Trends in total hip arthroplasty in young patients - results from a regional register

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Amit KumarC N Esler

Abstract

In the United Kingdom, over 83,000 primary total hip arthroplasties (THAs) were performed last year, of which 20% are in patients under the age of 60 years. These patients generally have a longer life expectancy and a higher activity level than an older cohort, which may potentially translate to higher revision rates. We reviewed our Trent regional arthroplasty register to assess current surgical practice in younger patients undergoing total hip arthroplasty. The results were compared to a previous study published in 2005. Between 2010 and 2012, 1,097 primary THAs were performed on patients aged 54 or less. There was an equal cohort of males to females with a mean age of 46 years of patients undergoing THA. Osteoarthritis was the commonest aetiology for patients having surgery. Reviewing the components used there were 32 different femoral and 30 different acetabular types along with 70 different combinations of components. There were 608 uncemented THAs, 313 hybrid THRs, 98 cemented THAs, 67 resurfacing arthroplasties and 11 reverse hybrid THAs. The majority of implants were uncemented in both femur and acetabulum with consultants performing most of the procedures. There is a clear preference for uncemented femoral and acetabul...Continue Reading

References

Jul 20, 2011·The Journal of Bone and Joint Surgery. British Volume·D J LangtonA V F Nargol
Aug 7, 2012·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·George S WhitwellSteve K Young
Mar 1, 2013·BMJ : British Medical Journal·Mark PenningtonJan H van der Meulen
Apr 23, 2013·The Journal of Arthroplasty·D Alex StrohMichael A Mont
Dec 21, 2013·BMJ : British Medical Journal·F Kynaston-PearsonS Glyn-Jones
Apr 25, 2015·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·James A KeeneyJohn C Clohisy

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Citations

Dec 19, 2018·Irish Journal of Medical Science·Gerard A SheridanPatrick J Kenny
Dec 2, 2017·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Pengfei LiZhihui Pang
Apr 17, 2021·Journal of the Mechanical Behavior of Biomedical Materials·Shawn Ming Song TohGlynn Rothwell

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