Avoidable complication of McKee-Farrar arthroplasty.

Replacement of arthritic hips by the McKee-Farrar prosthesis.

The pathology of failed McKee-Farrar implants: correlation with modern metal-on-metal-implant failure

The McKee-Farrar (MF) prosthesis was the first widely used total hip replacement (THR) to employ a metal-on-metal (MoM) articulation. These implants had a high rate of early aseptic loosening but a number achieved good long-term implant survival, stimulating the reintroduction of second and third generation implants of this type. In this study we analysed archival histopathology of periprosthet...

The management of local complications of total hip replacement by the McKee-Farrar technique.

One thousand and forty-two McKee-Farrar prostheses of the present design inserted in Norwich from January 1965 to December 1972 have been reviewed retrospectively to determine the incidence of complications needing revision. Of prostheses implanted for more than two years, 6-6 per cent needed revision for loosening (cup 3-5 per cent; stem 2-2 per cent; both components 0-9 per cent). Of the tota...

Total hip replacement using the McKee-Farrar prosthesis. In rheumatoid arthritis, Still's disease, and ankylosing spondylitis.

Severe destructive change in the hip joint is not infrequent in patients with long-standing rheumatoid arthritis and Still's disease. In ankylosing spondylitis, whether primary or secondary to other diseases such as Still's disease, there may be a bony fusion or destruction. Various types of hip arthroplasty have been carried out in the last 30 years (Smith-Petersen, 1939; Chamley, 1961). The e...

An avoidable complication of digital nerve block.

Digital nerve block is a commonly used regional anaesthetic technique, often performed in the accident and emergency (A&E) department. It is a safe and eVective technique that has been shown to have few complications. When lignocaine (lidocaine) is used, the digit will be anaesthetised for approximately 45 minutes to one hour, which is adequate anaesthetic time for most procedures undertaken in...