Abstract
A total of 38 cemented metal-on-metal CoCrMo McKee-Farrar total hip arthroplasties (THAs) were clinically and radiographically evaluated over a long-term follow-up. No osteolysis and no granuloma were found more than 20 years after the operation. The main radiological findings were bone erosion and migration of the acetabular component, seen in 17 hips (44.7%). The direction of the migration correlated with the setting position of the acetabular component at operation. At revision surgery, metallosis was observed in unstable THA, and no metallosis was observed in stable THA. Using a micrometer, no wear of the sockets was found. Therefore, the loosening was thought to be due to the equatorial bearing rather than to metallosis. The mean survival of the THA to data was 14.6 years in those patients 60 years old or younger at operation and was significantly less (11.9 years) in those 61 years old or older at operation (P < 0.03). The mean survival time was 13.8 years.
Similar content being viewed by others
References
August AC, Aldam CH, Pynsent PB (1986) The McKee-Farrar hip arthroplasty: a long-term study. J Bone Joint Surg [Br] 68:520–527
Baldursson H (1980) Hip replacement with the McKee-Farrar prosthesis in rheumatoid arthritis. Acta Orthop Scand 51:639–648
Charosky CB, Bullough PG, Wilson PD Jr (1973) Total hip replacement failures. A histological evaluation. J Bone Joint Sung [Am] 55:49–58
Djerf K, Wahlstrom O (1986) Total hip replacement. Comparison between the McKee-Farrar and Chamely prostheses in a 5-year follow-up study. Arch Orthop Trauma Surg 105:158–162
Djerf K, Wahlstrom O, Hammerby S (1986) Loosening 5 year after total hip replacement — a radiological study of the McKee-Farrar and Chamley prostheses. Arch Orthop Trauma Surg 105:339–342
Harris WH (1994) Osteolysis and particle disease in hip replacement, a review. Acta Orthop Scand 65:113–123
Higuchi F, Yamashita H, Kumagai Y, Sakai K, Hoshiko H, Inoue A (1992) Comparison study metal on polyethylene THR with metal on metal THR. (in Japanese) Proc Jpn Res Assoc for replacement arthroplasty 22:56–57
Higuchi F, Shiba N, Yamashita H, Hiraoka K, Inoue A, Miyagi S (1994) The utility of metal on metal total hip replacement. (in Japanese) J Joint Surg 13:17–24
Jantsch S, Schwagerl W, Zenz P, Semlitsch M, Fertschak W (1991) Long-term results after implantation of McKee-Farrar total hip prostheses. Arch Orthop Trauma Surg 110:230–237
Jasty M, Maloney WJ, Bragdon CR, Haire T, Harris WH (1990) Histomorphological studies of the long-term skeletal responses to well fixed cemented femoral components. J Bone Joint Surg [Am] 72:1220–1229
Jones LC, Hungerford DS (1987) Cement disease. Clin Orthop 225:192–206
Kreusch-Brinker R (1994) Clinical experience with the MeKee-Farrar endoprosthesis. In: Buchhorn GH, Willert HG (eds) Technical principles, design and safety of joint implants. Hogrefe & Huber, Seattle, pp 68–71
Maloney WJ, Jasty M, Burke DW, O'Connor DO, Zalenski EB, Bragdon C, Harris WH (1989) Biomechanical and histologic investigation of cemented total hip arthroplasties. A study of autopsy-retrieved femurs after in vivo cycling. Clin Orthop 249:129–140
McKee GK (1970) Development of total prosthetic replacement of the hip. Clin Orthop 72:85–103
McKee GK, Watson-Farrar J (1966) Replacement of arthritic hips by the McKee-Farrar prosthesis. J Bone Joint Surg [Br] 48:245–259
Müller M (1992) Lessons of 30 years of total hip arthroplasty. Clin Orthop 274:12–21
Nunn D, Freeman MAR, Hill PF, Evans STW (1989) The measurement of migration of the acetabular component of hip prostheses. J Bone Joint Surg [Br] 71:629–631
Sarmiento A, Ebramzadeh E, Gogan WJ, McKellop HA (1990) Total hip arthroplasty with cement — a long-term radiographic analysis in patients who are older than fifty and younger than fifty years. J Bone Joint Surg [Am] 72:1470–1476
Semlitsch M (1994) A solution to the problem of wear of hip joint replacement: CoCrMo metal/metal articulation. Medica J 2:14–17
Semlitsch M, Streicher RM, Weber H (1989) Wear behavior of cast CoCrMo cups and balls in long-term implanted total hip prostheses. Orthopade 18:377–381
Swanson SAV, Freeman MAR, Heath JC (1973) Laboratory tests on total joint replacement prosthesis. J Bone Joint Surg [Br] 55:759–773
Täger KH (1994) Aspects of loosening in McKee-Farrar endoprostheses. In: Buchhorn GH, Willert HG (eds) Technical principles, design and safety of joint implants. Hogrefe & Huber, Seattle, pp 72–81
Visuri T (1987) Long-term results and survivorship of McKee-Farrar total hip prosthesis. Arch Orthop Trauma Surg 106:368–374
Walker PS, Salvati E, Hotzler RK (1974) The wear on removed McKee-Farrar total hip prostheses. J Bone Joint Surg [Am] 56:92–100
Weber BG (1992) Metall-Metall-Totalprothese des Hüftgelenkes: Zurück in the Zukunft. Z Orthop 130:306–309
Weber BG, Semlitsch MF, Streichter RM (1993) Total hip joint replacement using a CoCrMo Metal-metal sliding paring. J Jpn Orthop Assoc 67:391–398
Willert HG, Buchhorn GH (1993) Particle disease due to wear of ultra-high molecular weight polyethylene. In: Morrey BF (ed) Biological, material, and mechanical considerations of joint replacement. Raven, New York
Willert HG, Semlitsch M (1977) Reactions of the articular capsule to wear products of artificial joint prostheses. J Biomed Mater Res 11:157–164
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Higuchi, F., Inoue, A. & Semlitsch, M. Metal-on-metal CoCrMo McKee-Farrar total hip arthroplasty: characteristics from a long-term follow-up study. Arch Orthop Trauma Surg 116, 121–124 (1997). https://doi.org/10.1007/BF00426058
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00426058