The femoral component in total hip arthroplasty. Six to eight-year follow-up of one

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hundred consecutive patients after use of a third-generation cementing technique. Oishi CS. Walker RH. Colwell CW Jr. J Bone Joint Surg Am. 76(8):1130-6, 1994 Aug. Â One hundred consecutive patients had a primary unilateral total hip arthroplasty with use of a single design of the femoral component (Harris Á Precoat), inserted with a so-called third-generation cementing technique, Â between July 1985 and June 1987. There were seventy-four women and twenty-six men. The mean age at the time of the operation was seventy-one years (range, forty-one to ninety-two years) and the mean weight was seventy kilograms (range, forty-eight to 105 kilograms). Eleven of the 100 patients died during the follow-up period, all with the implant in place. Of the eighty-nine surviving patients, one had a revision arthroplasty for aseptic loosening. The mean duration of clinical follow-up for the remaining eighty-eight patients was seven years (range, six to eight years). The mean Harris hip score at the latest follow-up evaluation was 91 points (range, 68 to 97 points). Of the eighty-eight patients, eighty-five (97 percent) had a good or excellent result. Radiographic * follow-up was performed for eighty-one patients; none had evidence of loosening of the stem, and five (6 percent) had endosteal cavitation but were asymptomatic. The rate of failure (loosening or revision) of the Á femoral component in the entire series was 1 per cent (one hip). The low rate of failure and the maintenance of good and excellent clinical and radiographic results during this period of follow-up are consistent with reports from other institutions. This strengthens the argument to retain or widen the existing indications for the insertion of a femoral stem with cement in primary total hip arthroplasty. *