CBM 94-5 Total Hip Replacement January 1991 through April 1994 1095 Citations Prepared by Cynthia B. Love, M.L.S., National Library of Medicine Stephen L. Gordon, Ph.D., National Institute of Arthritis and Musculoskeletal and Skin Diseases U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service National Institutes of Health National Library of Medicine Reference Section 8600 Rockville Pike Bethesda, Maryland 20894 1994 National Library of Medicine Cataloging in Publication Love, Cynthia B. Total hip replacement : January 1991 through April 1994 : 1095 citations / prepared by Cynthia B. Love, Stephen L. Gordon. -- Bethesda, Md. (8600 Rockville Pike, Bethesda 20894) : U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, National Library of Medicine, Reference Section; Pittsburgh, PA : Sold by the Supt. of Docs., U.S. G.P.O., 1994. -- (Current bibliographies in medicine ; 94-5) Available from NLM at no cost through Internet FTP. 1. Hip Prosthesis - bibliography 2. Hip - surgery - bibliography I. Gordon, Stephen L. II. National Library of Medicine (U.S.). Reference Section III. Title IV. Series 02NLM: ZW 1 N272 no.94-5 SERIES NOTE Current Bibliographies in Medicine (CBM) is a continuation in part of the National Library of Medicine's Literature Search Series, which ceased in 1987 with No. 87-15. In 1989 it also subsumed the Specialized Bibliography Series. Each bibliography in the new series covers a distinct subject area of biomedicine and is intended to fulfill a current awareness function. Citations are usually derived from searching a variety of online databases. NLM databases utilized include MEDLINE, AVLINE, BIOETHICSLINE, CANCERLIT, CATLINE, HEALTH, POPLINE and TOXLINE. The only criterion for the inclusion of a particular published work is its relevance to the topic being presented; the format, ownership, or location of the material is not considered. Comments and suggestions on this series may be addressed to: Karen Patrias, Editor Current Bibliographies in Medicine Reference Section National Library of Medicine Bethesda, MD 20894 Phone: 301-496-6097 Fax: 301-402-1384 Internet: patrias@nlm.nih.gov Ordering Information: Current Bibliographies in Medicine is sold by the Superintendent of Documents, U.S. Government Printing Office, P.O. 371954, Pittsburgh, PA 15250-7954. To order the entire CBM series for calendar year 1994 (approximately 10 bibliographies), send $60.00 ($75.00 foreign) to the Superintendent of Documents citing GPO List ID: CBM94. For your convenience an order blank is given inside the back cover. Orders for individual bibliographies in the series ($8.50, $10.63 foreign) should be sent to the Superintendent of Documents citing the title, CBM number, and the GPO List ID given above. Internet Access: The Current Bibliographies in Medicine series is also available at no cost to anyone with Internet access through FTP (File Transfer Protocol). FTP to nlmpubs.nlm.nih.gov and login as anonymous. The index file in the "bibs" directory provides information on the bibliographies available. Use of funds for printing this periodical has been approved by the Director of the Office of Management and Budget through September 30, 1994. TOTAL HIP REPLACEMENT More than 800,000 artificial hip joints have been implanted in Americans. The successful replacement of deteriorated and severely injured hips has permitted continued mobility and independent living for many people who would otherwise be disabled. New technology for prosthetic devices for the hip and improved surgical techniques have decreased the risk and improved the immediate outcome of hip replacement surgery. These advances have improved the long-term success of the artificial hip as well. Questions remain, however, concerning which materials and prosthetic designs work best for specific groups of patients; which surgical techniques yield the best long-term outcomes; which approaches are best for replacement (revision) surgery; how to select patients for these procedures; and how to improve the useful lifetime of an artificial hip. This bibliography was prepared in support of the National Institutes of Health Consensus Development Conference on Total Hip Replacement held September 12-14, 1994 in Bethesda, Maryland. The Conference addressed the following key questions: 1. What are the current indications for total hip replacement? 2. What are the design and surgical considerations relating to a replacement prosthesis? 3. What are the responses of the biological environment? 4. What are the expected outcomes? 5. What are the accepted approaches and outcomes for revision of a total hip replacement? 6. What are the most productive directions for future research? The bibliography lists selected journal article citations from NLM's MEDLINE database from January 1991 through April 1994. It has been limited to human studies published in English, with the exception of animal studies and foreign language articles written by Conference speakers. In general, letters, case reports, and editorials have been omitted; however, letters and editorials that are comments on a journal article are included. The bibliography is arranged in 17 subject categories; citations are listed in only one category. Within each category, arrangement is alphabetical by author. SEARCH STRATEGY A variety of online databases are usually searched in preparing bibliographies in the CBM series. To assist you in updating or otherwise manipulating the material in this search, the strategy used for the NLM's MEDLINE database is given below. Please note that the search strategies presented here differ from individual demand searches in that they are generally broadly formulated and irrelevant citations edited out prior to printing. SS 1 = HIP PROSTHESIS SS 2 = 1 AND HUMAN SS 3 = 2 AND ENG (LA) GRATEFUL MED To make online searching easier and more efficient, the Library offers GRATEFUL MED, microcomputer-based software that provides a user-friendly interface to most NLM databases. This software was specifically developed for health professionals and features multiple choice menus and "fill in the blank" screens for easy search preparation. GRATEFUL MED runs on an IBM PC (or IBM-compatible) with DOS 2.0 or a Macintosh, and requires a Hayes (or Hayes-compatible) modem. It may be purchased from the National Technical Information Service in Springfield, Virginia, for $29.95 (plus $3.00 per order for shipping). For your convenience, an order blank has been enclosed at the back of this bibliography. SAMPLE CITATION Citations in this bibliographic series are formatted according to the rules established for Index Medicus*. A sample journal citation appears below. For journal articles written in a foreign language, the English translation of the title is placed in brackets and the language of publication is shown by a three letter abbreviation appearing at the end of the citation. Note also that a colon (:) may appear within an author's name or article title. The NLM computer system automatically inserts this symbol in the place of a diacritical mark. Journal Article: Authors Article Title Cuckler JM, Rhoad RC. Alternatives to hip, knee, and ankletotal joint arthroplasty. Curr Opin Rheumatol 1991 Feb;3(1):81-7. Abbreviated Journal Date Volume Issue Pages Title _________________________________ *For details of the formats used for references, see the following publication: Patrias, Karen. National Library of Medicine recommendedformats for bibliographic citation. Bethesda (MD): TheLibrary; 1991 Apr. Available from: NTIS, Springfield,VA;PB91-182030. TABLE OF CONTENTS General, including Epidemiology and Cost Animal Studies Perioperative Period Surgical Techniques Anesthesia Transfusions Postoperative Pain Occupational Hazards Complications General, including Heterotopic Bone Circulatory Complications Infection Fractures and Dislocations Biological Environment Revision and Reoperation Prosthesis Design Prosthesis Failure Rehabilitation Outcome Studies: Follow-up and Comparative GENERAL, INCLUDING EPIDEMIOLOGY AND COST Barber TC, Healy WL. The hospital cost of total hip arthroplasty. A comparison between 1981 and 1990. J Bone Joint Surg Am 1993 Mar;75(3):321-5. Comment in:J Bone Joint Surg Am 1993 Dec; 75(12):1879-80. Breck LW. Metal to metal total hip joint replacement using the Urist socket. An end result study. 1973 [classical article]. Clin Orthop 1992 Dec;(285):4-6. Callaghan JJ. The clinical results and basic science of total hip arthroplasty with porous-coated prostheses. J Bone Joint Surg Am 1993 Feb;75(2):299-310. Callaghan JJ. Total hip arthroplasty. Clinical perspective. Clin Orthop 1992 Mar;(276):33-40. Callaghan JJ, Salvati EA, Huo MH, Buly RL, Freeman MA, Tennant RE, Harris WH, Davies JP, Noble PC, Tullos HS, et al. Advances in total hip reconstruction. Instr Course Lect 1991;40:115-97. Clark R. Geographic variations in the rates of elective total hip and knee arthroplasties among Medicare beneficiaries in the United States [letter]. J Bone Joint Surg Am 1993 Sep;75(9):1417. Comment on: J Bone Joint Surg Am 1992 Dec;74(10):1530-9. Clift BA, Rowley DI. Hip replacement surgery. Br J Hosp Med 1992 Feb 19-Mar 3;47(4):273-9. Cuckler JM, Rhoad RC. Alternatives to hip, knee, and ankle total joint arthroplasty. Curr Opin Rheumatol 1991 Feb;3(1):81-7. Dodd FJ, Donegan HA, Kernohan WG, Geary RV, Mollan RA. Consensus in medical communication. Soc Sci Med 1993 Aug;37(4):565-9. Fox JA. 