First series of Exeter small stem primary total hip arthroplasty minimum 5 years of follow-up.

J Arthroplasty

Division of Joint Replacement, Department of Orthopedic Surgery, University Malaya Medical Center, Kuala Lumpur 50603, Malaysia.

Published: December 2009

AI Article Synopsis

  • A study evaluated 47 Exeter small stem total hip arthroplasties in 42 patients, averaging 58 years old, with an average follow-up of 8.5 years.
  • The Oxford hip score improved significantly, going from a preoperative average of 47 to 17, with over 87% of patients achieving good or excellent Harris hip scores and 90% walking with little to no pain.
  • While 26% of cases showed stem subsidence, there was no aseptic loosening or implant failure, leading to a 95.7% survival rate at 10 years and confirming the effectiveness of Exeter small stem implants.

Article Abstract

We carried out a prospective study of 47 Exeter (Stryker Inc, Warsaw, Ind) small stem total hip arthroplasty in 42 patients with an average age of 58 years and a mean follow-up of 8.5 years. The Oxford hip score improved from a preoperative mean of 47 to 17 at last follow-up. More than 87% patients had excellent or good Harris hip scores, and 90% were able to walk with little or no pain. Stem subsidence within the cement mantle was observed in 26% of cases, and none showed evidence of aseptic loosening or implant failure. Two stems were removed due to infection. The survival rate of this implant was 95.7% at 10 years. This first series of Exeter small stem showed excellent medium-term results, comparable to its larger counterparts.

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http://dx.doi.org/10.1016/j.arth.2009.07.001DOI Listing

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