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Secondary degenerative hip disease can be very disabling, especially in very young patients who want to have a normal and active lifestyle. Total hip arthroplasty (THA) can be a solution for these patients. Surgery in this young patient group is challenging with often the presence of acetabular defects needing reconstruction. Worldwide there is limited literature about long term results of THA in these young patients. The available literature generally shows disappointing long term results.
Researchers Erim Özdemir, Martijn Kuijpers and Wim Rijnen looked at the outcomes of THA in patients younger than 25 years. The research team, led by Wim Schreurs of the department of Orthopedic surgery, published their results in Acta Orthopaedica on 28 February 2023.
A prospective single cohort study was performed. 96 patients who had THA when younger than 25 years old were included. They found that more than 80% of patients still had their implant in place and had satisfying patient reported outcomes, 15 years after surgery. Now a new study has started, with the goal to quantify and qualify movement outcomes before and after THA in young patients, aiming to better inform young patients about the expectancy of outcomes of THA in the future.
Read the study here: Özdemir E, Kuijpers MFL, Schreurs BW, Rijnen WHC. Long-term follow-up of 96 patients younger than age 25 with 119 primary cemented total hip arthroplasties. Acta Orthop. 2023 Feb 28;94:102-106. doi: 10.2340/17453674.2023.9410. PMID: 36856613; PMCID: PMC9976709.
