EXETER-OGEE TOTAL HIP REPLACEMENT USING THE HARDINGE APPROACH; THE TEN TO TWLEVE YEAR RESULTS

D Morgan; G Myers; K O’Dwyer

doi:10.1302/0301-620X.91BSUPP_III.0910404a

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EXETER-OGEE TOTAL HIP REPLACEMENT USING THE HARDINGE APPROACH; THE TEN TO TWLEVE YEAR RESULTS

D Morgan
G Myers
K O’Dwyer

EXETER-OGEE TOTAL HIP REPLACEMENT USING THE HARDINGE APPROACH; THE TEN TO TWLEVE YEAR RESULTS

Morgan D, Myers G, O’Dwyer K. EXETER-OGEE TOTAL HIP REPLACEMENT USING THE HARDINGE APPROACH; THE TEN TO TWLEVE YEAR RESULTS. Orthop Procs. 2009;91-B(SUPP_III):404-404. doi:10.1302/0301-620X.91BSUPP_III.0910404a

Morgan, D, et al. “EXETER-OGEE TOTAL HIP REPLACEMENT USING THE HARDINGE APPROACH; THE TEN TO TWLEVE YEAR RESULTS.” Orthopaedic Proceedings, vol. 91-B, no. SUPP_III, 2009, pp. 404-404., https://doi.org/10.1302/0301-620X.91BSUPP_III.0910404a

Morgan, D., Myers, G., & O’Dwyer, K. (2009). EXETER-OGEE TOTAL HIP REPLACEMENT USING THE HARDINGE APPROACH; THE TEN TO TWLEVE YEAR RESULTS. Orthopaedic Proceedings, 91-B(SUPP_III), 404-404. https://doi.org/10.1302/0301-620X.91BSUPP_III.0910404a

Morgan, D., Myers, G. and O’Dwyer, K. (2009) “EXETER-OGEE TOTAL HIP REPLACEMENT USING THE HARDINGE APPROACH; THE TEN TO TWLEVE YEAR RESULTS.” Orthopaedic Proceedings, 91-B(SUPP_III), pp. 404-404. Available at: https://doi.org/10.1302/0301-620X.91BSUPP_III.0910404a

Morgan, D, G Myers, and K O’Dwyer. “EXETER-OGEE TOTAL HIP REPLACEMENT USING THE HARDINGE APPROACH; THE TEN TO TWLEVE YEAR RESULTS.” Orthopaedic Proceedings 91-B, no. SUPP_III (2009): 404-404. https://doi.org/10.1302/0301-620X.91BSUPP_III.0910404a

Morgan D, Myers G, O’Dwyer K. EXETER-OGEE TOTAL HIP REPLACEMENT USING THE HARDINGE APPROACH; THE TEN TO TWLEVE YEAR RESULTS. Orthop Procs. 2009 Sep 1;91-B(SUPP_III):404-404. https://doi.org/10.1302/0301-620X.91BSUPP_III.0910404a

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Abstract

The Exeter Universal Stem has limited published data with greater than 10 year results, this is from specialist orthopaedic centres using predominantly posterior approach. Our aim was to establish whether the published results could be reproduced in a District General Hospital (DGH) using a Hardinge approach.

We reviewed 131 consecutive primary THRs implanted into 127 patients between 1995 and 1997 (minimum10 year follow up). Surgery was performed through a Hardinge approach using the Exeter universal stem with the Ogee Elite acetabular component.

Outcome was assessed by patient review, completing an Oxford Hip Score (OHS) and reviewing the hospital records. Deceased patients’ hospital records were reviewed and their GP questioned.

5 of 131 hips required revision: 3 for infection at 4–7 years following implantation and 2 for aseptic loosening (one acetabulum only, one both components). There have been no cases of dislocation or sciatic nerve palsy. Kaplan-Meir survival analysis demonstrates ten year survival as follows: 95.3% survival with revision for any cause as the end point; 98.9% with revision for aseptic loosening of the stem as the endpoint, 98.1% with revision for aseptic loosening of the acetabular component as the endpoint, 97.2% with revision for infection as the endpoint.

The mean OHS was 22.7 (median =20, interquartile range 15–26).

This is the first series to report on the 10 year results with the Exeter Universal stem used exclusively in conjunction with the Ogee Elite acetabular component. It is also the first series to report the 10 year results using only the Hardinge approach. Our findings are the first to show that the Exeter universal stem in combination with the Ogee Elite acetabular component can be inserted through a Hardinge approach in a DGH setting with results comparable to surgery performed in a specialist unit and through a posterior approach.

Correspondence should be addressed to Mr Peter Howard, Editorial Secretary, BHS, c/o BOA, The Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE, England.