Total arthroplasty in Paget's disease of the hip. A clinical review and review of the literature.

The results in 30 Paget's disease patients with 37 affected hips treated with total hip arthroplasty (THA) for symptomatic coxarthrosis were compared with the results of previously reported series. Metabolic activity of the disease subsequent to surgery seemed to have no effect on the clinical outcome during 7.8 years of follow-up study; location of the disease (acetabulum only, femur only, or both) or the presence of protrusio alone also had no effect. For the femur, failure rates were similar for prostheses implanted in Pagetic or non-Pagetic bone. Good results can be anticipated for patients with Paget's disease treated with cemented THA.