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Mean 5-year clinical and radiographic outcomes of cementless total hip arthroplasty in patients under the age of 30.

Abstract：

:We performed a retrospective review of 40 consecutive modern cementless THAs with 65-month mean followup in 34 patients under the age of 30 primarily for diagnoses other than inflammatory arthritis. We found acceptable functional improvement and radiographic outcomes at mean 5-year followup. We found a high transfusion rate, dislocation rate (10%), and midterm overall aseptic revision rate (17%). Twenty-eight (67.5%) of hips in this series were metal on metal, with a large percentage of aseptic revisions related to metallosis (57%). When revisions due to metallosis were excluded, the aseptic revision rate was 7.5%. The high prevalence of prior pediatric hip surgery in these patients (50%) may predispose to increased technical difficulty resulting in increased complications and higher revision rates. Although our revision rate was high in these young patients, it is favorable compared to older techniques and consistent with the limited data available with modern cementless techniques in patients of similar age. Cementless THA with modern designs remains a viable option for the treatment of arthritis in the young patient.

journal_name

Biomed Res Int

journal_title

BioMed research international

authors

Gililland JM,Anderson LA,Erickson J,Pelt CE,Peters CL

doi

10.1155/2013/649506

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

649506

eissn

2314-6133

issn

2314-6141

journal_volume

2013

pub_type

杂志文章

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