A case series of total hip replacements for patients with Paget’s disease

Abstract

The aim of this case series is to determine rates of revision in patients with Paget’s disease undergoing total hip. replacements. Patients presenting to a single with Paget’s disease of the femur or acetabulum undergoing total hip arthroplasty. Retrospective case note and radiographic review was undertaken. 32 patients with a mean age 77.4 (range 68-88). 12 males and 20 females. There were 25 cemented total hip replacements, 1 hybrid and 6 uncemented total hip replacements performed. The mean drop in haemoglobin was 33.3g/L (8-59). 14 (43.8%) received a blood transfusion. There were no deaths in the first year following surgery. 1 (3.1%) revision procedure was performed in the first year. At 5 year follow-up there were no further revisions in the 27 patients with 5 year followup (96.3% survivorship).

Total hip replacement in patients with Paget’s disease has low complication rates and low risks of revision.