A total of 894 hips were evaluated to describe the survivorship of Exeter cemented
femoral stems and report the outcomes and complications of our 'Exeter- era', and
there is no study from Central or Eastern Europe demonstrating similar results.Between
January 2000 and December 2009, a total of 894 hips were included who underwent Exeter
universal and V40 femoral stems with a mean follow up of 13 years. Cemented Exeter
low profile polyethylene cups were used in 889 patients (99.4%) cups. Harris hip score
(HHS) was used and statistical outcome measures were calculated with revision as an
endpoint for aseptic loosening of the stem, aseptic loosening of any component, all-cause
revision of the stem, and all-cause revision of the hip.A total of 103 patients died
and 129 (14.4%) operated hips were lost to follow-up before ten years. Out of the
662, ten stems (1.5%) were revised for aseptic loosening. Aseptic loosening of any
component was the reason for revision in 43 cases (6.5%), consisting of 40 cup revisions
and ten stem exchanges. Periprosthetic fracture occurred in 17 cases (1.9%) Periprosthetic
joint infection occurred in 18 cases (2.01%). Three cups were exchanged for recurrent
dislocation, and two stems had broken.Exeter hip system has provided reproducible
results across different centres worldwide, as it did in our series. Thorough surgical
and cementing technique is of utmost importance for achieving these results. The cup
is the weak point of the system and use of a hybrid system is worth considering.