'The high price of hips'. Whose name is on the bill? Br J Theatre Nurs 1993 Aug;3(5):13-6. Friedman B, Elixhauser A. Increased use of an expensive, elective procedure: total hip replacements in the 1980s. Med Care 1993 Jul;31(7):581-99. Goldie I. Effect of total hip replacement on quality of life. Qual Assur Health Care 1993 Mar;5(1):9-12. Goldie I. Total hip and knee replacements. Acta Orthop Scand Suppl 1991;241:23-6. Guidelines for the diagnosis, investigation and management of osteoarthritis of the hip and knee. Report of a Joint Working Group of the British Society for Rheumatology and the Research Unit of the Royal College of Physicians. J R Coll Physicians Lond 1993 Oct;27(4):391-6. Hamalainen M. Surgical treatment of the hip and knee joint in juvenile rheumatoid arthritis. Ryumachi 1993 Dec;33(6):473. Hardy R. Hip replacement in the elderly. Br J Nurs 1993 Jan 14-27;2(1):57-63. Harris WH. The first 32 years of total hip arthroplasty. One surgeon's perspective. Clin Orthop 1992 Jan;(274):6-11. Harris WH. One step back; two steps forward [editorial]. J Bone Joint Surg Am 1993 Jul;75(7):959-60. Comment on: J Bone Joint Surg Am 1993 Jul;75(7):961-75. Havelin LI, Espehaug B, Vollset SE, Engesaeter LB, Langeland N. The Norwegian arthroplasty register. A survey of 17,444 hip replacements 1987-1990. Acta Orthop Scand 1993 Jun;64(3):245-51. Head WC, Cuellar AD, Emerson RH Jr, Peters PC Jr. Disease and specific considerations in total hip replacements. Curr Opin Rheumatol 1992 Apr;4(2):199-203. Hip and knee implant fixation and wear. Symposium. Clin Orthop 1992 Mar;(276):1-168. Hip and knee joint replacements. Drug Ther Bull 1992 Jul 20;30(15):57-60. Hough D, Crosat S, Nye P. Patient education for total hip replacement. Nurs Manage 1991 Mar;22(3):80I-80J, 80N, 80P. Huiskes R. Failed innovation in total hip replacement. Diagnosis and proposals for a cure. Acta Orthop Scand 1993 Dec;64(6):699-716. Hyman BS, Gregg JR. Arthroplasty of the hip and knee in juvenile rheumatoid arthritis. Rheum Dis Clin North Am 1991 Nov;17(4):971-83. Katz JN, Liang MH. What is the right rate for total hip arthroplasty? [editorial]. Mayo Clin Proc 1993 Jan;68(1):86-7. Comment on: Mayo Clin Proc 1993 Jan;68(1):11-8. Kernohan WG, Mollan RA, Geary R, Donegan HA, Dodd FJ. What do orthopaedic surgeons tell patients? J R Coll Surg Edinb 1993 Apr;38(2):110-1. Laforgia R, Specchiulli F, Miolla L, Solarino GB. Total hip replacement in the paleoacetabulum: biomechanical considerations. Ital J Orthop Traumatol 1991 Sep;17(3):345-50. Madhok R, Lewallen DG, Wallrichs SL, Ilstrup DM, Kurland RL, Melton LJ 3d. Trends in the utilization of primary total hip arthroplasty, 1969 through 1990: a population-based study in Olmsted County, Minnesota. Mayo Clin Proc 1993 Jan;68(1):11-8. Comment in: Mayo Clin Proc 1993 Jan;68(1):86-7. Mallory TH. Total hip replacement in the 1990s: the procedure, the patient, the surgeon. Orthopedics 1992 Apr;15(4):427-30. McNamara MJ, Barrett KG, Christie MJ, Spengler DM. Lumbar spinal stenosis and lower extremity arthroplasty. J Arthroplasty 1993 Jun;8(3):273-7. Muller ME. Lessons of 30 years of total hip arthroplasty. Clin Orthop 1992 Jan;(274):12-21. Newman KJ. Total hip and knee replacements: a survey of 261 hospitals in England. J R Soc Med 1993 Sep;86(9):527-9. Newton J, Seagroatt V. Why is osteoarthritis of the hip more common on the right? [letter]. Lancet 1993 Jan 16;341(8838):179. Comment in: Lancet 1993 Mar 20;341(8847):760-1 and Lancet 1993 Mar 20;341(8847):761. Overgaard S, Knudsen HM, Hansen LN, Mossing N. Hip arthroplasty in Jutland, Denmark. Age and sex- specific incidences of primary operations. Acta Orthop Scand 1992 Oct;63(5):536-8. Paavolainen P, Hamalainen M, Mustonen H, Slatis P. Registration of arthroplasties in Finland. A nationwide prospective project. Acta Orthop Scand Suppl 1991;241:27-30. Peterson MG, Hollenberg JP, Szatrowski TP, Johanson NA, Mancuso CA, Charlson ME. Geographic variations in the rates of elective total hip and knee arthroplasties among Medicare beneficiaries in the United States. J Bone Joint Surg Am 1992 Dec;74(10):1530-9. Comment in: J Bone Joint Surg Am 1993 Sep;75(9):1417. Poss R. Total hip arthroplasty [editorial]. Clin Orthop 1992 Jan;(274):2. Quinet RJ, Winters EG. Total joint replacement of the hip and knee. Med Clin North Am 1992 Sep;76(5):1235-51. Sayre LA. A new operation for artificial hip joint in bony anchylosis. 1863 [classical article]. Clin Orthop 1994 Jan;(298):4-7. Sennitt C. Hip arthroscopy. Br J Theatre Nurs 1993 Dec;3(9):12-4. Sharkness CM, Hamburger S, Moore RM Jr, Kaczmarek RG. Prevalence of artificial hip implants and use of health services by recipients. Public Health Rep 1993 Jan-Feb;108(1):70-5. Symposium: 1991 proceedings of the Hip Society. Clin Orthop 1992 Jan;(274):1-225. Turner R, Whitten B. The application of continuous quality improvement tools in reducing the length of stay for hip replacement patients: a base hospital's experience. Aust Clin Rev 1992;12(2):63-70. Vince KG. Total joint arthroplasty: hip, knee, and shoulder. Curr Opin Rheumatol 1991 Feb;3(1):71-80. Walker PS. Joint replacement in the 1990s [editorial]. Br J Rheumatol 1991 Dec;30(6):401-3. Weissman BN. Evaluation of joint prostheses and orthopedic appliances. Curr Opin Radiol 1992;4(6):90-4. Wilkins RM. Non-cemented total hip replacement for metastatic disease [letter]. Orthopedics 1993 Jun;16(6):653. Comment on: Orthopedics 1993 Mar;16(3):318-20. Wright JG, Rudicel S, Feinstein AR. Ask patients what they want. Evaluation of individual complaints before total hip replacement. J Bone Joint Surg Br 1994 Mar;76(2):229-34. Wroblewski BM. Clinical and radiographic evaluation of total hip replacement. A standard system of terminology for reporting results [letter]. J Bone Joint Surg [Am] 1991 Jul;73(6):948. Comment on: J Bone Joint Surg [Am] 1990 Feb;72(2):161-8. ANIMAL STUDIES Bloebaum RD, Ota DT, Skedros JG, Mantas JP. Comparison of human and canine external femoral morphologies in the context of total hip replacement. J Biomed Mater Res 1993 Sep;27(9):1149-59. Bobyn JD, Mortimer ES, Glassman AH, Engh CA, Miller JE, Brooks CE. Producing and avoiding stress shielding. Laboratory and clinical observations of noncemented total hip arthroplasty. Clin Orthop 1992 Jan;(274):79-96. DeYoung DJ, DeYoung BA, Aberman HA, Kenna RV, Hungerford DS. Implantation of an uncemented total hip prosthesis. Technique and initial results of 100 arthroplasties. Vet Surg 1992 May-Jun;21(3):168-77. Glant TT, Jacobs JJ, Molnar G, Shanbhag AS, Valyon M, Galante JO. Bone resorption activity of particulate-stimulated macrophages. J Bone Miner Res 1993 Sep;8(9):1071-9. Goethgen CB, Sumner DR, Platz C, Turner TM, Galante JO. Changes in tibial bone mass after primary cementless and revision cementless total hip arthroplasty in canine models. J Orthop Res 1991 Nov;9(6):820-7. Goshima J, Goldberg VM, Caplan AI. The origin of bone formed in composite grafts of porous calcium phosphate ceramic loaded with marrow cells. Clin Orthop 1991 Aug;(269):274-83. Goshima J, Goldberg VM, Caplan AI. Osteogenic potential of culture-expanded rat marrow cells as assayed in vivo with porous calcium phosphate ceramic. Biomaterials 1991 Mar;12(2):253-8. Goshima J, Goldberg VM, Caplan AI. The osteogenic potential of culture-expanded rat marrow mesenchymal cells assayed in vivo in calcium phosphate ceramic blocks. Clin Orthop 1991 Jan; (262):298-311. Greis PE, Kang JD, Silvaggio V, Rubash HE. A long-term study on defect filling and bone ingrowth using a canine fiber metal total hip model. Clin Orthop 1992 Jan;(274):47-59. Jasty M, Bragdon CR, Haire T, Mulroy RD Jr, Harris WH. Comparison of bone ingrowth into cobalt chrome sphere and titanium fiber mesh porous coated cementless canine acetabular components. J Biomed Mater Res 1993 May;27(5):639-44. Jasty M, Bragdon CR, Maloney WJ, Mulroy R Jr, Haire T, Crowninshield RD, Harris WH. Bone ingrowth into a low-modulus composite plastic porous-coated canine femoral component. J Arthroplasty 1992 Sep;7(3):253-9. Jasty M, Bragdon CR, Rubash H, Schutzer SF, Haire T, Harris W. Unrecognized femoral fractures during cementless total hip arthroplasty in the dog and their effect on bone ingrowth. J Arthroplasty 1992 Dec;7(4):501-8. Jasty M, Krushell R, Zalenski E, O'Connor D, Sedlacek R, Harris W. The contribution of the nonporous distal stem to the stability of proximally porous-coated canine femoral components. J Arthroplasty 1993 Feb;8(1):33-41. Jasty M, Rubash HE, Paiement GD, Bragdon CR, Parr J, Harris WH. Porous-coated uncemented components in experimental total hip arthroplasty in dogs. Effect of plasma-sprayed calcium phosphate coatings on bone ingrowth. Clin Orthop 1992 Jul;(280):300-9. Kang JD, McKernan DJ, Kruger M, Mutschler T, Thompson WH, Rubash HE. Ingrowth and formation of bone in defects in an uncemented fiber-metal total hip-replacement model in dogs. J Bone Joint Surg [Am] 1991 Jan;73(1):93-105. Comment in: J Bone Joint Surg [Am] 1991 Dec;73(10):1576-7. Kienapfel H, Sumner DR, Turner TM, Urban RM, Galante JO. Efficacy of autograft