Research & Publications

Three-Year Prospective Clinical and Radiological Results of a New Flexible Horseshoe Acetabular Cup

We report the three-year results of a new flexible, horseshoe-shaped acetabular cup, with a carbon fibre reinforced polyetheretherketone (CFR-PEEK) bearing surface. The 3 mm thick composite cup is designed to conserve acetabular bone stock and reproduce a near-physiological stress distribution to the adjacent bone. The cup is intended to articulate...

How to Find Patients Who are 'Lost to Follow-up'

Long-term surveillance of patients is necessary to ascertain the outcome of medical interventions. The rate of 'loss to follow-up' is the largest controllable variable in long-term follow-up studies. Such surveillance programmes are of particular importance to surgical interventions as differences between techniques or implants may take years to be...

Mid-term results of the modular ANCA-Fit femoral component in total hip replacement

We report the minimum five-year follow-up of 352 primary total hip replacements using the uncemented hydroxyapatite-coated ANCA-Fit femoral component with a modular neck and head. The series comprised 319 patients (212 men, 107 women) with a mean age at operation of 64.4 years (28 to 97). The principal diagnosis was osteoarthritis. A total of 18 pa...

Clinical and radiological outcome of stemmed hip replacement after revision from metal-on-metal resurfacing

We report the outcome of total hip replacement in 29 failed metal-on-metal resurfacing hip replacements in which the primary surgery was performed between August 1995 and February 2005. The mean length of follow-up was five years (1.7 to 11.7). Of the 29 hip resurfacings, 19 acetabular components and all the femoral components were revised (28 unce...

Surface replacement of the hip

Hip resurfacing arthroplasty is a bone conserving procedure that can be advocated for patients who may outlive conventional total hip replacements. Secondary benefits include improved joint stability, ability to undertake sporting activities, ease of revision to conventional hip replacement and emotional benefit to patients who do not feel that hav...

The Metasul metal-on-metal articulation in primary total hip replacement: Clinical and radiological results at ten years

We report the clinical and radiological outcome at ten years of 104 primary total hip replacements (100 patients) using the Metasul metal-on-metal bearing. Of these, 52 had a cemented Stuehmer-Weber polyethylene acetabular component with a Metasul bearing and 52 had an uncemented Allofit acetabular component with a Metasul liner. A total of 15 pati...