Dunn A W
South Med J. 1982 Aug;75(8):937-40.
Review of 185 consecutive Muller total hip arthroplasties five to nine years after operation showed that 14 patients had died and that three deaths were directly related to the surgery. Of these, 37 patients (54 hips) could not be located and were excluded. Another patient, nonambulatory for an unrelated cause, was also excluded. A total of 126 hips in 104 patients were available for clinical and roentgenographic examinations with a minimal follow-up of five years. The final result was excellent in 70%, good in 10%, fair in 5%, and poor in 15%. One deep infection required removal of the prosthesis. There was no sciatic nerve injury. Five hips dislocated postoperatively and six others had recurrent subluxation. Replacement of the acetabular component was required in four hips, three because of loosening and the other for malposition in association with paraparesis. Trochanteric osteotomy was done in nine hips and four failed to unite. There was roentgenographic evidence of femoral component loosening in 28% of the hips and 8% required replacement. Poor cement filling and varus positioning of the femoral stem contributed to loosening.
对185例连续接受Muller全髋关节置换术的患者进行术后5至9年的随访，结果显示有14例患者死亡，其中3例死亡与手术直接相关。在这些患者中，37例患者（54髋）无法联系到，被排除在外。另外1例因无关原因不能行走的患者也被排除。共有104例患者的126髋可供临床和X线检查，最短随访时间为5年。最终结果为优的占70%，良的占10%，可的占5%，差的占15%。1例深部感染需要取出假体。无坐骨神经损伤。5髋术后脱位，另外6髋有复发性半脱位。4髋需要更换髋臼部件，3例因松动，另1例因与截瘫相关的位置异常。9髋进行了转子截骨术，4例未愈合。X线证据显示28%的髋存在股骨部件松动，8%需要更换。骨水泥填充不良和股骨柄内翻位导致松动。
