Archives of Orthopaedic and Trauma Surgery

, Volume 128, Issue 4, pp 377–381

Hip arthroplasty with the thrust plate prosthesis in patients of 65 years of age or older: 67 patients followed 2–7 years

Orthopaedic Surgery

DOI: 10.1007/s00402-007-0487-4

Cite this article as:
Karatosun, V., Unver, B. & Gunal, I. Arch Orthop Trauma Surg (2008) 128: 377. doi:10.1007/s00402-007-0487-4



Thrust plate prosthesis (TPP) is a relatively new concept in total hip arthroplasty and advocated to be used in young patients. We retrospectively evaluated the results of 67 patients (71 hips) who were older than 65 years of age and underwent hip arthroplasty using the TPP.

Patients and methods

There were 50 female and 17 male patients with a mean age 71 (range 65–89) years. All patients received accelerated rehabilitation program either with full weight bearing in the second postoperative day or at 6 weeks. All patients were followed-up for at least 2 years (range 28–87 months).


The average Harris hip score improved from 43 (range 8–72) to 93 (range 64–100) at the latest follow-up (p < 0.001). The overall revision rate was 8.4%. However, when the patients with definitive history of trauma were excluded the rate for loosening and technical errors decreased to 4.2%. There was no significant difference between the Harris hip score of patients with full weight bearing in the second postoperative day or 6 weeks (p = 0.57).


We conclude that the TPP could be indicated for older patients without age limit and that an accelerated rehabilitation program with early weight bearing can be applied to these patients.


Hip Arthroplasty Thrust plate prosthesis Elderly Cementless prosthesis 

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Department of OrthopedicsDokuz Eylül University HospitalIzmirTurkey
  2. 2.School of PhysiotherapyDokuz Eylül University HospitalIzmirTurkey
  3. 3.IzmirTurkey

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