{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:51:27Z","timestamp":1787021487978,"version":"build-2736575974"},"reference-count":37,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"4","license":[{"start":{"date-parts":[[2007,4,1]],"date-time":"2007-04-01T00:00:00Z","timestamp":1175385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:p>We studied prospectively the long-term results of the Charnley Elite-Plus femoral stem in 184 consecutive young patients (194 hips). There were 130 men and 54 women with a mean age of 49.1 years (21 to 60). The predominant diagnosis was osteonecrosis of the femoral head (63.6%, 117 patients). Clinical and radiological evaluation was undertaken at each follow-up. The mean follow-up was 11.2 years (10 to 12).<\/jats:p>\n                  <jats:p>The mean pre-operative Harris hip score was 43.4 (12 to 49) which improved to 91 (59 to 100) at the final follow-up. The survival of the femoral stem at 12 years was 99% with revision as the end-point. The mean annual linear wear of the polyethylene liner was 0.17 mm (0.13 to 0.22). The prevalence of acetabular osteolysis was 10.8% (21 hips) and osteolysis of the calcar femorale 12.9% (25 hips).<\/jats:p>\n                  <jats:p>A third-generation cementing technique, accurate alignment of the stem and the use of a 22 mm zirconia head were important factors in the prevention of aseptic loosening of the Elite Plus femoral stem in these high-risk young patients.<\/jats:p>","DOI":"10.1302\/0301-620x.89b4.18665","type":"journal-article","created":{"date-parts":[[2007,4,26]],"date-time":"2007-04-26T13:02:50Z","timestamp":1177592570000},"page":"449-454","source":"Crossref","is-referenced-by-count":28,"title":["Long-term survivorship of the Charnley Elite Plus femoral component in young patients"],"prefix":"10.1302","volume":"89-B","author":[{"given":"Y.-H.","family":"Kim","sequence":"first","affiliation":[{"name":"The Joint Replacement Center of Korea Ewha Womans University DongDaeMun Hospital, 70, ChongRo 6-Ga, ChongRo-Gu, Seoul 110-783, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.-S.","family":"Kim","sequence":"additional","affiliation":[{"name":"The Joint Replacement Center of Korea Ewha Womans University DongDaeMun Hospital, 70, ChongRo 6-Ga, ChongRo-Gu, Seoul 110-783, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.-H.","family":"Yoon","sequence":"additional","affiliation":[{"name":"The Joint Replacement Center of Korea Ewha Womans University DongDaeMun Hospital, 70, ChongRo 6-Ga, ChongRo-Gu, Seoul 110-783, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Schulte KR, Callaghan JJ, Kelley SS, Johnston RC.\n                      The outcome of Charnley total hip arthroplasty with cement after a minimum twenty-year follow-up: the results of one surgeon. J Bone Joint Surg [Am] 1993;75-A:961\u201375.","DOI":"10.2106\/00004623-199307000-00002"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200200002-00002"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Hartofilakidis G, Karachalios T, Karachalios G.\n                      The 20-year outcome of the Charnley arthroplasty in younger and older patients. Clin Orthop 2005;434:177\u201382.","DOI":"10.1097\/01.blo.0000155012.23703.54"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Callaghan JJ, Albright JC, Goetz DD, Olejniczak JP, Johnston RC.\n                      Charnley total hip arthroplasty: minimum twenty-five year follow-up. J Bone Joint Surg [Am] 2000;82-A:487\u201397.","DOI":"10.2106\/00004623-200004000-00004"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.81B3.0810427"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Callaghan JJ, Forest EE, Olejniczak JP, Goetz DD, Johnston RC.\n                      Charnley total hip arthroplasty in patients less than fifty years old: a twenty to twenty-five-year follow-up note. J Bone Joint Surg [Am] 1998;80-A:704\u201314.","DOI":"10.2106\/00004623-199805000-00011"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Joshi AB, Porter ML, Trail IA, Hunt LP.\n                      Long-term results of Charnley low-friction arthroplasty in young patients. J Bone Joint Surg [Br] 1993;75-A:616\u201323.","DOI":"10.1302\/0301-620X.75B4.8331119"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Sullivan PM, MacKenzie JR, Callaghan JJ, Johnston RC.\n                      Total hip arthroplasty with cement in patients who are less than fifty years old. J Bone Joint Surg [Am] 1994;76-A:863\u20139.","DOI":"10.2106\/00004623-199406000-00010"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B4.0840540"},{"key":"R10","unstructured":"Kalairajah Y, Azurza K, Molloy S, et al.\n                      Is the Charnley evolution working? a five-year outcome study. Acta Orthop Belg 2004;70:315\u201321."},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B5.0840631"},{"key":"R12","unstructured":"Livingston SJ, Ivory JP.\n                      Five year survivorship study of the Charnley Elite Plus total hip replacement. J Bone Joint Surg [Br] 2003;85-B(Suppl 1):59\u201360."},{"key":"R13","unstructured":"Rowsell M, Der Tavitian J, Birtwistle S, Power R.