Implant survival and radiographic outcome of total hip replacement in patients less than 20 years old.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read Online Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Medical Journals Sweden AB Country of Publication: Sweden NLM ID: 101231512 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1745-3682 (Electronic) Linking ISSN: 17453674 NLM ISO Abbreviation: Acta Orthop Subsets: MEDLINE
    • Publication Information:
      Publication: 2022- : Uppsala, Sweden : Medical Journals Sweden AB
      Original Publication: Basingstoke, Hampshire, UK : Taylor & Francis, c2005-
    • Subject Terms:
      Forecasting* ; Hip Prosthesis*; Arthroplasty, Replacement, Hip/*methods ; Hip Joint/*diagnostic imaging ; Osteoarthritis, Hip/*surgery ; Radiography/*methods; Adolescent ; Child ; Female ; Follow-Up Studies ; Hip Joint/surgery ; Humans ; Male ; Osteoarthritis, Hip/diagnosis ; Prosthesis Design ; Prosthesis Failure ; Treatment Outcome ; Young Adult
    • Abstract:
      Background and purpose - Total hip replacement (THR) is not recommended for children and very young teenagers because early and repetitive revisions are likely. We investigated the clinical and radiographic outcomes of THR performed in children and teenage patients. Patients and methods - We included 111 patients (132 hips) who underwent THR before 20 years of age. They were identified in the Norwegian Arthroplasty Register, together with information on the primary diagnosis, types of implants, and any revisions that required implant change. Radiographs and Harris hip score (HHS) were also evaluated. Results - The mean age at primary THR was 17 (11-19) years and the mean follow-up time was 14 (3-26) years. The 10-year survival rate after primary THR (with the endpoint being any revision) was 70%. 39 patients had at least 1 revision and 16 patients had 2 or more revisions. In the latest radiographs, osteolysis and atrophy were observed in 19% and 27% of the acetabulae and 21% and 62% of the femurs, respectively. The mean HHS at the final follow-up was 83 (15-100). Interpretation - The clinical score after THR in these young patients was acceptable, but many revisions had been performed. However, young patients with developmental dysplasia of the hip had lower implant survival. Moreover, the bone stock in these patients was poor, which could complicate future revisions.
    • References:
      Acta Orthop. 2007 Dec;78(6):746-54. (PMID: 18236180)
      Acta Orthop. 2006 Jun;77(3):380-5. (PMID: 16819675)
      Open Orthop J. 2012;6:488-94. (PMID: 23193432)
      J Bone Joint Surg Br. 2008 Jun;90(6):786-94. (PMID: 18539673)
      Acta Orthop. 2009 Feb;80(1):14-9. (PMID: 19234883)
      Acta Orthop. 2006 Aug;77(4):567-74. (PMID: 16929432)
      J Bone Joint Surg Am. 1973 Dec;55(8):1629-32. (PMID: 4217797)
      Clin Orthop Relat Res. 2014 May;472(5):1518-25. (PMID: 24249534)
      J Bone Joint Surg Am. 1990 Feb;72 (2):161-8. (PMID: 2303502)
      J Bone Joint Surg Am. 2003 Aug;85-A(8):1519-26. (PMID: 12925632)
      Clin Rheumatol. 2008 Jan;27(1):67-76. (PMID: 17570009)
      Can J Surg. 2003 Aug;46(4):257-62. (PMID: 12930101)
      Clin Orthop Relat Res. 1990 Dec;(261):63-81. (PMID: 2245564)
      Clin Orthop Relat Res. 1992 Oct;(283):156-62. (PMID: 1395240)
      Acta Orthop Scand. 2000 Aug;71(4):337-53. (PMID: 11028881)
      Clin Orthop Relat Res. 2004 Mar;(420):55-62. (PMID: 15057079)
      J Bone Joint Surg Am. 2011 Oct 5;93(19):1842-52. (PMID: 22005871)
      J Bone Joint Surg Am. 1996 Jul;78(7):995-1003. (PMID: 8698735)
      World J Orthop. 2014 Nov 18;5(5):614-22. (PMID: 25405090)
      J Bone Joint Surg Br. 2004 May;86(4):504-9. (PMID: 15174543)
      Clin Orthop Relat Res. 1988 Mar;(228):105-9. (PMID: 3342551)
      J Arthroplasty. 2012 Jan;27(1):74-81. (PMID: 21550766)
      J Arthroplasty. 1994 Feb;9(1):33-44. (PMID: 8163974)
      Bone Joint J. 2014 Nov;96-B(11 Supple A):17-21. (PMID: 25381402)
      BMC Musculoskelet Disord. 2013 Jan 22;14 :37. (PMID: 23339294)
      J Bone Joint Surg Br. 2010 Apr;92(4):486-8. (PMID: 20357322)
      J Bone Joint Surg Br. 2002 Aug;84(6):839-45. (PMID: 12211674)
      ScientificWorldJournal. 2014;2014:905818. (PMID: 25478600)
      Acta Orthop. 2007 Feb;78(1):99-107. (PMID: 17453400)
      Int Orthop. 2008 Apr;32(2):203-8. (PMID: 18350292)
      J Bone Joint Surg Am. 2011 Mar 2;93(5):500-9. (PMID: 21368083)
    • Publication Date:
      Date Created: 20160721 Date Completed: 20170221 Latest Revision: 20220317
    • Publication Date:
      20221213
    • Accession Number:
      PMC5016906
    • Accession Number:
      10.1080/17453674.2016.1212180
    • Accession Number:
      27435903