Original ArticleCementless Total Hip Arthroplasty in Patients 50 Years or Younger
Section snippets
Materials and Methods
Between November 1990 and February 1996, 91 consecutive patients 50 years or younger underwent 100 total hip arthroplasties using a proximally circumferentially porous-coated, collared femoral component with distal fixation channels (Multilock Femoral Component, Zimmer, Warsaw, Ind) coupled with a cementless, hemispheric porous-coated acetabular component (HGP-II or Trilogy; Zimmer). All operations were performed at a single institution by the senior author (REW). Of the 91 patients, 4 died and
Clinical Results
The Harris Hip Scores increased from a preoperative average of 44 points (range, 16-80 points) to an average of 85 points (range, 13-100 points) at final follow-up. Of the 83 hips with greater than 5-year follow-up, 51 had an excellent result (61%); 19 (23%), good; 3 (4%), fair; and 10 (13%), poor. Of the 10 poor results, 6 were secondary to significant trochanteric bursitis, 1 was a workman's compensation patient with persistent diffuse pain, 1 was a case of fibromyalgia, 1 patient had severe
Discussion
The purpose of this study was to report the clinical and radiographic results of a consecutive series of a second-generation, cementless total hip arthroplasty with a circumferentially porous-coated, collared femoral component with distal fixation channels (Multilock, Zimmer), and a hemispheric acetabular component (Harris-Galante II or Trilogy, Zimmer) in patients 50 years or younger at minimum 5-year follow-up. At an average of 9 years, 84% of hips demonstrated good or excellent clinical
References (38)
- et al.
Long-term results of cemented total hip arthroplasty in patients 45 years old or younger. A 16-year follow-up study
J Arthroplasty
(1994) - et al.
20-year experience with cemented primary and conversion total hip arthroplasty using so-called second-generation cementing techniques in patients aged 50 years or younger
J Arthroplasty
(2000) - et al.
Hybrid total hip arthroplasty in patients under the age of fifty: a five- to ten-year follow-up
J Arthroplasty
(1998) - et al.
Early failure of a roughened surface, precoated femoral component in total hip arthroplasty
J Arthroplasty
(2001) - et al.
Structural and cellular assessment of bone quality
Bone
(1993) - et al.
Primary total hip arthroplasty with the AML total hip prosthesis
Clin Orthop
(1999) - et al.
Primary total hip arthroplasty with an uncemented femoral component: a long-term study of the Taperloc stem
J Arthroplasty
(2004) - et al.
Cementless total hip arthroplasty in young Chinese patients: a comparison of 2 different prostheses
J Arthroplasty
(2001) - et al.
Total hip arthroplasty in the young adult
Clin Orthop
(1997) Survivorship analysis of surgical treatment of the hip in young patients
Clin Orthop
(2004)
Total hip replacement with a cementless acetabular component and a cemented femoral component in patients younger than fifty years of age
J Bone Joint Surg Am
Primary total hip arthroplasty with a second-generation cementless total hip prosthesis in patients younger than fifty years of age
J Bone Joint Surg Am
Extensively coated femoral components in young patients
Clin Orthop
Total hip arthroplasty in patients 50 years and younger
Clin Orthop
Second-generation cementless total hip arthroplasty. Eight to eleven-year results
J Bone Joint Surg Am
The case for porous-coated hip implants. The femoral side
Clin Orthop
Long-term results of use of the anatomic medullary locking prosthesis in total hip arthroplasty
J Bone Joint Surg Am
A collarless cobalt-chrome femoral component in uncemented total hip arthroplasty. Five- to eight-year follow-up
J Bone Joint Surg Br
Minimum 10-year results of a tapered cementless hip replacement
Clin Orthop
Cited by (38)
Minimum 30-Year Results of Bilaterally Implanted Cemented and Cementless Total Hip Arthroplasty in Patients Younger Than 50 Years
2023, Journal of ArthroplastyCitation Excerpt :Kim [7] and Kim et al. [29–31] described that acetabular osteolysis is between 9% and 10.8% of young patients with contemporary modern cementless acetabular component. Archibeck et al [32] noted acetabular osteolysis in 16% of patients after cementless cup at 10 years after surgery. Incidence of femoral osteolysis has been reported to be up to 16% of young patients with a cemented THA and between 7% and 13% of patients with a cementless THA by several authors [7,29–31].
Treatment of femoral neck fractures in patients 45–64 years of age
2019, InjuryCitation Excerpt :It also appears that given the decrease in total percentage of surgical patients being treated with internal fixation of this group, that the increase of total hip arthroplasty use is coming at the expense of internal fixation in this group. This massive change may be partially due to data supporting the increased survivorship of total hip implants, as well as surgeon concern over the rate of avascular necrosis and internal fixation hardware failure in these patients [2,18,20]. Additionally, with the use of THA, many surgeons allow earlier weightbearing than with internal fixation, which may be more appealing to some patients.
Implant Survival and Patient-Reported Outcomes After Total Hip Arthroplasty in Young Patients
2018, Journal of ArthroplastyHip resurfacing before 50 years of age: A prospective study of 979 hips with a mean follow-up of 5.1 years
2018, Orthopaedics and Traumatology: Surgery and ResearchCitation Excerpt :With a ceramic-on-ceramic bearing in young patients, survival rates varied from only 90.3% after 10 years in patients younger than 20 years (Hannouche et al. [31]) to 95.7% after 14 years in older patients (Sugano et al. [32]). With THA systems containing polyethylene in patients younger than 50 years, the 8-year revision rate ranged from 18% (Sporer et al. [33]) to 13% (Archibeck et al. [34]). Highly cross-linked polyethylene holds considerable promise, with excellent survival rates in patients older than 50 years [35], but, to our knowledge, has not been the focus of long-term studies in younger patients.
Hip resurfacing before 50 years of age: A prospective study of 979 hips with a mean follow-up of 5.1 years
2018, Revue de Chirurgie Orthopedique et Traumatologique
No benefits or funds were received in support of the study.