start-ver=1.4 cd-journal=joma no-vol=101 cd-vols= no-issue=9-10 article-no= start-page=863 end-page=874 dt-received= dt-revised= dt-accepted= dt-pub-year=1989 dt-pub=198910 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Follow-up study of total hip replacement in the elderly patients kn-title=高齢者に対する全人工股関節置換術の治療成績 en-subtitle= kn-subtitle= en-abstract= kn-abstract=A follow-up study was performed on 68 total hip replacements (THR) in 62 patients over 65 years of age who were followed for more than 3 years (average, 6 years 9 months). Except in 14 cases of death or 9 incomplete histories at follow-up, 39 cases were investigated both clinically and radiologically. Thirty-four were osteoarthritic patients and others were avascular necrosis of the femoral head and femoral neck fracture. For the operations, Charnley, M?ller and New M?ller type prosthesis were used. In a prognostic nutritional index, all records were over 45. Although elderly patients hed various pre-operative complications, hip scores have improved from 44.3 to 79.2 points post-operatively. Radiological study confirmed that osteoporosis in aged patients has little relationship with loosening of the prosthesis. Results of the THR using M?ller prosthesis were poor compared with the Charnley or New M?ller prosthesis. For elderly patients, THR can be well indicated even if the life span is not so long after the operation. en-copyright= kn-copyright= en-aut-name=TsuchidaNorihei en-aut-sei=Tsuchida en-aut-mei=Norihei kn-aut-name=槌田典平 kn-aut-sei=槌田 kn-aut-mei=典平 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部整形外科学教室 en-keyword=高齢者 kn-keyword=高齢者 en-keyword=全人工股関節置換術 kn-keyword=全人工股関節置換術 en-keyword=追跡調査 kn-keyword=追跡調査 en-keyword=合併症 kn-keyword=合併症 en-keyword=骨萎縮 kn-keyword=骨萎縮 END