and freeze-dried allograft to enhance fixation of porous coated implants in the presence of interface gaps. J Orthop Res 1992 May;10(3):423-33. Mann KA, Bartel DL, Wright TM, Ingraffea AR. Mechanical characteristics of the stem-cement interface. J Orthop Res 1991 Nov;9(6):798-808. Nakahara H, Goldberg VM, Caplan AI. Culture-expanded periosteal-derived cells exhibit osteochondrogenic potential in porous calcium phosphate ceramics in vivo. Clin Orthop 1992 Mar; (276):291-8. Page AE, Allan C, Jasty M, Harrigan TP, Bragdon CR, Harris WH. Determination of loading parameters in the canine hip in vivo. J Biomech 1993 Apr-May;26(4-5):571-9. Schiller TD, DeYoung DJ, Schiller RA, Aberman HA, Hungerford DS. Quantitative ingrowth analysis of a porous-coated acetabular component in a canine model. Vet Surg 1993 Jul-Aug;22(4):276-80. Shanbhag AS, Jacobs JJ, Black J, Galante JO, Glant TT. Macrophage/particle interactions: effect of size, composition and surface area. J Biomed Mater Res 1994 Jan;28(1):81-90. Sumner DR, Galante JO. Bone remodeling in experimental total hip arthroplasty. Chir Organi Mov 1992 Oct-Dec;77(4):413-23. (Eng, Ita). Sumner DR, Galante JO. Determinants of stress shielding: design versus materials versus interface. Clin Orthop 1992 Jan;(274):202-12. Sumner DR, Turner TM, Urban RM, Galante JO. Remodeling and ingrowth of bone at two years in a canine cementless total hip-arthroplasty model. J Bone Joint Surg Am 1992 Feb;74(2):239-50. Published erratum appears in J Bone Joint Surg Am 1992 Jun;74(5):793. Tisdel CL, Goldberg VM, Parr JA, Bensusan JS, Staikoff LS, Stevenson S. The influence of a hydroxyapatite and tricalcium-phosphate coating on bone growth into titanium fiber-metal implants. J Bone Joint Surg Am 1994 Feb;76(2):159-71. Turner TM, Urban RM, Sumner DR, Galante JO. Revision, without cement, of aseptically loose, cemented total hip prostheses. Quantitative comparison of the effects of four types of medullary treatment on bone ingrowth in a canine model. J Bone Joint Surg Am 1993 Jun;75(6):845-62. Comment in: J Bone Joint Surg Am 1993 Jun;75(6):799-801. Van Rietbergen B, Huiskes R, Weinans H, Sumner DR, Turner TM, Galante JO. ESB Research Award 1992. The mechanism of bone remodeling and resorption around press-fitted THA stems. J Biomech 1993 Apr-May;26(4-5):369-82. Weinans H, Huiskes R, van Rietbergen B, Sumner DR, Turner TM, Galante JO. Adaptive bone remodeling around bonded noncemented total hip arthroplasty: a comparison between animal experiments and computer simulation. J Orthop Res 1993 Jul;11(4):500-13. PERIOPERATIVE PERIOD Surgical Techniques Adler E, Stuchin SA, Kummer FJ. Stability of press-fit acetabular cups. J Arthroplasty 1992 Sep;7(3):295-301. Beer KJ, Lombardi AV Jr, Mallory TH, Vaughn BK. The efficacy of suction drains after routine total joint arthroplasty. J Bone Joint Surg Am 1991 Apr;73(4):584-7. Comment in: J Bone Joint Surg Am 1992 Apr;74(4):632. Published erratum appears in J Bone Joint Surg Am 1991 Jun;73(5):791. Berger RA, Steel MJ, Schleiden M, Rubash HE. Preventing distal voids during cementation of the femoral component in total hip arthroplasty. J Arthroplasty 1993 Jun;8(3):323-9. Berman AT, Zamarin R. The use of Dall-Miles cables in total hip arthroplasty. Orthopedics 1993 Jul;16(7):833-5. Berry DJ, Muller ME. Chevron osteotomy and single wire reattachment of the greater trochanter in primary and revision total hip arthroplasty. Clin Orthop 1993 Sep;(294):155-61. Black DL, Reckling FW, Porter SS. Somatosensory- evoked potential monitored during total hip arthroplasty. Clin Orthop 1991 Jan;(262):170-7. Chao EY, Chin HC, Stauffer RN. Roentgenographic and mechanical performance of centrifuged cement in a simulated total hip arthroplasty model. Clin Orthop 1992 Dec;(285):91-101. Clarke HJ, Jinnah RH, Cox QG, Curtis MJ. Computerized templating in uncemented total hip arthroplasty to assess component fit and fill. J Arthroplasty 1992 Sep;7(3):235-9. Curtis MJ, Jinnah RH, Wilson VD, Hungerford DS. The initial stability of uncemented acetabular components. J Bone Joint Surg [Br] 1992 May;74(3):372-6. Davey JR, O'Connor DO, Burke DW, Harris WH. Femoral component offset. Its effect on strain in bone-cement. J Arthroplasty 1993 Feb;8(1):23-6. Davies JP, Harris WH. Effect of hand mixing tobramycin on the fatigue strength of Simplex P. J Biomed Mater Res 1991 Nov;25(11):1409-14. Davies JP, Harris WH. In vitro and in vivo studies of pressurization of femoral cement in total hip arthroplasty. J Arthroplasty 1993 Dec;8(6):585-91. Ereth MH, Lennon RL, Sessler DI. Limited heat transfer between thermal compartments during rewarming in vasoconstricted patients. Aviat Space Environ Med 1992 Dec;63(12):1065-9. Faris PM, Ritter MA, Keating EM. Technique for access to the posterosuperior iliac spine for local bone graft during total hip arthroplasty. J Arthroplasty 1991 Dec;6(4):379-81. Fischer WB. Acetabular anatomy and the transacetabular fixation of screws in total hip arthroplasty [letter]. J Bone Joint Surg [Am] 1991 Sep;73(8):1272. Comment on: J Bone Joint Surg [Am] 1990 Apr;72(4):501-8. Frndak PA, Mallory TH, Lombardi AV Jr. Translateral surgical approach to the hip. The abductor muscle split. Clin Orthop 1993 Oct;(295):135-41. Goldsmith MF. For better hip replacement results, surgeon's best friend may be a robot [news]. JAMA 1992 Feb 5;267(5):613-4. Horne G. Fit and fill: fashionable fact or fantasy? [editorial]. J Bone Joint Surg [Br] 1992 Jan;74(1):4-5. Horne G. Preoperative assessment of the acetabulum. Orthop Clin North Am 1993 Oct;24(4):655-61. Huo MH, Friedlaender GE, Salvati EA. Bone graft and total hip arthroplasty. A review. J Arthroplasty 1992 Jun;7(2):109-20. Jansson V, Heimkes B, Zimmer M. Stress transfer at the femoral bone/bone cement interface as a function of the cement thickness. Arch Orthop Trauma Surg 1993;112(2):65-8. Juttmann JW, Quist J, Kroesen JH. Which approach for femoral head replacement? Neth J Surg 1991;43(6):258-60. Kong K, Jeyagopal N, Davies SJ. Should we still stitch the subcutaneous fat layer? A clinical and ultrasound assessment in 50 hip operations. Ann R Coll Surg Engl 1993 Jan;75(1):23-5. Linclau L, Dokter G, Peene P. Radiological aspects in preoperative planning and postoperative assessment of cementless total hip arthroplasty. Acta Orthop Belg 1993;59(2):163-7. Lindgren JU, Rysavy J. Restoration of femoral offset during hip replacement. A radiographic cadaver study. Acta Orthop Scand 1992 Aug;63(4):407-10. MacKenzie JR, Callaghan JJ, Pedersen DR, Brown TD. Areas of contact and extent of gaps with implantation of oversized acetabular components in total hip arthroplasty. Clin Orthop 1994 Jan;(298):127-36. Matsen FA 3d, Garbini JL, Sidles JA, Pratt B, Baumgarten D, Kaiura R. Robotic assistance in orthopaedic surgery. A proof of principle using distal femoral arthroplasty. Clin Orthop 1993 Nov;(296):178-86. Mazzullo S, Paolini M, Verdi C. Numerical simulation of thermal bone necrosis during cementation of femoral prostheses. J Math Biol 1991;29(5):475-94. McCaskie AW, Gregg PJ. Femoral cementing technique: current trends and future developments [editorial]. J Bone Joint Surg Br 1994 Mar;76(2):176-7. Motzkin NE, Chao EY, An KN, Wikenheiser MA, Lewallen DG. Pull-out strength of screws from polymethylmethacrylate cement. J Bone Joint Surg Br 1994 Mar;76(2):320-3. Paul AS, Hodgkinson JP. A new femoral cement restrictor. J Arthroplasty 1992;7 Suppl:411-3. Paul HA, Bargar WL, Mittlestadt B, Musits B, Taylor RH, Kazanzides P, Zuhars J, Williamson B, Hanson W. Development of a surgical robot for cementless total hip arthroplasty. Clin Orthop 1992 Dec;(285):57-66. Pritchett JW. Human growth hormone in polymethyl methacrylate. A controlled study of 15 hip arthroplasties. Acta Orthop Scand 1992 Oct;63(5):520-2. Ritter MA, Eizember LE, Keating EM, Faris PM. Trochanteric fixation by cable grip in hip replacement. J Bone Joint Surg [Br] 1991 Jul;73(4):580-1. Robinson AH, Drew S, Anderson J, Bentley G, Ridgway GL. Suction tip contamination in the ultraclean-air operating theatre. Ann R Coll Surg Engl 1993 Jul;75(4):254-6. Rubin PJ, Leyvraz PF, Aubaniac JM, Argenson JN, Esteve P, de Roguin B. The morphology of the proximal femur. A three-dimensional radiographic analysis. J Bone Joint Surg [Br] 1992 Jan;74(1):28-32. Salvi V. Identifit: a silicone mould used to intraoperatively construct a cementless femoral stem. Chir Organi Mov 1992 Oct-Dec;77(4):443-5. (Eng, Ita). Schwartz JT Jr, Engh CA, Forte MR, Kukita Y, Grandia SK. Evaluation of initial surface apposition in porous-coated acetabular components. Clin Orthop 1993 Aug;(293):174-87. Shaw JA. Experience with a modified posterior approach to the hip joint. A technical note. J Arthroplasty 1991 Mar;6(1):11-8. Stephenson PK, Freeman MA. Exposure of the hip using a modified anterolateral approach. J Arthroplasty 1991 Jun;6(2):137-45. Stone MH, Wilkinson R, Stother IG. Variation in applied force during insertion of cemented femoral prostheses. Orthopedics 1991 Jul;14(7):799-803. Sugiyama H, Whiteside LA, Engh CA. Torsional fixation of the femoral component in total hip arthroplasty. The effect of surgical press-fit technique. Clin Orthop 1992 Feb;(275):187-93. Taylor KS. Robodoc: study tests robot's use in hip surgery. Hospitals 