SUMMARY
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.