Springer Nature is making Coronavirus research free. View research | View latest news | Sign up for updates

Long-term results and survivorship of the McKee-Farrar total hip prosthesis

  • 45 Accesses

  • 30 Citations


Five hundred and eleven McKee-Farrar prostheses implanted at the Orthopedic Hospital of the Invalid Foundation (Helsinki, Finland) between 1967 and 1973 were analyzed for long-term survivorship, clinical results, and the risk factors leading to aseptic loosening of the prosthesis. Reoperation was neccessary for aseptic loosening of 91 prostheses and for septic loosening of 19 prostheses. Ten-year survivorship was 76% and the annual failure rate 2.3%. The failure rate correlated with time. Acetabular cup loosening occurred 1.2 times more often than stem loosening. The retained prostheses remained clinically stable with respect to pain and mobility, but some deterioration was observed in walking ability. In addition to the follow-up period, prosthetic design right-sided prosthesis, and lenthening of the operated leg proved to be significant factors for aseptic loosening in multiple stepwise regression analysis. After exclusion of the unmeasured leg length inequalities, the lengthening of the operated leg proved to be them ost important factor explaining aseptic loosening of the prosthesis. Surgeon's inexperience, operation time, post-traumatic coxarthrosis, and previous operations were correlated to aseptic loosening of the prosthesis.

This is a preview of subscription content, log in to check access.


  1. 1.

    Alho A, Söreide O, Bjersand AJ (1984) Mechanical factors in loosening of Christiansen and Charnley arthroplasties. Acta Orthop Scand 55:261–266

  2. 2.

    Almby B, Hierton T (1982) Total hip replacement. A ten-year follow-up of an early series. Acta Orthop Scand 53:397–406

  3. 3.

    American Society of Anesthesiologists. The 1962 house of delegates (1963) New classification of physical status. Anesthesiology 24:111

  4. 4.

    Armitage P (1971) Statistical methods in medical research. Blackwell, Oxford, pp 408–414

  5. 5.

    Baldursson H (1980) Hip replacement with the McKee-Farrar prosthesis in rheumatoid arthritis. Acta Orthop Scand 51:639–648

  6. 6.

    Blacker GJ, Charnley J (1978) Changes in the upper femur after low-friction arthroplasty. Clin Orthop 137:15–23

  7. 7.

    Buchholz HW, Heinert K, Wargenau M (1985) Verlaufsbeobachtung von Hüftendoprothesen nach Abschluß realer Belastungsbedingungen von 10 Jahren. Z Orthop 123:815–820

  8. 8.

    Bösch P, Kristen H, Zweymüller K (1980) An analysis of 119 loosenings in total hip endoprosthesis. Arch Orthop Trauma Surg 96:83–90

  9. 9.

    Carlsson ÅS (1981) 351 total hip replacements according to Charnley. Acta Orthop Scand 52:339–344

  10. 10.

    Carlsson ÅS, Gentz C-F (1980) Mechanical loosening of the femoral head prosthesis in the Charnley total hip arthroplasty. Clin Orthop 147:262–269

  11. 11.

    Charnley J (1972) The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg [Br] 54:61–76

  12. 12.

    Coudane H, Fery J, Sommelet J, Lacoste P, Ludec P, Gaucher A (1981) Aseptic loosening of cemented total arthroplasties of the hip in relation to positioning of the prosthesis. Acta Orthop Scand 52:205–210

  13. 13.

    Djerf K, Wahlström O (1986) Total hip replacement. Comparison between the McKee-Farrar and Charnley prostheses in a 5-year follow-up study. Arch Orthop Trauma Surg 105:158–162

  14. 14.

    Dobbs HS (1980) Survivorship of total hip replacements. J Bone Joint Surg [Br] 62:168–173

  15. 15.

    Dandy DJ, Theodorou BC (1975) The management of local complications of total hip replacement by the McKee-Farrar technique. J Bone Joint Surg [Br] 57:30–35

  16. 16.

    Hierton C, Blomgren G, Lindgren U (1983) Factors leading to rearthroplasty in material with radiographically loose total hip prostheses. Acta Orthop Scand 54:562–565

  17. 17.

