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THE THRUST PLATE – A CONSERVATIVE METAL-ON-METAL TOTAL HIP REPLACEMENT?



Abstract

We have performed 466 metal-on-metal total hip replacements (THR) in our hospital, since November 1993. Forty-seven of these have been the TPP (Thrust plate prosthesis - Sulzer Medica). We present here the results of our experience with this prosthesis when used for the “younger” patient. Forty-two patients received 47 THRs The age was 40 years (range: 21 – 53 years) There were 25 female patients.

At the latest review: one patient (with two THRs) had died from a pulmonary embolus one patient had a revision for an aseptic loosening (one hip) one patient was lost to follow-up (one hip). The remainder were satisfactory although two hips had subsided into a varus position. The early results were satisfactory in this high-demand group of patients.

The abstracts were prepared by Professor A. J. Thurston. Correspondence should be addressed to him at the Department of Surgery, Wellington School of Medicine, PO Box 7343, Wellington South, New Zealand