1993 May 5;67(9):46. Thomsen NO, Jensen TT, Uhrbrand B, Mossing NB. Intramedullary plugs in total hip arthroplasty. A comparative study. J Arthroplasty 1992;7 Suppl:415-8. Toksvig-Larsen S, Franzen H, Ryd L. Cement interface temperature in hip arthroplasty. Acta Orthop Scand 1991 Apr;62(2):102-5. van Niekerk LJ, Espley AJ. Goal posts in total hip replacement: a pelvic alignment device. J R Coll Surg Edinb 1992 Aug;37(4):271. Wixson RL. Do we need to vacuum mix or centrifuge cement? Clin Orthop 1992 Dec;(285):84-90. Wykman AG. Acetabular cement temperature in arthroplasty. Effect of water cooling in 19 cases. Acta Orthop Scand 1992 Oct;63(5):543-4. Anesthesia al-Shaikh B. Effect of inspired oxygen concentration on the incidence of desaturation in patients undergoing total hip replacement. Br J Anaesth 1991 May;66(5):580-2. Ballance JH. Anaesthesia for hip replacement [letter]. J Bone Joint Surg [Br] 1992 May;74(3):478. Comment on: J Bone Joint Surg [Br] 1991 Sep;73(6):779-82. Bernard JM, Pinaud M, Francois T, Babin M, Macquin-Mavier I, Letenneur J. Deliberate hypotension with nicardipine or nitroprusside during total hip arthroplasty. Anesth Analg 1991 Sep;73(3):341-5. Davis S, Erskine R, James MF. A comparison of spinal and epidural anaesthesia for hip arthroplasty. Can J Anaesth 1992 Jul;39(6):551-4. Flordal PA, Ljungstrom KG. Renal effects of high dose desmopressin and dextran. A study in normal subjects and in patients undergoing total hip replacement. Acta Anaesthesiol Scand 1993 Jan;37(1):1-6. Gauzit R, Marty J, Couderc E, Bouyet I, Flaisler B, Desmonts JM. Comparison of sufentanil and fentanyl to supplement N2O-halothane anesthesia for total hip arthroplasty in elderly patients. Anesth Analg 1991 Jun;72(6):756-60. Kahn RL, Hargett MJ, Urquhart B, Sharrock NE, Peterson MG. Supraventricular tachyarrhythmias during total joint arthroplasty. 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Peters PC Jr, Head WC, Emerson RH Jr. An extended trochanteric osteotomy for revision total hip replacement. J Bone Joint Surg Br 1993 Jan;75(1):158-9. Comment in: J Bone Joint Surg Br 1993 Nov;75(6):979. Pierson JL, Harris WH. Cemented revision for femoral osteolysis in cemented arthroplasties. Results in 29 hips after a mean 8.5-year follow-up. J Bone Joint Surg Br 1994 Jan;76(1):40-4. Pierson JL, Jasty M, Harris WH. Techniques of extraction of well-fixed cemented and cementless implants in revision total hip arthroplasty. Orthop Rev 1993 Aug;22(8):904-16. Pollock FH, Whiteside LA. The fate of massive allografts in total hip acetabular revision surgery. J Arthroplasty 1992 Sep;7(3):271-6. Raut VV, Wroblewski BM, Siney PD. Revision hip arthroplasty. Can the octogenarian take it? J Arthroplasty 1993 Aug;8(4):401-3. Retpen JB, Jensen JS. Risk factors for recurrent aseptic loosening of the femoral component after cemented revision. J Arthroplasty 1993 Oct;8(5):471-8. Retpen JB, Varmarken JE, Rock ND, Jensen JS. Unsatisfactory results after repeated revision of hip arthroplasty. 61 cases followed for 5 (1-10) years. Acta Orthop Scand 1992 Apr;63(2):120-7. Rinaldi E, Vaienti E. The trans-femoral approach in prosthesis replacements: results after two years. Acta Biomed Ateneo Parmense 1992;63(1-2):79-83. Rosenstein A, MacDonald W, Iliadis A, McLardy-Smith P. Revision of cemented fixation and cement-bone interface strength. Proc Inst Mech Eng [H] 1992;206(1):47-9. Rosson J, Schatzker J. The use of reinforcement rings to reconstruct deficient acetabula. J Bone Joint Surg [Br] 1992 Sep;74(5):716-20. Schurman DJ, Maloney WJ. Segmental cement extraction at revision total hip arthroplasty. Clin Orthop 1992 Dec;(285):158-63. Skinner HB. Subtrochanteric osteotomy in total hip revision. Report of two cases. J Arthroplasty 1991 Mar;6(1):89-93. Slooff TJ, Schimmel JW, Buma P. Cemented fixation with bone grafts. Orthop Clin North Am 1993 Oct;24(4):667-77. Stiehl JB, Harlow M, Hackbarth D. Extensile triradiate approach for complex acetabular reconstruction in total hip arthroplasty. Clin Orthop 1993 Sep;(294):162-9. Stromberg CN, Herberts P, Palmertz B. Cemented revision hip arthroplasty. A multicenter 5-9-year study of 204 first revisions for loosening. Acta Orthop Scand 1992 Apr;63(2):111-9. Tanzer M, Drucker D, Jasty M, McDonald M, Harris WH. Revision of the acetabular component with an uncemented Harris-Galante porous-coated prosthesis. J Bone Joint Surg [Am] 1992 Aug;74(7):987-94. Walker CW, FitzRandolph RL, Collins DN, Dalrymple GV. Arthrography of painful hips following arthroplasty: digital versus plain film subtraction. Skeletal Radiol 1991;20(6):403-7. Williams RP, McQueen DA. A histopathologic study of late aseptic loosening of cemented total hip prostheses. Clin Orthop 1992 Feb;(275):174-9. Wirta J, Eskola A, Hoikka V, Honkanen V, Lindholm S, Santavirta S. Revision of cemented hip arthroplasties. 101 hips followed for 5 (4-9) years. Acta Orthop Scand 1993 Jun;64(3):263-7. Wroblewski BM. Femoral head autograft and contralateral total hip arthroplasty. J Arthroplasty 1993 Apr;8(2):141-2. Comment in: J Arthroplasty 1993 Oct;8(5):565. Zimmer M, Klobl R, De Toma G, Jansson V, Refior HJ, Heimkes B, Kuhne JH. Bone-cement removal with the excimer laser in revision arthroplasty. Arch Orthop Trauma Surg 1992;112(1):15-7. Zmolek JC, Dorr LD. Revision total hip arthroplasty. The use of solid allograft. J Arthroplasty 1993 Aug;8(4):361-70. PROSTHESIS DESIGN Agrifoglio E, Federici A, Sanguineti F, Di Stadio M. Total hip replacement using the cementless Bio-direct femoral component and the CAB 1 self-threading acetabular component. Ital J Orthop Traumatol 1991 Jun;17(2):175-8. Albert TJ, Sharkey PF, Chao W, Hume EL, Rothman RH. Rotation affects apparent radiographic positioning of femoral components in total hip arthroplasty. J Arthroplasty 1991;6 Suppl:S67-71. Bergmann G, Graichen F, Rohlmann A. Hip joint loading during walking and running, measured in two patients. J Biomech 1993 Aug;26(8):969-90. Berzins A, Sumner DR, Andriacchi TP, Galante JO. Stem curvature and load angle influence the initial relative bone-implant motion of cementless femoral stems. J Orthop Res 1993 Sep;11(5):758-69. Bourne RB, Rorabeck CH, Burkart BC, Kirk PG. Ingrowth surfaces. Plasma spray coating to titanium alloy hip replacements. Clin Orthop 1994 Jan;(298):37-46. Burke DW, O'Connor DO, Zalenski EB, Jasty M, Harris WH. Micromotion of cemented and uncemented femoral components. J Bone Joint Surg [Br] 1991 Jan;73(1):33-7. Callaghan JJ, Fulghum CS, Glisson RR, Stranne SK. The effect of femoral stem geometry on interface motion in uncemented porous-coated total hip prostheses. Comparison of straight-stem and curved-stem designs. J Bone Joint Surg [Am] 1992 Jul;74(6):839-48. Cheal EJ, Spector M, Hayes WC. Role of loads and prosthesis material properties on the mechanics of the proximal femur after total hip arthroplasty. J Orthop Res 1992 May;10(3):405-22. Clarke HJ, Jinnah RH, Warden KE, Cox QG, Curtis MJ. Evaluation of acetabular stability in uncemented prostheses. J Arthroplasty 1991 Dec;6(4):335-40. Dowson D, Fisher J, Jin ZM, Auger DD, Jobbins B. Design considerations for cushion form bearings in artificial hip joints. Proc Inst Mech Eng [H] 1991;205(2):59-68. Engh CA, O'Connor D, Jasty M, McGovern TF, Bobyn JD, Harris WH. Quantification of implant micromotion, strain shielding, and bone resorption with porous-coated anatomic medullary locking femoral prostheses. Clin Orthop 1992 Dec;(285):13-29. Finlay JB, Chess DG, Hardie WR, Rorabeck CH, Bourne RB. An evaluation of three loading configurations for the in vitro testing of femoral strains in total hip arthroplasty. J Orthop Res 1991 Sep;9(5):749-59. Fischer KJ, Carter DR, Maloney WJ. In vitro study of initial stability of a conical collared femoral component. J Arthroplasty 1992;7 Suppl:389-95. Furlong R. Six years use of the unmodified Furlong hydroxyapatite ceramic coated total hip replacement. Acta Orthop Belg 1993;59 Suppl 1:323-5. Gavrjushenko NS. Recommendations with respect to the improvement of lubricating qualities of synovial fluid in artificial joints. Proc Inst Mech Eng [H] 1993;207(2):111-4. Gilbert JL, Bloomfeld RS, Lautenschlager EP, Wixson RL. A computer-based biomechanical analysis of the three-dimensional motion of cementless hip prostheses. J Biomech 1992 Apr;25(4):329-40. Graichen F, Bergmann G. Four-channel telemetry system for in vivo measurement of hip joint forces. J Biomed Eng 1991 Sep;13(5):370-4. Hardinge K, Porter ML, Jones PR, Hukins DW, Taylor CJ. Measurement of hip prostheses using image analysis. The maxima hip technique. J Bone Joint Surg [Br] 1991 Sep;73(5):724-8. Harrigan TP, Harris WH. A finite element study of the effect of diametral interface gaps on the contact areas and pressures in uncemented cylindrical femoral total hip components. J Biomech 1991;24(1):87-91. Hua J, Walker PS. Relative motion of hip stems under load. An in vitro study of symmetrical, asymmetrical, and custom asymmetrical designs. J Bone Joint Surg Am 1994 Jan;76(1):95-103. Huiskes R, Weinans H, van Rietbergen B. The relationship between stress shielding and bone resorption around total hip stems and the effects of flexible materials. Clin Orthop 1992 Jan;(274):124-34. Johanson NA, Charlson ME, Cutignola L, Neves