Ceramic-on-ceramic total hip arthroplasty in patients younger than 20 years

J Arthroplasty. 2012 Feb;27(2):213-9. doi: 10.1016/j.arth.2011.05.022. Epub 2011 Aug 9.

Abstract

Total hip arthroplasty (THA) in the adolescent patient has historically shown relatively poor survivorship. This study reports the results of THA in young patients using contemporary ceramic bearings. Twenty-four THAs were performed using ceramic bearing surfaces in patients 20 years old or younger (mean, 16.4; range, 12-20). Average follow-up was 52 months (range, 25-123 months). The survival rate was 96%, with 1 revision for a loose acetabular component. Other complications included a peroneal nerve palsy that resolved and 2 dislocations in 1 patient. Postoperatively, the Modified Harris Hip Score mean was 93.4 (range, 66-100). This study shows promising results at short-term to midterm follow-up in very young patients who undergo THA using ceramic-on-ceramic components.

MeSH terms

  • Adolescent
  • Age Factors
  • Arthroplasty, Replacement, Hip / instrumentation*
  • Arthroplasty, Replacement, Hip / methods
  • Ceramics*
  • Child
  • Female
  • Femur Head Necrosis / surgery*
  • Follow-Up Studies
  • Hip Joint / diagnostic imaging
  • Hip Joint / surgery
  • Hip Prosthesis*
  • Humans
  • Incidence
  • Joint Dislocations / epidemiology
  • Male
  • Osteoarthritis / surgery*
  • Prosthesis Failure
  • Radiography
  • Retrospective Studies
  • Rheumatic Fever / surgery
  • Slipped Capital Femoral Epiphyses / surgery*
  • Treatment Outcome
  • Young Adult