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December 1971

Total Hip ReplacementFirst Year's Experience

Author Affiliations

Iowa City; Des Moines, Iowa
From the Department of Orthopaedic Surgery, University of Iowa, Iowa City (Dr. Stauffer), and Iowa Methodist Hospital, Des Moines (Dr. Johnston).

Arch Surg. 1971;103(6):668-671. doi:10.1001/archsurg.1971.01350120028004

Developed techniques of total prosthetic replacement of diseased hip joints have led to a study of 92 patients (110 hips) who underwent total hip replacement of the Charnley type during the one-year period from October 1969 to October 1970. The majority of patients were over 60 years of age and degenerative joint disease was the largest diagnostic category. The major complications encountered were dislocation of prosthetic components (seven patients) and thromboembolic disease (three patients). No harmful effects from the use of polymethylacrylate to cement the prostheses into bone have yet been recognized. Study of the prosthetic components, technique of this procedure, and method of treatment has initiated several potentially serious questions which can only be answered by continued, long-term study.