A 5-Year Follow-Up Study

Mariano Fernández-Fairen, MD, PhD, Antonio Murcia, MD, PhD, Agustin Blanco, MD, PhD,z Antonio Meroño, MD, Antonio Murcia Jr, MD, and Jorge Ballester, MD, PhD

The Journal of Arthroplasty Vol. 25 No. 6 2010

Abstract: We reviewed 263 consecutive patients with failed acetabular components after total hip arthroplasty that were revised using porous tantalum acetabular components and augments when necessary. The mean follow-up was 73.6 months (range, 60-84 months). The improvement of mean Harris hip score, Western Ontario and McMaster Osteoarthritis Index, and University of California Los Angeles activity scales were statistically significant (P b .001). Subjective assessments showed that 87.3% of patients reported “improvement” and 85.9% were “very or fairly pleased” with the results.

At the most recent follow-up, all acetabular components were radiographically stable and none required rerevision for loosening. The acetabular revision was considered successful in 87% of cases. From this study, we conclude that the acetabular component used was reliable in creating a durable composite without failure for a minimum of 5 years.

• Minimal Incision Surgery as a Risk Factor for Early Failure of Total Hip Arthroplasty
• Wear and Range of Motion of Different Femoral Head Sizes
• Restoration of the Center of Rotation in Revision Total Hip Arthroplasty
• The Prevalence of Groin Pain After Metal-on-Metal THA and Total Hip Resurfacing
• Metal-on-Metal Hip Arthroplasty in Patients Thirty Years of Age or Younger
• Current Concepts Review Metal-on-Metal Total Hip Arthroplasty
• Revision of Failed Total Hip Arthroplasty Acetabular Cups to Porous Tantalum Components
• Risk of Complication and Revision THA Among Medicare Patients
• Optimal acetabular orientation for hip resurfacing

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