M, DiCarlo EF, Bullough PG. Femoral neck bone density. Direct measurement and histomorphometric validation. J Arthroplasty 1993 Dec;8(6):641-52. Kang YK, Park HC, Youm Y, Lee IK, Ahn MH, Ihn JC. Three dimensional shape reconstruction and finite element analysis of femur before and after the cementless type of total hip replacement. J Biomed Eng 1993 Nov;15(6):497-504. Keaveny TM, Bartel DL. Effects of porous coating, with and without collar support, on early relative motion for a cementless hip prosthesis. J Biomech 1993 Dec;26(12):1355-68. Keaveny TM, Bartel DL. Effects of porous coating and collar support on early load transfer for a cementless hip prosthesis. J Biomech 1993 Oct;26(10):1205-16. Kotzar GM, Davy DT, Goldberg VM, Heiple KG, Berilla J, Heiple KG Jr, Brown RH, Burstein AH. Telemeterized in vivo hip joint force data: a report on two patients after total hip surgery. J Orthop Res 1991 Sep;9(5):621-33. Krushell RJ, Burke DW, Harris WH. Elevated-rim acetabular components. Effect on range of motion and stability in total hip arthroplasty. J Arthroplasty 1991;6 Suppl:S53-8. Krushell RJ, Burke DW, Harris WH. Range of motion in contemporary total hip arthroplasty. The impact of modular head-neck components. J Arthroplasty 1991 Jun;6(2):97-101. Mahomed N, Schatzker J, Hearn T. Biomechanical analysis of a distally interlocked press-fit femoral total hip prosthesis. J Arthroplasty 1993 Apr;8(2):129-32. Masini A, Tamburelli F. Cementless total hip replacement with biodynamic biequatorial implant. Acta Orthop Belg 1993;59 Suppl 1:354-5. McKellop H, Ebramzadeh E, Niederer PG, Sarmiento A. Comparison of the stability of press-fit hip prosthesis femoral stems using a synthetic model femur. J Orthop Res 1991 Mar;9(2):297-305. Published erratum appears in J Orthop Res 1991 Nov;9(6):933. Morscher EW. Current status of acetabular fixation in primary total hip arthroplasty. Clin Orthop 1992 Jan;(274):172-93. Mulroy RD Jr, Sedlacek RC, O'Connor DO, Estok DM 2d, Harris WH. Technique to detect migration of femoral components of total hip arthroplasties on conventional radiographs. J Arthroplasty 1991;6 Suppl:S1-4. Munting E, Verhelpen M. Mechanical simulator for the upper femur. Acta Orthop Belg 1993;59(2):123-9. Murray DW. The definition and measurement of acetabular orientation. J Bone Joint Surg Br 1993 Mar;75(2):228-32. Ohl MD, Whiteside LA, McCarthy DS, White SE. Torsional fixation of a modular femoral hip component. Clin Orthop 1993 Feb;(287):135-41. Otani T, Whiteside LA. Failure of cementless fixation of the femoral component in total hip arthroplasty. Orthop Clin North Am 1992 Apr;23(2):335-46. Otani T, Whiteside LA, White SE. The effect of axial and torsional loading on strain distribution in the proximal femur as related to cementless total hip arthroplasty. Clin Orthop 1993 Jul;(292):376-83. Otani T, Whiteside LA, White SE. Strain distribution in the proximal femur with flexible composite and metallic femoral components under axial and torsional loads. J Biomed Mater Res 1993 May;27(5):575-85. Otani T, Whiteside LA, White SE, McCarthy DS. Effects of femoral component material properties on cementless fixation in total hip arthroplasty. A comparison study between carbon composite, titanium alloy, and stainless steel. J Arthroplasty 1993 Feb;8(1):67-74. Perona PG, Lawrence J, Paprosky WG, Patwardhan AG, Sartori M. Acetabular micromotion as a measure of initial implant stability in primary hip arthroplasty. An in vitro comparison of different methods of initial acetabular component fixation. J Arthroplasty 1992 Dec;7(4):537-47. Phillips TW, Nguyen LT, Munro SD. Loosening of cementless femoral stems: a biomechanical analysis of immediate fixation with loading vertical, femur horizontal. J Biomech 1991;24(1):37-48. Reuben JD, Chang CH, Akin JE, Lionberger DR. A knowledge-based computer-aided design and manufacturing system for total hip replacement. Clin Orthop 1992 Dec;(285):48-56. Rosenthall L, Ghazal ME, Brooks CE. Quantitative analysis of radiophosphate uptakes in asymptomatic porous-coated hip endoprostheses. J Nucl Med 1991 Jul;32(7):1391-3. Rubin PJ, Rakotomanana RL, Leyvraz PF, Zysset PK, Curnier A, Heegaard JH. Frictional interface micromotions and anisotropic stress distribution in a femoral total hip component. J Biomech 1993 Jun;26(6):725-39. Schuller HM, Dalstra M, Huiskes R, Marti RK. Total hip reconstruction in acetabular dysplasia. A finite element study. J Bone Joint Surg Br 1993 May;75(3):468-74. Skinner HB. Isoelasticity and total hip arthroplasty. Orthopedics 1991 Mar;14(3):323-8. Skinner HB. Pathokinesiology and total joint arthroplasty. Clin Orthop 1993 Mar;(288):78-86. Smolinski P, Rubash HE. Bone remodeling around total hip implants. Crit Rev Biomed Eng 1992;20(5-6):461-83. Spirakis A, Learmonth ID, Gryzagoridis J, Davis BL. Qualitative holographic study of hemi-pelvic deformation caused by loading different hip prostheses. J Biomed Eng 1992 Mar;14(2):126-32. Comment in: J Biomed Eng 1993 Mar;15(2):174 and J Biomed Eng 1993 Nov;15(6):522. Stiehl JB, MacMillan E, Skrade DA. Mechanical stability of porous-coated acetabular components in total hip arthroplasty. J Arthroplasty 1991 Dec;6(4):295-300. Stranne SK, Callaghan JJ, Elder SH, Glisson RR, Seaber AV. Screw-augmented fixation of acetabular components. A mechanical model to determine optimal screw placement. J Arthroplasty 1991 Dec;6(4):301-5. Vander Sloten J, Labey L, Van Audekercke R, Van der Perre G. The development of a physiological hip prosthesis: evaluation of the strains after implantation of a prototype of hip implant: experiment in a dry femur. Biomed Mater Eng 1993 Spring;3(1):1-13. Verdonschot NJ, Huiskes R, Freeman MA. Pre-clinical testing of hip prosthetic designs: a comparison of finite element calculations and laboratory tests. Proc Inst Mech Eng [H] 1993;207(3):149-54. Verkerke B, Schraffordt Koops H, Veth RP, Postma L, Grootenboer HJ. A modular endoprosthetic system, noninvasively extendable, for young patients with osteosarcoma. Cancer Treat Res 1993;62:213-20. Waddell JP. Cemented and uncemented hip implants in patients with rheumatoid arthritis [editorial]. Can J Surg 1993 Jun;36(3):199. Comment on: Can J Surg 1993 Jun;36(3):229-32. Weinans H, Huiskes R, Grootenboer HJ. Effects of material properties of femoral hip components on bone remodeling. J Orthop Res 1992 Nov;10(6):845-53. Welch RB, Levengood G. Bearing surfaces in total joint replacement. West J Med 1991 Aug;155(2):172. Whiteside LA, Arima J, White SE, Branam L, McCarthy DS. Fixation of the modular total hip femoral component in cementless total hip arthroplasty. Clin Orthop 1994 Jan;(298):184-90. PROSTHESIS FAILURE Bhamra M, Hulme AL, Hutton PA, Andrews BG, Muirhead-Allwood WF. Failure of cementless hip replacements [letter]. J Bone Joint Surg Br 1992 Nov;74(6):932-3. Comment on: J Bone Joint Surg Br 1992 Jan;74(1):83-7. Bloom RA, Gheorghiu D, Krausz Y. Lymphatic opacification in the prosthetic hip. Skeletal Radiol 1991;20(1):43-5. Capello WN, Colyer RA, Kernek CB, Carnahan JV, Hess JJ. Failure of the Mecron screw-in ring. J Bone Joint Surg Br 1993 Sep;75(5):835-6. DiFazio FA. The current status of acetabular fixation in total hip replacement. Orthop Rev 1992 Sep;21(9):1067-71. Federici A, Sanguineti F, Santolini F, Gatto P. Considerations on seven cases of breakage of the polyethylene acetabular cup. Chir Organi Mov 1993 Jul-Sep;78(3):155-60. (Eng, Ita). Gardiner RC, Hozack WJ. Failure of the cement-bone interface. A consequence of strengthening the cement-prosthesis interface? J Bone Joint Surg Br 1994 Jan;76(1):49-52. Goldring SR, Clark CR, Wright TM. The problem in total joint arthroplasty: aseptic loosening [editorial]. J Bone Joint Surg Am 1993 Jun;75(6):799-801. Comment on: J Bone Joint Surg Am 1993 Jun;75(6):802-13; J Bone Joint Surg Am 1993 Jun;75(6):825-34; J Bone Joint Surg Am 1993 Jun;75(6):835-44; J Bone Joint Surg Am 1993 Jun;75(6):845-62 and J Bone Joint Surg Am 1993 Jun;75(6):863-79. Goodman SB. Fixation and loosening of hip prostheses [letter]. Acta Orthop Scand 1991 Dec;62(6):633-4. Comment on: Acta Orthop Scand 1991 Oct;62(5):500-8. Grigoris P, Roberts P, McMinn DJ. Failure of uncemented polyethylene acetabular components. J Arthroplasty 1993 Aug;8(4):433-7. Harrigan TP, Harris WH. A three-dimensional non-linear finite element study of the effect of cement-prosthesis debonding in cemented femoral total hip components. J Biomech 1991;24(11):1047-58. Harrigan TP, Kareh JA, O'Connor DO, Burke DW, Harris WH. A finite element study of the initiation of failure of fixation in cemented femoral total hip components. J Orthop Res 1992 Jan;10(1):134-44. Harris WH. Early and late loosening of the acetabular cup after low friction arthroplasty [letter]. J Bone Joint Surg Am 1993 Apr;75(4):632-3. Comment on: J Bone Joint Surg Am 1992 Sep;74(8):1119-29. Harris WH. Is it advantageous to strengthen the cement-metal interface and use a collar for cemented femoral components of total hip replacements? Clin Orthop 1992 Dec;(285):67-72. Harris WH. Management of the deficient acetabulum using cementless fixation without bone grafting. Orthop Clin North Am 1993 Oct;24(4):663-5. Harris WH, Barrack RL. Developments in diagnosis of the painful total hip replacement. Orthop Rev 1993 