Results with the M. E. Muller cemented, straight-stem total hip prosthesis- A 10-year historical cohort study in 180 women

In 1986. 242 M. E. Muller (MEM) cemented, straight-stem total hip arthropla sty prostheses were implanted in 229 patients: 15 hips (13 patients) were l ost to follow-up. Of the remaining 227 implants. 180 were placed in women, and 47 were placed in men (each with mean age. 71 +/- 7.7 years). After 10 years. 66 patients had died, and 152 implants were still in situ. As a resu lt of aseptic loosening, 9 hips were revised (5 femoral and 4 acetabular co mponents): two of these patients had a Girdlestone as a result of postopera tive infection. Because 50% of the men died during follow-up, further analy sis was performed with the 180 implants in women. The incidence of revision for aseptic loosening was 5.9 per 1,000 implants. The cumulative survival rate after 10 years was 94%. Survival was nor influenced significantly by a ge, indication for operation, or having a contralateral hip prosthesis. The 10-year follow-up results for the MEM straight-stern total hip prosthesis in our hospital are satisfactory despite the probability that the cement ma ntle produced with this stem is not uniform in thickness.