Functional and Patient-related Outcomes of Total Hip Arthroplasty in Patients Younger Than 20 Years

Chapot, Antoine; Zambelli, Pierre‐Yves; Merckaert, Sophie

doi:10.1016/j.artd.2023.101100

Cited by 9 publications

(11 citation statements)

References 36 publications

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“…Paediatric hip disease encompasses various disease entities. Previous studies reported that osteonecrosis and sequelae of childhood hip disease were predominant among patients who underwent THA [ 13 , 27 , 28 ], which was comparable to that of our study. The most common pathologies encountered in this study were osteonecrosis of the femoral head, followed by sequelae of previous infection, juvenile rheumatoid arthritis, and sequelae of Perthes disease.…”

Section: Discussionsupporting

confidence: 92%

“…Notably, in young patients, ceramic-on-ceramic bearings have demonstrated outstanding outcomes, with Finkbone reporting only a 4.2% revision rate over 4.1 years of follow-up [ 28 ]. Trisolino et al have reported a 2.7% revision rate [ 41 ] and Chapot et al have reported no revision in 12 hips over an average follow-up of 6 postoperative years [ 13 ]. However, these results might be due to a relatively short follow-up period (Table 3 ).…”

Section: Discussionmentioning

confidence: 99%

“…2019 747 (881 hips) Multi-national registry data 18 (9–21) N/A 74% cementless 32% MoP 21% CoP 17% MoM 11% CoC 10-year survival rate: 86% 15-year survival rate: 73% 61 AL 11 D/L 6 Infection 13.4% revisions Trisolino et al [ 41 ] Children 2021 68 (74 hips) Single center study 15.7 (11–18) 6.6 (2–20) Cementless CoC HOOS score: 85 5-year survival rate: 97.6% 15-year survival rate: 94.4% 2 IFF 2.7% revision Özdemir et al [ 12 ] Acta Orthop. 2023 96 (119 hips) Single center study 20 (12–24) 11 (0–32) Cemented MoP OHS: 24 ➔ 41 HHS: 51 ➔ 81 10-year survival rate: 99% 15-year survival rate: 88% 7 AL 3 D/L 3 SL 13.4% revisions Chapot et al [ 13 ] Arthroplast Today 2023 11 (12 hips) Single center study 16 (13–19) 6 (2–9) Cementless CoC HHS: 81 OHS: 39.5 None Present study 65 (78 hips) Single center study 18.9 (13.3–20) 13.2 (5–31) Cementless …”

Section: Discussionmentioning

confidence: 99%

“…Favourable results of THA have also been demonstrated in various paediatric hip conditions, including sequelae of previous infections, juvenile rheumatoid arthritis, and slipped capital femoral epiphysis [ 6 – 8 ]. Especially, THAs offer young patients the opportunity to maintain a high activity level, endure repetitive loading, and regain their quality of life during this particularly important phase of life [ 9 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Outcome and complication rate of total hip arthroplasty in patients younger than twenty years: which bearing surface should be used?

Kang,

Ko,

Kim

et al. 2024

International Orthopaedics (SICOT)

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Purpose Total hip arthroplasty (THA) in younger patients remains controversial due to concerns regarding long-term implant survival and potential complications. This study aimed to evaluate long-term clinical outcomes, complications, differences in complication and revision rates by bearing surfaces, and Kaplan–Meier survival curves for THA in patients under 20 years old. Methods A retrospective review was conducted for 65 patients (78 hips) who underwent THA between 1991 and 2018. Their mean age was 18.9 years. Their clinical outcomes were assessed using the Harris Hip Score (HHS). Radiological outcomes were evaluated based on the presence of loosening, osteolysis, and heterotopic ossification. Complications such as dislocation, periprosthetic fractures, and infections were assessed. The mean follow-up period was 13.2 years (range, 5.0–31.2 years). Results The mean HHS improved from 44.6 to 90.1. There were two cases of dislocation. However, no periprosthetic fracture, deep infection, or ceramic component fracture was noted. There were 19 revisions of implants. Eighteen of 19 hips were operated with hard-on-soft bearings in the index surgery (p < 0.01). The 23-year survivorship was 97.8% for THA using ceramic-on-ceramic bearings, while the 31-year survivorship was 36.7% using hard-on-soft bearings. Conclusion THA in patients under 20 years old yielded promising clinical and radiological outcomes, although polyethylene-bearing-related concerns persisted. Previously operated patients with hard-on-soft bearing should be meticulously examined during the follow-up. As ceramic-on-ceramic bearing showed excellent survivorship in this particular cohort, we recommend the use of this articulation as the bearing of choice.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcome and complication rate of total hip arthroplasty in patients younger than twenty years: which bearing surface should be used?

Kang,

Ko,

Kim

et al. 2024

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…At present, the most common bearing surfaces used in young patients are ceramic-on-ceramic and metal-on-crosslinked polyethylene [66,77,78]. The implant survival rate has increased over the last two decades, due to the introduction of highly crosslinked polyethylene, improved surgical techniques, and better perioperative management [77,78].…”

Section: Arthroplastymentioning

confidence: 99%

Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies

Klein

Barbier

Glorion

et al. 2023

JCM

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Juvenile idiopathic arthritis is the most common chronic rheumatic disease encountered in children under the age of sixteen and causes significant impairments in daily life. Over the last two decades, the introduction of new drug treatments (including disease-modifying antirheumatic drugs and biologics) has changed the course of this disease, thus reducing the indication for surgery. However, some patients fail to respond to drug therapy and thus require personalized surgical management, e.g., the local reduction of joint effusion or a synovial pannus (via intra-articular corticosteroid injections, synovectomy, or soft tissue release), and management of the sequelae of arthritis (such as growth disorders and joint degeneration). Here, we provide an overview of the surgical indications and outcomes of the following interventions: intra-articular corticosteroid injections, synovectomy, soft tissue release, surgery for growth disorders, and arthroplasty.

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Total hip arthroplasty in adolescents: a systematic review and meta-analysis

Huerfano,

Bautista,

Huerfano

et al. 2024

International Orthopaedics (SICOT)

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Functional and Patient-related Outcomes of Total Hip Arthroplasty in Patients Younger Than 20 Years

Cited by 9 publications

References 36 publications

Outcome and complication rate of total hip arthroplasty in patients younger than twenty years: which bearing surface should be used?

Outcome and complication rate of total hip arthroplasty in patients younger than twenty years: which bearing surface should be used?

Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies

Total hip arthroplasty in adolescents: a systematic review and meta-analysis

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