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Outcome of Charnley total hip replacement across a single health region in England: The results at ten years from a regional arthroplasty register

Lookup NU author(s): Dr Meng Khaw, Professor Paul Gregg


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Using the Trent regional arthroplasty register, we analysed the survival at ten years of 1198 consecutive Charnley total hip replacements carried out across a single health region of the United Kingdom in 1990. At ten years, information regarding outcome was available for 1001 hips (83.6%). The crude revision rate was 6.2% (62 of 1001) and the cumulative survival rate with revision of the components as an end-point was 93.1%. At five years, a review of this series of patients identified gross radiological failure in 25 total hip replacements which had previously been unrecognised. At ten years the outcome was known for 18 of these 25 patients (72%), of whom 13 had not undergone revision. This is the first study to assess the survival at ten years for the primary Charnley total hip replacement performed in a broad cross-section of hospitals in the United Kingdom, as opposed to specialist centres. Our results highlight the importance of the arthroplasty register in identifying the long-term outcome of hip prostheses. © 2006 British Editorial Society of Bone and Joint Surgery.

Publication metadata

Author(s): Allami MK, Fender D, Khaw FM, Sandher DR, Esler C, Harper WM, Gregg PJ

Publication type: Review

Publication status: Published

Journal: Journal of Bone and Joint Surgery - Series B

Year: 2006

Volume: 88

Issue: 10

Pages: 1293-1298

ISSN (print): 0301-620X

ISSN (electronic):


DOI: 10.1302/0301-620X.88B10.17933

PubMed id: 17012416