2011
DOI: 10.5301/hip.2011.8641
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Total Hip Arthroplasties in young Patients under 50 Years: Limited Evidence for Current Trends. A Descriptive Literature Review

Abstract: We examined all reported outcomes of uncemented and cemented total hip arthroplasty in patients younger than 50 years of age listed in Medline (1966- 1 January 2009) and PubMed, and scrutinised reference lists of relevant papers. In addition, we evaluated relevant data in the Swedish hip arthroplasty register. 109 relevant articles were identified, 37 of which had a mean follow-up longer than 10 years. Although uncemented implants are widely used in patients under 50 years of age, there are only 2 reports that… Show more

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Cited by 27 publications
(20 citation statements)
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“…It is noteworthy that we have achieved 2014 NICE survivorship in our younger, high-risk population, as this group typically presents poor outcomes in THA [2, 9]. Our study produced better outcomes than most THA reports and compare favorably to other smaller, youth-centered resurfacing studies, such as those by Sayeed et al, Haddad et al, and Krantz et al (Table 9) [11, 23, 44].…”
Section: Discussionsupporting
confidence: 53%
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“…It is noteworthy that we have achieved 2014 NICE survivorship in our younger, high-risk population, as this group typically presents poor outcomes in THA [2, 9]. Our study produced better outcomes than most THA reports and compare favorably to other smaller, youth-centered resurfacing studies, such as those by Sayeed et al, Haddad et al, and Krantz et al (Table 9) [11, 23, 44].…”
Section: Discussionsupporting
confidence: 53%
“…Considering underestimation of failure in the registry, 10-year survivorship could be lower. In a literature review by De Kam on THA in patients under 50 [9], only 15 of 37 papers met the outdated NICE criteria, and of these, only two studies met the new standard.…”
Section: Introductionmentioning
confidence: 99%
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“…However, the authors of a long-term follow-up evaluation of THA advised caution with this procedure in younger patients because of high failure rates (de Kam et al. 2011 ).…”
Section: Discussionmentioning
confidence: 99%
“…Atrophy and possibly light osteolytic lesion in the calcar area are frequently reported with this implant with no deleterious effect as confirmed by postmortem study of femoral osteolysis associated with well-functioning Alloclassic-SL MoM articulation [25]. In a meta-analysis comparing cemented and cementless THA fixation in patients younger than 50 years, only two studies fulfill the British NICE criteria (followup of [ 10 years and survival of C 90%) with a majority of inflammatory hip diseases and dysplasia [9]. Recently, the Nordic Arthroplasty Register Association (NARA) database indicated an overall 10-year survival of 83% for cementless stems with a relative risk of revision for aseptic loosening of 0.55 (0.44-0.69) compared with cemented THA [41].…”
Section: Discussionmentioning
confidence: 99%