    Kristiansen B, Jensen JS (1985) Biomechanical factors in loosening of the Stanmore hip. Acta Orthop Scand 56:21–24

  18. 18.

    Lindberg H, Carlsson ÅS (1983) Mechanical loosening of the femoral component in total hip replacement, Brunswik design. Acta Orthop Scand 54:557–561

  19. 19.

    Lindberg OH, Carlsson ÅS (1983) Seven-year follow-up of total hip replacement with Brunswik prosthesis. Acta Orthop Scand 54:891–895

  20. 20.

    McKee GK, Watson-Farrar J (1966) Replacement of arthritic hips by the McKee-Farrar prosthesis. J Bone Joint Surg [Br] 48:245–259

  21. 21.

    Morscher E, Schmassmann A (1983) Failures of total hip arthroplasty and probable incidence of revision surgery in the future. Arch Orthop Trauma Surg 101:137–143

  22. 22.

    Oberthaler W, Bauer R, Sattler K (1980) Results of alloarthroplasty of the hip joint. Arch Orthop Trauma Surg 96:247–258

  23. 23.

    Olsson SS, Jernberg A, Tryggö D (1981) Clinical and radiological long-term results after Charnley-Müller total hip replacement. Acta Orthop Scand 52:531–542

  24. 24.

    Patterson FP, Brown CS (1972) The McKee-Farrar total hip replacement. J Bone Joint Surg [Am] 54:257–275

  25. 25.

    Perrin T, Lawrence DD, Perry J, Gronley J, Jull DB (1985) Functional evaluation of total hip arthroplasty with five- to ten-year follow-up evaluation. Clin Orthop 195:252–260

  26. 26.

    Reikerås O (1982) Ten-year follow-up of Muller hip replacements. Acta Orthop Scand 53:919–922

  27. 27.

    Salenius P, Laurent LE (1973) Experience with the McKee-Farrar total hip replacement. Acta Orthop Scand 44:451–459

  28. 28.

    Salvati EA, Wilson PD, Jolley MN, Vakili F, Aglietti P, Brown GC (1981) A ten-year follow-up study of our first one hundred consecutive Charnley total hip replacements. J Bone Joint Surg [Am] 63:753–767

  29. 29.

    Stauffer RN (1982) Ten-year follow-up study of total hip replacement. J Bone Joint Surg [Am] 64:983–989

  30. 30.

    Surin VV, Sundholm K (1983) Survival of patients and prostheses after total hip arthroplasty. Clin Orthop 177:148–153

  31. 31.

    Sutherland CJ, Wilde AH, Bordon LS, Marks KE (1982) A ten-year follow-up of one hundred consecutive Müller curved-stem total hip replacement arthroplasties. J Bone Joint Surg [Am] 64:970–982

  32. 32.

    Söreide O, Lillestöl J, Alho A, Hvidsten K (1982) Migration of the femoral stem in hip arthroplasties. Acta Orthop Scand 53:265–272

  33. 33.

    Tapadiya D, Walker RH, Schurman DJ (1984) Prediction of outcome of total hip arthroplasty based on initial postoperative radiographic analysis. Clin Orthop 186:5–15

  34. 34.

    Tillberg B (1982) Total hip arthroplasty using the McKee & Watson-Farrar prosthesis. Acta Orthop Scand 53:103–107

  35. 35.

    Willert HG, Buchorn U, Zichner L (1980) Clinical experience with Muller total hip endoprostheses of different design and material. Arch Orthop Trauma Surg 97:197–205

  36. 36.

    Wilson PD, Amstutz HC, Czernecki A, Salvati EA, Mendes DG (1972) Total hip replacement with fixation by acrylic cement. J Bone Joint Surg [Am] 54:207–236

Download references

Author information

Correspondence to T. Visuri.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Visuri, T. Long-term results and survivorship of the McKee-Farrar total hip prosthesis. Arch. Orth. Traum. Surg. 106, 368–374 (1987).

Download citation


  • Failure Rate
  • Aseptic Loosening
  • Stepwise Regression Analysis
  • Walking Ability
  • Orthopedic Hospital