High Satisfaction and Activity Levels After Total Hip Arthroplasty in Patients Under Age 21.

The Journal of Arthroplasty
Cynthia A KahlenbergMark P Figgie

Abstract

With improved materials and bearing surfaces, the use of total hip arthroplasty (THA) in young patients is increasing. Functional outcomes and activity level are particularly relevant in this higher-demand patient population. There is a paucity of data on patient-reported outcomes and activity levels after THA in extremely young (<21 years old) patients. We identified 196 patients (222 hips) who underwent THA at age <21 years at our institution from 1982 to 2018. After applying exclusion criteria, 113 of 160 (70.6%) patients (129 hips) were available for follow-up. Patient activity levels and functional outcomes were evaluated using the UCLA activity score, Forgotten Joint Score (FJS), Hip Disability and Osteoarthritis Outcome Score for Joint Replacement, and a validated 5-question satisfaction survey. Survivorship and reasons for revision were recorded. The mean age at surgery was 17.0 ± 2.8 years, and the mean follow-up was 13.2 years (range 2-38 years). The most common indications for THA were osteonecrosis (34%) and juvenile idiopathic arthritis (30%). The mean UCLA activity score was 5.9 ± 2.0, and 64% of patients reported a score ≥6. The mean FJS was 57.9 ± 31.0. The mean Hip Disability and Osteoarthritis Outcome Score fo...Continue Reading

References

Jan 8, 1999·The Journal of Arthroplasty·C A ZahiriH C Amstutz
Dec 6, 2012·Clinical Orthopaedics and Related Research·Eduardo N NovaisMichael B Millis
Sep 6, 2015·Clinical Orthopaedics and Related Research·Didier HannoucheRémy Nizard
May 15, 2018·The Journal of Arthroplasty·Ishaan SwarupMark P Figgie
Apr 6, 2019·The Journal of Arthroplasty·Cynthia A KahlenbergMark P Figgie
Jan 25, 2020·The Journal of Bone and Joint Surgery. American Volume·Graham D PallanteRobert T Trousdale
Mar 17, 2020·The Journal of Arthroplasty·Susan M GoodmanJasvinder A Singh
Mar 19, 2020·The Journal of Bone and Joint Surgery. American Volume·Breanna A PolascikStephen Lyman

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