Gm. Fox et al., HIP-REPLACEMENT WITH A THREADED ACETABULAR CUP - A FOLLOW-UP-STUDY, Journal of bone and joint surgery. American volume, 76A(2), 1994, pp. 195-201
A study was begun in 1983 to determine the efficacy of a threaded acet
abular cup. Fifty-five patients who had a total of sixty-eight threade
d titanium cups had a complete clinical and radiographic evaluation ye
arly. Fifty-two of the arthroplasties had been primary and sixteen, re
visions. The average duration of follow-up was six years (range, five
to nine years). Seventeen cups had to be revised at an average of sixt
y-two months (range, twenty-seven to 108 months) after the index opera
tion. Nine additional cups were loose and revision was pending at the
most recent follow-up examination. Failure was defined as revision or
pending revision. Thus, twenty-six (38 per cent) of the sixty-eight cu
ps failed. Sixteen (31 per cent) of the fifty-two primary arthroplasti
es failed and ten of the sixteen revision arthroplasties failed. Radio
graphic changes that were evident in patients who had a failed cup con
sisted of superomedial migration of the cup with osteolysis in Zone 3,
as classified by DeLee and Charnley. These radiographic changes prece
ded symptoms in most patients. Because of the high rate of failure of
this acetabular component at six years, we believe that its use is not
warranted.