Apr;22(4):439-47. Herrlin K. Radiology of the total hip prosthesis. Prosthetic position, orientation, design, component interaction and dislocation. Acta Radiol Suppl 1991;375(Pt 2):109-39. Herzwurm PJ, Ebert FR. Arthroscintography for detection of femoral component loosening. J Arthroplasty 1991 Dec;6(4):327-33. Holmer P, Nielsen PT. Fracture of ceramic femoral heads in total hip arthroplasty. J Arthroplasty 1993 Dec;8(6):567-71. Holmes JC, Whalen NJ. Disassembly of the osteonics bipolar ring when used with a Howmedica femoral head. A report of four cases. J Arthroplasty 1992 Jun;7(2):201-3. Humphreys PK, Orr JF, Bahrani AS. An investigation into the fixation of hip replacements. Proc Inst Mech Eng [H] 1991;205(3):145-53. Huo MH, Salvati EA, Lieberman JR, Betts F, Bansal M. Metallic debris in femoral endosteolysis in failed cemented total hip arthroplasties. Clin Orthop 1992 Mar;(276):157-68. Ilchmann T, Franzen H, Mjoberg B, Wingstrand H. Measurement accuracy in acetabular cup migration. A comparison of four radiologic methods versus roentgen stereophotogrammetric analysis. J Arthroplasty 1992 Jun;7(2):121-7. Inoue K, Nishioka J, Hukuda S, Shichikawa K, Okabe H. Rheumatoid nodules at the cement-bone interface in revision arthroplasty of rheumatoid patients. J Bone Joint Surg Br 1993 May;75(3):455-8. Isaac GH, Wroblewski BM, Atkinson JR, Dowson D. A tribological study of retrieved hip prostheses. Clin Orthop 1992 Mar;(276):115-25. James SP, Jasty M, Davies J, Piehler H, Harris WH. A fractographic investigation of PMMA bone cement focusing on the relationship between porosity reduction and increased fatigue life. J Biomed Mater Res 1992 May;26(5):651-62. Jansson V, Refior HJ. Mechanical failure of the femoral component in cemented total hip replacement--a finite element evaluation. Arch Orthop Trauma Surg 1993;113(1):23-7. Jasty M, Bragdon CR, Lee K, Hanson A, Harris WH. Surface damage to cobalt-chrome femoral head prostheses. J Bone Joint Surg Br 1994 Jan;76(1):73-7. Jasty M, Bragdon CR, Maloney WJ, Haire T, Harris WH. Ingrowth of bone in failed fixation of porous-coated femoral components. J Bone Joint Surg [Am] 1991 Oct;73(9):1331-7. Comment in: J Bone Joint Surg Am 1992 Aug;74(7):1110. Jasty M, Burke D, Harris WH. Biomechanics of cemented and cementless prostheses. Chir Organi Mov 1992 Oct-Dec;77(4):349-58. (Eng, Ita). Jasty M, Jiranek W, Harris WH. Acrylic fragmentation in total hip replacements and its biological consequences. Clin Orthop 1992 Dec;(285):116-28. Jones PR, Hukins DW, Porter ML, Davies KE, Timperley AJ, Hardinge K, Taylor CJ. Aseptic loosening of the femoral component in cemented total hip replacement. J Biomed Eng 1992 Sep; 14(5):379-84. Karrholm J, Snorrason F. Migration of porous coated acetabular prostheses fixed with screws: roentgen stereophotogrammetric analysis. J Orthop Res 1992 Nov;10(6):826-35. Kim KJ, Chiba J, Rubash HE. In vivo and in vitro analysis of membranes from hip prostheses inserted without cement. J Bone Joint Surg Am 1994 Feb;76(2):172-80. Kim KJ, Rubash HE, Wilson SC, D'Antonio JA, McClain EJ. A histologic and biochemical comparison of the interface tissues in cementless and cemented hip prostheses. Clin Orthop 1993 Feb;(287):142-52. Korovessis P, Repanti M. Evolution of aggressive granulomatous periprosthetic lesions in cemented hip arthroplasties. Clin Orthop 1994 Mar;(300):155-61. Koster G, Munz DL, Kohler HP. Clinical value of combined contrast and radionuclide arthrography in suspected loosening of hip prostheses. Arch Orthop Trauma Surg 1993;112(5):247-54. Lalor PA, Revell PA, Gray AB, Wright S, Railton GT, Freeman MA. Sensitivity to titanium. A cause of implant failure? J Bone Joint Surg [Br] 1991 Jan;73(1):25-8. Lavernia C, Mont MA, Hungerford DS, Krackow KA. A common problem with cementless femoral components [letter]. Clin Orthop 1993 May;(290):310-2. Comment on: Clin Orthop 1991 Nov;(272):175-80. Lieberman JR, Huo MH, Schneider R, Salvati EA, Rodi S. Evaluation of painful hip arthroplasties. Are technetium bone scans necessary? J Bone Joint Surg Br 1993 May;75(3):475-8. Mallory TH. Ingrowth of bone in failed fixation of porous-coated femoral components [letter]. J Bone Joint Surg [Am] 1992 Aug;74(7):1110. Comment on: J Bone Joint Surg Am 1991 Oct;73(9):1331-7. Mathiesen EB, Lindgren JU, Blomgren GG, Reinholt FP. Corrosion of modular hip prostheses. J Bone Joint Surg [Br] 1991 Jul;73(4):569-75. Maxwell H, Sampath SA, Hardinge K. Computer-assisted and visual measurement of lucent zones. J Bone Joint Surg Br 1993 May;75(3):502-3. Miles KA, Harper WM, Finlay DB, Belton I. Scintigraphic abnormalities in patients with painful hip replacements treated conservatively. Br J Radiol 1992 Jun;65(774):491-4. Mjoberg B. Fixation and loosening of hip prostheses. A review. Acta Orthop Scand 1991 Oct;62(5):500-8. Comment in: Acta Orthop Scand 1991 Dec;62(6):633-4. Morberg P, Albrektsson T, Reigstad A, Rokkum M, Lindgren U, Svensson O, Romanus B. A qualitative and quantitative study of retrieved femoral heads in three different types of resurface hip arthroplasties. J Arthroplasty 1993 Dec;8(6):617-24. Moreschini O, Braidotti P. Traumatic breakage of the ceramic head of prosthesis in total hip replacement. Ital J Orthop Traumatol 1991 Sep;17(3):339-43. Murray DW. Impingement and loosening of the long posterior wall acetabular implant. J Bone Joint Surg [Br] 1992 May;74(3):377-9. Comment in: J Bone Joint Surg Br 1993 Jan;75(1):162-3. Nistor L, Blaha JD, Kjellstrom U, Selvik G. 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Santavirta S, Konttinen YT, Hoikka V, Eskola A. Immunopathological response to loose cementless acetabular components. J Bone Joint Surg [Br] 1991 Jan;73(1):38-42. Sedel L. Ceramic hips [editorial]. J Bone Joint Surg [Br] 1992 May;74(3):331-2. Sedel L, Simeon J, Meunier A, Villette JM, Launay SM. Prostaglandin E2 level in tissue surrounding aseptic failed total hips. Effects of materials. Arch Orthop Trauma Surg 1992;111(5):255-8. Smith R. Failure of acetabular cups [letter]. J Bone Joint Surg [Br] 1992 May;74(3):476. Comment on: J Bone Joint Surg [Br] 1992 Jan;74(1):25-7. Snorrason F, Karrholm J, Holmgren C. Fixation of cemented acetabular prostheses. The influence of preoperative diagnosis. J Arthroplasty 1993 Feb;8(1):83-90. Sutherland CJ, Bresina SJ. Measurement of acetabular component migration using two-dimensional radiography. J Arthroplasty 1992;7 Suppl:377-9. Swan JS, Braunstein EM, Wellman HN, Capello W. Contrast and nuclear arthrography in loosening of the uncemented hip prosthesis. Skeletal Radiol 1991;20(1):15-9. Tallroth K, Slatis P, Ylinen P, Paavolainen P, Paavilainen T. Loosening of threaded acetabular components. Radiographic manifestations. J Arthroplasty 1993 Dec;8(6):581-4. Tanzer M, Maloney WJ, Jasty M, Harris WH. The progression of femoral cortical osteolysis in association with total hip arthroplasty without cement. J Bone Joint Surg [Am] 1992 Mar;74(3):404-10. Timperley AJ, Gie GA. Failed hip replacements [letter]. BMJ 1992 Feb 1;304(6822):317. Comment on: BMJ 1992 Jan 4;304(6818):3-4. Toni A, Stea S, Squarzoni S, Sudanese A, Masetti G, Maraldi N, Pizzoferrato A, Giunti A. Considerations on ceramic prosthesis explants. Chir Organi Mov 1992 Oct-Dec;77(4):359-71. (Eng, Ita). Tradonsky S, Postak PD, Froimson AI, Greenwald AS. A comparison of the disassociation strength of modular acetabular components. Clin Orthop 1993 Nov;(296):154-60. Treacy R, Carter S, Grigoris P, Pynsent P. Failed hip replacements [letter]. BMJ 1992 Feb 1;304(6822):317. Comment on: BMJ 1992 Jan 4;304(6818):3-4. Villar RN. Failed hip replacements [editorial]. BMJ 1992 Jan 4;304(6818):3-4. Comment in: BMJ 1992 Feb 1;304(6822):317. Wiadrowski TP, McGee M, Cornish BL, Howie DW. Peripheral wear of Wagner resurfacing hip arthroplasty acetabular components. J Arthroplasty 1991 Jun;6(2):103-7. Witt JD, Swann M. Metal wear and tissue response in failed titanium alloy total hip replacements. J Bone Joint Surg [Br] 1991 Jul;73(4):559-63. Wykman A, Lundberg A. Subsidence of porous coated noncemented femoral components in total hip arthroplasty. A roentgen stereophotogrammetric analysis. J Arthroplasty 1992 Jun;7(2):197-200. Zohman GL, Kabo JM, Amstutz HC. Computer graphic analysis of endosteal expansion after total hip arthroplasty. Clin Orthop 1993 Jan;(286):192-7. REHABILITATION Bilotta TW, Fusaro I, Osti R, Mari G. Rehabilitation treatment in cemented and cementless prostheses. Chir Organi Mov 1992 Oct-Dec;77(4):447-9. (Eng, Ita). Henderson SA, Finlay OE, Murphy N, Boreham C, Mollan RA, Gilmore DH, Beringer TR. Benefits of an exercise class for elderly women following hip surgery. Ulster Med J 1992 Oct;61(2):144-50. Moller G, Goldie I, Jonsson E. Hospital care versus home care for rehabilitation after hip replacement. Int J Technol Assess Health Care 1992 Winter;8(1):93-101. Moriarty L, Rothman NL. Transitional home care after joint arthroplasty. Home Healthc Nurse 1994 Jan-Feb;12(1):31-3. Overd A. Should we lift or should we roll? Nursing practice following prosthetic hip surgery. Prof Nurse 1992 Feb;7(5):311-9. Rothman NL, Moriarty L, Rothman RH, Silver C, O'Connor PC, Agvas J. Establishing a home care protocol for early discharge of patients with hip and knee arthroplasties. Home