Abstract
Background: The few reported results of total hip arthroplasty (THA) in patients younger than 30 years of age involve mostly patients suffering from juvenile rheumatoid arthritis (JRA), indicate a high complication rate, and questionable durability.
Aim: We report our results of treatment of 56 patients who underwent total hip arthroplasty (71 THA operations) < 30 years of age at the time of surgery.
Methods: 56 patients who underwent total hip arthroplasty (71 THA operations) < 30 years of age at the time of surgery (mean 23.23 ± 4.31) were followed-up for a mean of 7.4 ± 3.79 years after surgery. Multivariant regression analysis indicated that although there was a variability of indications for surgery, only patient age at surgery, hospitalization time, and type of hip prosthesis (cementless vs. cemented) had a statistically valid influence on the final result, namely: Harris Hip Score (HHS) and complication rate.
Results: The final average HHS was 90.59 ± 9.36. Loosening of the cup in 11 of 71 and early traumatic dislocation of 5 of 71, accounted for the majority of complications.
Conclusions: These results indicated that THA is a durable, good treatment modality for young patients with disabling diseases that affect the hip joint.
The abstracts were prepared by Orah Naor. Correspondence should be addressed to him at the Israel Orthopaedic Association, PO Box 7845, Haifa 31074, Israel.
