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Functional and Patient-related Outcomes of Total Hip Arthroplasty in Patients Younger Than 20 Years

Antoine Chapot, Pierre‐Yves Zambelli, Sophie Merckaert

2023Arthroplasty Today16 citationsDOIOpen Access PDF

Abstract

Background: Total hip arthroplasty (THA) in adolescent and young adults represent only about 10% of all THAs. Despite the advances in hip conservation surgery, there are still adolescents and young adults who progress to severe joint degeneration. THA seems to be the last solution in these cases. We aimed to assess the clinical and patient-related outcomes at short-term to midterm follow-up for THAs performed before the age of 20 years. Material and methods: We performed a retrospective monocentric study including all patients that underwent a THA before the age of 20 years between January 2008 and December 2018 at our tertiary orthopaedic center with a minimum follow-up of 2 years. Demographic data were recorded. The Harris and Oxford hip scores were used to assess clinical and patient-related outcomes. Results: value < .001. Conclusions: THA in adolescents and young adults suffering from end-stage osteoarthritis due to pediatric hip disorders provides improved hip function and notable pain relief at short-term to midterm follow-up.

Topics & Concepts

MedicineAvascular necrosisSlipped capital femoral epiphysisSurgeryRetrospective cohort studyOsteoarthritisHarris Hip ScoreEtiologyArthroplastyFemoral headInternal medicinePathologyAlternative medicineHip disorders and treatmentsOrthopaedic implants and arthroplastyOrthopedic Infections and Treatments
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