK
Cemented Charnley Total Hip Arthroplasty For Osteoarthritis Secondary To Developmental Dysplasia Of The Hip: 3-37 Years Follow Up Study
Description
The presentation is by Samarth Arya, discussing a long-term study on cemented Charnley Total Hip Arthroplasty (THA) for osteoarthritis resulting from developmental dysplasia of the hip. The research, which spans 3 to 37 years of follow-up, aims to evaluate the clinical outcomes between bone graft and non-bone graft groups, examining early and late complications as well as survival rates free of revision surgery.
A total of 142 hips operated on by a single surgeon between 1983 and 1988 were analyzed. The study finds that early and late complications were more prevalent in the non-bone graft group, although none required revision surgery. The findings suggest a loosening of the acetabular cup is the most common cause for revision in both groups, emphasizing that such complications still necessitate consideration in surgical planning.
Despite observing no significant statistical differences in outcomes between the bone graft and non-bone graft groups—69% survival at 20 years for bone grafts versus 77% for non-bone grafts—the study highlights the importance of gender and age as factors influencing revision rates. Limitations such as the lack of preoperative X-rays and PROM scores are noted.
Arya concludes the presentation by underscoring that while the outcomes show equivalent success rates between the two approaches over time, advances in technology might improve future clinical results.