Healthc Nurse 1994 Jan-Feb;12(1):24-30. Stern SH, Fuchs MD, Ganz SB, Classi P, Sculco TP, Salvati EA. Sexual function after total hip arthroplasty. Clin Orthop 1991 Aug;(269):228-35. Vaz MD, Kramer JF, Rorabeck CH, Bourne RB. Isometric hip abductor strength following total hip replacement and its relationship to functional assessments. J Orthop Sports Phys Ther 1993 Oct; 18(4):526-31. OUTCOME STUDIES: FOLLOW-UP AND COMPARATIVE Abrahams TG, Crothers OD. Radiographic analysis of an investigational hydroxyapatite-coated total hip replacement. Invest Radiol 1992 Oct;27(10):779-84. Acurio MT, Friedman RJ. Hip arthroplasty in patients with sickle-cell haemoglobinopathy. J Bone Joint Surg [Br] 1992 May;74(3):367-71. Agrifoglio E, Sanguineti F, Di Stadio M. Total hip replacement with the Biodirect cementless prosthesis. Ital J Orthop Traumatol 1991 Mar;17(1):73-9. Alexiades MM, Clain MR, Bronson MJ. Prospective study of porous-coated anatomic total hip arthroplasty. Clin Orthop 1991 Aug;(269):205-8. Alpert B, Waddell JP, Morton J, Bear RA. Cementless total hip arthroplasty in renal transplant patients. Clin Orthop 1992 Nov;(284):164-9. Alsema R, Deutman R, Mulder TJ. Stanmore total hip replacement. A 15- to 16-year clinical and radiographic follow-up. J Bone Joint Surg Br 1994 Mar;76(2):240-4. Anwar MM, Sugano N, Masuhara K, Kadowaki T, Takaoka K, Ono K. Total hip arthroplasty in the neglected congenital dislocation of the hip. A five- to 14-year follow-up study. Clin Orthop 1993 Oct;(295):127-34. Bands R, Pelker RR, Shine J, Bradburn H, Margolis R, Leach J. The noncemented porous-coated hip prosthesis. A three-year clinical follow-up study and roentgenographic analysis. Clin Orthop 1991 Aug;(269):209-19. Bankston AB, Faris PM, Keating EM, Ritter MA. Polyethylene wear in total hip arthroplasty in patient-matched groups. A comparison of stainless steel, cobalt chrome, and titanium-bearing surfaces. J Arthroplasty 1993 Jun;8(3):315-22. Barrack RL, Lebar RD. Clinical and radiographic analysis of the uncemented LSF total hip arthroplasty. J Arthroplasty 1992;7 Suppl:353-63. Barrack RL, Mulroy RD Jr, Harris WH. Improved cementing techniques and femoral component loosening in young patients with hip arthroplasty. A 12-year radiographic review. J Bone Joint Surg [Br] 1992 May;74(3):385-9. Berman AT, Quinn RH, Zarro VJ. Quantitative gait analysis in unilateral and bilateral total hip replacements. Arch Phys Med Rehabil 1991 Mar;72(3):190-4. Berry DJ, Muller ME. Revision arthroplasty using an anti-protrusio cage for massive acetabular bone deficiency. J Bone Joint Surg [Br] 1992 Sep;74(5):711-5. Boehler M, Knahr K, Plenk H Jr, Walter A, Salzer M, Schreiber V. Long-term results of uncemented alumina acetabular implants. J Bone Joint Surg Br 1994 Jan;76(1):53-9. Boeree NR, Bannister GC. Cemented total hip arthroplasty in patients younger than 50 years of age. Ten- to 18-year results. Clin Orthop 1993 Feb;(287):153-9. Boettcher WG. Total hip arthroplasties in the elderly. Morbidity, mortality, and cost effectiveness. Clin Orthop 1992 Jan;(274):30-4. Bosco JA, Lachiewicz PF, DeMasi R. Survivorship analysis of cemented high modulus total hip arthroplasty. Clin Orthop 1993 Sep;(294):131-9. Brander VA, Stulberg SD, Chang RW. Life after total hip arthroplasty. Bull Rheum Dis 1993 May;42(3):1-5. Bryant MJ, Kernohan WG, Nixon JR, Mollan RA. A statistical analysis of hip scores. J Bone Joint Surg Br 1993 Sep;75(5):705-9. Bryant MJ, Mollan RA, Nixon JR. Survivorship analysis of the Ring hip arthroplasty. J Arthroplasty 1991;6 Suppl:S5-10. Buechel FF, Drucker D, Jasty M, Jiranek W, Harris WH. Osteolysis around uncemented acetabular components of cobalt-chrome surface replacement hip arthroplasty. Clin Orthop 1994 Jan;(298):202-11. Buly RL, Huo M, Root L, Binzer T, Wilson PD Jr. Total hip arthroplasty in cerebral palsy. Long-term follow-up results. Clin Orthop 1993 Nov;(296):148-53. Burkart BC, Bourne RB, Rorabeck CH, Kirk PG. Thigh pain in cementless total hip arthroplasty. A comparison of two systems at 2 years' follow-up. Orthop Clin North Am 1993 Oct;24(4):645-53. Butler-Manuel PA, James SE, Shepperd JA. Pelvic underpinning: eight years' experience. J Bone Joint Surg [Br] 1992 Jan;74(1):74-7. Cage DJ, Granberry WM, Tullos HS. Long-term results of total arthroplasty in adolescents with debilitating polyarthropathy. Clin Orthop 1992 Oct;(283):156-62. Callaghan JJ, Heekin RD, Savory CG, Dysart SH, Hopkinson WJ. Evaluation of the learning curve associated with uncemented primary porous-coated anatomic total hip arthroplasty. Clin Orthop 1992 Sep;(282):132-44. Cameron HU. Cemented ceramic acetabular component: a 7-year review. Can J Surg 1992 Jun;35(3):321-3. Cameron HU. A review of the 2- to 8-year results with a proximally fixed noncemented threaded modular total hip. Acta Orthop Belg 1992;58(4):420-4. Cameron HU. The 3-6-year results of a modular noncemented low-bending stiffness hip implant. A preliminary study. J Arthroplasty 1993 Jun;8(3):239-43. Campbell AC, Rorabeck CH, Bourne RB, Chess D, Nott L. Thigh pain after cementless hip arthroplasty. Annoyance or ill omen. J Bone Joint Surg [Br] 1992 Jan;74(1):63-6. Comment in: J Bone Joint Surg Br 1992 Nov;74(6):934. Capello WN, Sallay PI, Feinberg JR. Omniflex modular femoral component. Two- to five-year results. Clin Orthop 1994 Jan;(298):54-9. Cates HE, Faris PM, Keating EM, Ritter MA. Polyethylene wear in cemented metal-backed acetabular cups. J Bone Joint Surg Br 1993 Mar;75(2):249-53. Comment in: J Bone Joint Surg Br 1993 Nov;75(6):981. Claus B, Van Innis B, De Witte E, Van Overschelde J, Magotteaux B, Fatemi F, Vandepaer F. The Harris-Galante cementless acetabular component: results in 190 cases with at least 3 years follow-up. Acta Orthop Belg 1993;59 Suppl 1:307-9. Cleary PD, Reilly DT, Greenfield S, Mulley AG, Wexler L, Frankel F, McNeil BJ. Using patient reports to assess health-related quality of life after total hip replacement. Qual Life Res 1993 Feb;2(1):3-11. Collier JP, Bauer TW, Bloebaum RD, Bobyn JD, Cook SD, Galante JO, Harris WH, Head WC, Jasty MJ, Mayor MB, et al. Results of implant retrieval from postmortem specimens in patients with well-functioning, long-term total hip replacement. Clin Orthop 1992 Jan;(274):97-112. Collis DK. Long-term (twelve to eighteen-year) follow-up of cemented total hip replacements in patients who were less than fifty years old. A follow-up note. J Bone Joint Surg [Am] 1991 Apr;73(4):593-7. Comment in: J Bone Joint Surg [Am] 1992 Feb;74(2):307-8. Cook SD. Hydroxyapatite-coated total hip replacement. Dent Clin North Am 1992 Jan;36(1):235-8. Coventry MB. Lessons learned in 30 years of total hip arthroplasty. Clin Orthop 1992 Jan;(274):22-9. Cracchiolo A 3d, Severt R, Moreland J. Uncemented total hip arthroplasty in rheumatoid arthritis diseases. A two- to six-year follow-up study. Clin Orthop 1992 Apr;(277):166-74. D'Antonio JA, Capello WN, Crothers OD, Jaffe WL, Manley MT. Early clinical experience with hydroxyapatite-coated femoral implants. J Bone Joint Surg [Am] 1992 Aug;74(7):995-1008. Comment in: J Bone Joint Surg Am 1993 Jul;75(7):1110. D'Antonio JA, Capello WN, Jaffe WL. Hydroxylapatite-coated hip implants. Multicenter three-year clinical and roentgenographic results. Clin Orthop 1992 Dec;(285):102-15. Dall DM, Learmonth I, Solomon M, Davenport M. Long-term results of Charnley low-friction arthroplasty of the hip. S Afr J Surg 1992 Dec;30(4):171-4. Dall DM, Learmonth ID, Solomon M. A scoring system to determine radiological loosening in cemented total hip arthroplasty. Int Orthop 1992;16(4):339-43. Dall DM, Learmonth ID, Solomon M, Davenport JM. 811 Charnley hips followed for 3-17 years. Acta Orthop Scand 1993 Jun;64(3):252-6. Dall DM, Learmonth ID, Solomon MI, Miles AW, Davenport JM. Fracture and loosening of Charnley femoral stems. Comparison between first-generation and subsequent designs. J Bone Joint Surg Br 1993 Mar;75(2):259-65. Daum WJ, Uchida T. Early comparison of femoral components in hip arthroplasty. A preliminary study. Orthop Rev 1992 Mar;21(3):327-34. de Waal Malefijt MC, Huiskes R. A clinical, radiological and biomechanical study of the TARA hip prosthesis. Arch Orthop Trauma Surg 1993;112(5):220-5. Demuynck M, Haentjens P, De Valkeneer O, Van Wellen P, Vanden Berghe I, Casteleyn PP, Kesteleyn P, Opdecam P. Total hip arthroplasty with the porous-coated anatomic (PCA) prosthesis: the acetabular component. Acta Orthop Belg 1993;59 Suppl 1:304-6. Dodge BM, Fitzrandolph R, Collins DN. Noncemented porous-coated anatomic total hip arthroplasty. Clin Orthop 1991 Aug;(269):16-24. Dorlot JM. Long-term effects of alumina components in total hip prostheses. Clin Orthop 1992 Sep;(282):47-52. Dorr LD, Smith C. Clinical results from the calcitite-coated press fit APR hip system. Dent Clin North Am 1992 Jan;36(1):239-46. Drucker DA, Capello WN, D'Antonio JA, Hile LE. Works in progress #6. Total hip arthroplasty using a hydroxyapatite-coated acetabular and femoral component. Orthop Rev 1991 Feb;20(2):179-85, 189-90, 192. Duparc J, Massin P. Results of 203 total hip replacements using a smooth, cementless femoral component. J Bone Joint Surg [Br] 1992 Mar;74(2):251-6. Ebert FR, Hussain S, Krackow KA. Total hip arthroplasty for protrusio acetabuli: