Abstract
Experience with 501 cases of Charnley total hip replacement, performed over a 6 yr period, analyzed in detail for complications, presents only 1.2% failures after a minimum follow up period of 6 mth and maximum of over 5 yr. Salvage or secondary cases have had a higher incidence of superficial and deep infections, dislocation and subluxation. Routine use of topical antibiotics in spray form may be a factor in a low overall incidence of deep infection (0.8%) including no deep infections in over 400 primary cases. Trochanter removal has advantages which outweigh the frequency of delayed union and nonunion of less than 5%. Prophylaxis for thromboembolic disease, using dextran 70, has been used in more than 400 cases, under 3 different regimens, with 1 death from pulmonary embolism in over 400 cases. The overall death rate of 1.1% was due to a variety of causes which are listed, as well as 6 cases considered technical failures.
Original language | English |
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Pages (from-to) | 96-103 |
Number of pages | 8 |
Journal | Clinical Orthopaedics and Related Research |
Volume | Nr.95 |
State | Published - 1973 |
Externally published | Yes |