\n                      Total hip replacement using the Elite Plus femoral stem: three to seven year review. J Bone Joint Surg [Br] 2003;85-B(Suppl 1):59."},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B4.15917"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B2.17055"},{"key":"R16","unstructured":"Crenshaw AH Jr.\n                      Surgical technique and approaches. In: Canale ST, ed.\n                      Campbell\u2019s operative orthopaedics\n                      . Ninth ed. St. Louis: Mosby, 1998:92\u20133."},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951040-00012"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Kim Y-H, Oh S-H, Kim J-S, Koo K-H.\n                      Contemporary total hip arthroplasty with and without cement in patients with osteonecrosis of the femoral head. J Bone Joint Surg [Am] 2003;85-A:675\u201381.","DOI":"10.2106\/00004623-200304000-00014"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Dorr LD.\n                      Total hip replacement using APR system. Tech Orthop 1986;1:22\u201334.","DOI":"10.1097\/00013611-198610000-00007"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.74B3.1587883"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197355080-00006"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"DeLee JG, Charnley J.\n                      Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop 1976;121:20\u201332.","DOI":"10.1097\/00003086-197611000-00003"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Gruen TA, McNeice GM, Amstutz HC.\n                      \u201cModes of failure\u201d of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop 1979;141:17\u201327.","DOI":"10.1097\/00003086-197906000-00002"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Sutherland CJ, Wilde AH, Borden LS, Marks KE.\n                      A ten-year follow-up of one hundred consecutive M\u00fcller curved-stem total hip replacement arthroplasties. J Bone Joint Surg [Am] 1982;64-A:970\u201382.","DOI":"10.2106\/00004623-198264070-00002"},{"key":"R25","doi-asserted-by":"crossref","unstructured":"Martell JM, Berdia S.\n                      Determination of polyethylene wear in total hip replacements with use of digital radiographs. J Bone Joint Surg [Am] 1997;79-A:1635\u201341.","DOI":"10.2106\/00004623-199711000-00004"},{"key":"R26","doi-asserted-by":"crossref","unstructured":"Senghas RE.\n                      Statistics in the Journal of Bone and Joint Surgery: suggestions for authors. J Bone Joint Surg [Am] 1992;74-A:319\u201320.","DOI":"10.2106\/00004623-199274030-00001"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1958.10501452"},{"key":"R28","unstructured":"Greenwood M.\n                      A report on the natural duration of cancer. London: HMSO, 1926."},{"key":"R29","unstructured":"Johansson JE, McBroom R, Barrington TW, Hunter GA.\n                      Fracture of the ipsilateral femur in patients with total hip replacement. J Bone Joint Surg [Am] 1995;77-A:1845\u201352."},{"key":"R30","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.82B8.0821095"},{"key":"R31","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B5.0830742"},{"key":"R32","doi-asserted-by":"crossref","unstructured":"Kim Y-H.\n                      Comparison of polyethylene wear associated with cobalt-chrome and zirconia heads after total hip replacement: a prospective, randomized study. J Bone Joint Surg [Am] 2005;87-A:1769\u201376.","DOI":"10.2106\/00004623-200508000-00015"},{"key":"R33","doi-asserted-by":"crossref","unstructured":"Mulroy WF, Estok DM, Harris WH.\n                      Total hip arthroplasty with use of so-called second-generation cementing technique: a fifteen-year average follow-up study. J Bone Joint Surg [Am] 1995;77-A:1845\u201352.","DOI":"10.2106\/00004623-199512000-00008"},{"key":"R34","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.8.4.228"},{"key":"R35","doi-asserted-by":"crossref","unstructured":"Hartley WT, McAuley JP, Culpepper WJ, Engh CA Jr, Engh CA Sr.\n                      Osteonecrosis of the femoral head treated with cementless total hip arthroplasty. J Bone Joint Surg [Am] 2000;82-A:1408\u201313.","DOI":"10.2106\/00004623-200010000-00006"},{"key":"R36","doi-asserted-by":"crossref","unstructured":"Schmalzried Y-H, Jasty M, Harris WH.\n                      Periprosthetic bone loss in total hip arthroplasty: polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg [Am] 1992;74-A:849\u201363.","DOI":"10.2106\/00004623-199274060-00006"},{"key":"R37","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B5.2211749"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.89B4.18665","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.89B4.18665","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.89B4.18665","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T16:34:06Z","timestamp":1629131646000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.89B4.18665"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,4]]},"references-count":37,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2007,4]]}},"alternative-id":["10.1302\/0301-620X.89B4.18665"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.89b4.18665","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,4]]}}}