a 3- to 9-year follow up of the Heywood technique. Orthopedics 1992 Jan;15(1):17-20. Ebramzadeh E, Sarmiento A, McKellop HA, Llinas A, Gogan W. The cement mantle in total hip arthroplasty. Analysis of long-term radiographic results. J Bone Joint Surg Am 1994 Jan;76(1): 77-87. Ekelund A, Rydell N, Nilsson OS. Total hip arthroplasty in patients 80 years of age and older. Clin Orthop 1992 Aug;(281):101-6. Engh CA, Hooten JP Jr, Zettl-Schaffer KF, Ghaffarpour M, McGovern TF, Macalino GE, Zicat BA. Porous-coated total hip replacement. Clin Orthop 1994 Jan;(298):89-96. Estok DM 2nd, Harris WH. Long-term results of cemented femoral revision surgery using second-generation techniques. An average 11.7-year follow-up evaluation. Clin Orthop 1994 Feb;(299):190-202. Evans BG, Salvati EA, Huo MH, Huk OL. The rationale for cemented total hip arthroplasty. Orthop Clin North Am 1993 Oct;24(4):599-610. Eyb R, Kutschera HP, Schartelmueller T, Toma C, Zweymueller K. Midterm experience with the cementless Zweymueller system. Results of a minimum five-year follow-up study. Acta Orthop Belg 1993;59 Suppl 1:138-43. Fitzgerald RH Jr. Total hip arthroplasty sepsis. Prevention and diagnosis. Orthop Clin North Am 1992 Apr;23(2):259-64. Fontanesi G, Rotini R, Mignani G, Gusella A, Fontana M, Bianco T. Arthroplasty in the sequelae of congenital hip dysplasia. Chir Organi Mov 1993 Jan-Mar;78(1):1-8. (Eng, Ita). Fox GM, McBeath AA, Heiner JP. Hip replacement with a threaded acetabular cup. A follow-up study. J Bone Joint Surg Am 1994 Feb;76(2):195-201. Franzen H, Mjoberg B, Rydholm U. Metal backing improves the survival of surface replacement of the hip. Arch Orthop Trauma Surg 1993;112(6):257-9. Garcia-Cimbrelo E, Munuera L. Low-friction arthroplasty in severe acetabular dysplasia. J Arthroplasty 1993 Oct;8(5):459-69. Garvin KL, Bowen MK, Salvati EA, Ranawat CS. Long-term results of total hip arthroplasty in congenital dislocation and dysplasia of the hip. A follow-up note. J Bone Joint Surg [Am] 1991 Oct;73(9):1348-54. Gebhard JS, Amstutz HC, Zinar DM, Dorey FJ. A comparison of total hip arthroplasty and hemiarthroplasty for treatment of acute fracture of the femoral neck. Clin Orthop 1992 Sep;(282):123-31. Geesink RG. Clinical, radiological and human histological experience with hydroxyapatite coatings in orthopaedic surgery. Acta Orthop Belg 1993;59 Suppl 1:160-4. Godsiff SP, Emery RJ, Heywood-Waddington MB, Thomas TL. Cemented versus uncemented femoral components in the ring hip prosthesis. J Bone Joint Surg Br 1992 Nov;74(6):822-4. Goldberg VM. Anatomic cementless total hip replacement: design considerations and early clinical experience. Acta Orthop Belg 1993;59 Suppl 1:183-9. Gorab RS, Covino BM, Borden LS. The rationale for cementless revision total hip replacement with contemporary technology. Orthop Clin North Am 1993 Oct;24(4):627-33. Greenfield S, Apolone G, McNeil BJ, Cleary PD. The importance of co-existent disease in the occurrence of postoperative complications and one-year recovery in patients undergoing total hip replacement. Comorbidity and outcomes after hip replacement. Med Care 1993 Feb;31(2):141-54. Greggi T, Fagioli G, Sudanese A, Tarozzi C, Dallari D, Ciaroni D, Toni A, Giunti A. Bone scan in the evaluation of cementless hip prostheses. Chir Organi Mov 1991 Jan-Mar;76(1):63-72. (Eng, Ita). Gross AE, Catre MG. The use of femoral head autograft shelf reconstruction and cemented acetabular components in the dysplastic hip. Clin Orthop 1994 Jan;(298):60-6. Guadagnoli E, Cleary PD. Age-related item nonresponse in surveys of recently discharged patients. J Gerontol 1992 May;47(3):P206-12. Gualtieri G, Gualtieri I, Hendriks M, Gagliardi S. Comparison of cemented ceramic and metal- polyethylene coupling hip prostheses in ankylosing spondylitis. Clin Orthop 1992 Sep;(282):81-5. Gualtieri G, Nigrisoli M, Dallari D, Catamo L, Gualtieri I. A study of the mechanical and biological behavior of bioceramic hip arthroplasty followed-up after more than 10 years. Chir Organi Mov 1993 Oct-Dec;78(4):213-22. (Eng, Ita). Haentjens P, de Neve W, Casteleyn PP, Opdecam P. Massive resection and prosthetic replacement for the treatment of metastases of the trochanteric and subtrochanteric femoral region bipolar arthroplasty versus total hip arthroplasty. Acta Orthop Belg 1993;59 Suppl 1:367-71. Hamada Y, Akamatsu N, Nakajima I, Ide T, Yamamoto Y, Tachigi S, Horiuchi T. Thigh pain in cementless total hip replacement. Nippon Seikeigeka Gakkai Zasshi 1993 Jul;67(7):561-71. Harris WH. Total hip replacement in the middle-aged patient. Contemporary cementing for fixation of the femoral component. Orthop Clin North Am 1993 Oct;24(4):611-6. Harris WH. Will stress shielding limit the longevity of cemented femoral components of total hip replacement? Clin Orthop 1992 Jan;(274):120-3. Harwin SF, Stern RE, Kulick RG. Works in progress #7. Clinical experience with the Accu-Path threaded acetabular cup. A preliminary report. Orthop Rev 1991 Oct;20(10):897-8, 902-4, 907 passim. Havelin LI, Espehaug B, Vollset SE, Engesaeter LB. Early failures among 14,009 cemented and 1,326 uncemented prostheses for primary coxarthrosis. The Norwegian Arthroplasty Register, 1987-1992. Acta Orthop Scand 1994 Feb;65(1):1-6. Heekin RD, Callaghan JJ, Hopkinson WJ, Savory CG, Xenos JS. The porous-coated anatomic total hip prosthesis, inserted without cement. Results after five to seven years in a prospective study. J Bone Joint Surg Am 1993 Jan;75(1):77-91. Published erratum appears in J Bone Joint Surg Am 1993 May;75(5):791. Henry JD, Reilly D, Poss R. Two- to four-year experience with cemented, press-fit, and porous coated applications of the profile total hip system. Acta Orthop Belg 1993;59 Suppl 1:190-4. Hernandez JR, Keating EM, Faris PM, Meding JB, Ritter MA. Polyethylene wear in uncemented acetabular components. J Bone Joint Surg Br 1994 Mar;76(2):263-6. Hodge WA, Andriacchi TP, Galante JO. A relationship between stem orientation and function following total hip arthroplasty. J Arthroplasty 1991 Sep;6(3):229-35. Hodgkinson JP, Maskell AP, Paul A, Wroblewski BM. Flanged acetabular components in cemented Charnley hip arthroplasty. Ten-year follow-up of 350 patients. J Bone Joint Surg Br 1993 May;75(3):464-7. Hoffinger SA, Keggi KJ, Zatorski LE. Primary ceramic hip replacement: a prospective study of 119 hips. Orthopedics 1991 May;14(5):523-31. Hoikka V, Ylikoski M, Eskola A, Santavirta S. Inclination of the acetabular cup in erect posture radiographs. Orthopedics 1993 Dec;16(12):1321-3. Holman PR, Tyer HD. Porous coated anatomic non-cemented total hip arthroplasty. Aust N Z J Surg 1992 Jan;62(1):56-9. Holmberg S. Life expectancy after total hip arthroplasty. J Arthroplasty 1992 Jun;7(2):183-6. Horowitz SM, Glasser DB, Lane JM, Healey JH. Prosthetic and extremity survivorship after limb salvage for sarcoma. How long do the reconstructions last? Clin Orthop 1993 Aug;(293):280-6. Horwitz BR, Rockowitz NL, Goll SR, Booth RE Jr, Balderston RA, Rothman RH, Cohn JC. A prospective randomized comparison of two surgical approaches to total hip arthroplasty. Clin Orthop 1993 Jun;(291):154-63. Hozack WJ, Rothman RH, Booth RE Jr, Balderston RA. Cemented versus cementless total hip arthroplasty. 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Jantsch S, Schwagerl W, Zenz P, Semlitsch M, Fertschak W. Long-term results after implantation of McKee-Farrar total hip prostheses. Arch Orthop Trauma Surg 1991;110(5):230-7. Jasty M, Maloney WJ, Bragdon CR, O'Connor DO, Haire T, Harris WH. The initiation of failure in cemented femoral components of hip arthroplasties. J Bone Joint Surg [Br] 1991 Jul;73(4):551-8. Jasty M, Mulroy R, Harris WH. Borderline indications for use of cement in total joint replacements. Chir Organi Mov 1992 Oct-Dec;77(4):397-404. (Eng, Ita). Johanson NA, Charlson ME, Szatrowski TP, Ranawat CS. A self-administered hip-rating questionnaire for the assessment of outcome after total hip replacement. J Bone Joint Surg [Am] 1992 Apr; 74(4):587-97. Jonsson B, Larsson SE. Functional improvement and costs of hip and knee arthroplasty in destructive rheumatoid arthritis. Scand J Rheumatol 1991; 20(5):351-7. Joshi AB, Porter ML, Trail IA, Hunt LP, Murphy JC, Hardinge K. Long-term results of Charnley low-friction arthroplasty in young patients. J Bone Joint Surg Br 1993 Jul;75(4):616-23. Karachalios T, Hartofilakidis G, Zacharakis N, Tsekoura M. A 12- to 18-year radiographic follow-up study of Charnley low-friction arthroplasty. The role of the center of rotation. Clin Orthop 1993 Nov;(296):140-7. Karrholm J, Snorrason F. Subsidence, tip, and hump micromovements of noncoated ribbed femoral prostheses. Clin Orthop 1993 Feb;(287):50-60. Katz JN, Larson MG, Phillips CB, Fossel AH, Liang MH. Comparative measurement sensitivity of short and longer health status instruments. Med Care 1992 Oct;30(10):917-25. Katz RL, Bourne RB, Rorabeck CH, McGee H. Total hip arthroplasty in patients with avascular necrosis of the hip. Follow-up observations on cementless and cemented operations. Clin Orthop 1992 Aug; (281):145-51. Kelley SS, Fitzgerald RH Jr, Rand JA, Ilstrup DM. A prospective randomized study of a collar versus a collarless femoral prosthesis. 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