This study investigated the perceived risks and complications associated wi
th total hip arthroplasty for Pager's disease. A total of 98 Charnley low-f
riction arthroplasties were performed on 76 patients, 27 men (37 hips) and
49 women (61 hips), whose average age was 67.4 years (range, 51-79 years).
Intraoperative blood loss averaged 388 mt (range, 110-1,730 mL), and minor
heterotopic ossification occurred in 24 hips (25%) with significant changes
in 4 hips (4%). Alter average follow-up of 10.4 years (range 5.5-20 years)
, 10 acetabular (10%) and 8 femoral (8%) implants had loosened aseptically,
but there was no evidence of progressive protrusio acetabuli or femoral de
formity after operation. Survivorship to revision was 98% at 10 years (95%
confidence interval [CI]. 95%-100%) and 91% at 15 years (95% CI, 80%-100%)
for the acetabular component and 93% (95% CI, 87%-99%) and 89% (95% CI, 80%
-99%) for the femur. The only increased risk identified was nonunion of the
trochanteric osteotomy (13%).