Advertisement for orthosearch.org.uk
Orthopaedic Proceedings Logo

Receive monthly Table of Contents alerts from Orthopaedic Proceedings

Comprehensive article alerts can be set up and managed through your account settings

View my account settings

Visit Orthopaedic Proceedings at:

Loading...

Loading...

Full Access

General Orthopaedics

Uncemented primary total hip arthroplasty in patients aged 55 years or younger: results at a minimum of 5 years in a consecutive series

The South African Orthopaedic Association (SAOA) 58th Annual Congress



Abstract

Surgical management of younger patients requiring primary total hip arthroplasty remains challenging due to their activity level, physical demands and the need for longevity of implanted components. There is a debate regarding the most suitable means of component fixation in this difficult group. We undertook a retrospective review of a sequential group of patients who underwent uncemented primary total hip arthroplasty, were 55 years or younger at the time of surgery, and who were currently a minimum of 5 years post operation.

From January 2004 to December 2006 we performed 86 primary uncemented THRs in 71 young adults. The ages ranged from 18 to 55 years with a mean of 42.9 years at the time of operation. At last review, 8 patients (9 hips) had died from unrelated causes, and 16 patients (19 hips) were lost before completing 5 years of follow-up. Complications included 1 peri-operative mortality, 10 intra-operative femoral calcar fractures, 1 revision for sepsis, 1 dislocation and 1 DVT. At a minimum of 5 years post operation there were no revisions for aseptic loosening.

Uncemented primary total hip arthroplasty in patients 55 years or younger yields good results at a minimum of 5 years.

NO DISCLOSURES