Functional Outcomes of Total Hip Arthroplasty in Patients Aged 30 Years or Less: A Systematic Review and Meta-Analysis

Walker, Roland; Gee, M.; Wong, Fabian; Shah, Zameer; George, Marc; Bankes, Marcus; Ajuied, Adil

doi:10.5301/hipint.5000376

Cited by 33 publications

(44 citation statements)

References 32 publications

(75 reference statements)

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“…In a systematic review, Walker et al. (2016) in a meta-analysis on patients aged 30 years or younger found a revision rate of 5% with a mean follow-up of 8 years. They highlighted lack of register studies with long-term follow-up for the very young patients.…”

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confidence: 99%

Implant survival and patient-reported outcome following total hip arthroplasty in patients 30 years or younger: a matched cohort study of 1,008 patients in the Swedish Hip Arthroplasty Register

et al. 2019

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Background and purpose — The outcome of total hip arthroplasty (THA) in younger patients is suggested to be inferior compared with the general THA population. There is a lack of studies with long-term follow up for very young patients. We report on implant survival and patient-reported outcome in patients aged 30 years or younger. Patients and methods — Data on THAs performed in Sweden between the years 2000 and 2016 were included. There were 504 patients 30 years or younger with complete demographic and surgical data (study group). A matched comparison group older than 30 years was identified. Implant survival was analyzed using the Kaplan–Meier method. Patient-reported outcome was analyzed in a subgroup of patients. Results — The 10-year and 15-year implant survivorship for the study group was 90% and 78%, respectively. The corresponding figures for the patients older than 30 years were 94% and 89%. The median preoperative EQ-5D index was lower in the study group; the improvement in EQ-5D index was similar between the study and the comparison groups. The preoperative EQ-VAS was lower and the improvement in EQ-VAS at 1 year was larger in the study group. Interpretation — The promising 10-year implant survival and 1-year improvement in patient-reported outcome suggests that THA is a feasible option in the patients 30 years or younger.

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confidence: 99%

Implant survival and patient-reported outcome following total hip arthroplasty in patients 30 years or younger: a matched cohort study of 1,008 patients in the Swedish Hip Arthroplasty Register

et al. 2019

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“…[ 20 21 ] HHS is a useful and variable system to assess hip joint function. [ 13 15 ] HHS may be increased after THA especially subsequent to inflammatory arthritis,[ 4 13 22 ] but the effect of THA on HHS is similar between young and old individuals. [ 13 ] In the current study, HHS was obviously raised 18 month after operation.…”

Section: Discussionmentioning

confidence: 99%

“…also reported a revision rate of 5% at 8.4 years in patient younger than 30 years after THA. [ 22 ] Kim et al . revealed well-fixed components without loosening and osteolysis with cementless THA in young patient at their follow-up.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Unilateral Total Hip Arthroplasty in Patients Aged Under 35 Years in Iranian Population: A Preliminary Study

et al. 2018

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Background:The purpose of this study is to report outcomes of total hip arthroplasty (THA) in patients under the age of 35 years regarding pain and joint function.Materials and Methods:This preliminary analytic-descriptive study was performed in prospective consecutive series of forty-three patients younger than 35 years old who had undergone unilateral THA during a 36-month period. As the primary outcome, the severity of pain using visual analog scale (VAS) of 1–10, and as the secondary outcomes, joint range of motion (ROM) and the Harris Hip Score (HHS) were assessed in the preoperative visit, 1, 6, and 18 months after operation for each patient. Complications were recorded at 6 months and 18 months after surgery.Results:The data of VAS showed the mean severity of pain was significant between preoperation measurements and postoperative assessments (P < 0.001). The means of HHS and hip ROM were also statistically significant before the operation in comparison with postoperative assessments (P < 0.001 for both means). A total of 19 patients had postoperative complications including periprosthetic fracture in two patients, infection in two patients, cup loosening in three patients, limb length discrepancy in 10 patients, and heterotopic ossification in two patients. Seven patients had been readmitted.Conclusion:We believe THA using uncemented prosthesis has a high survivorship with low rate osteolysis in young patients with good bone stock. It is necessary to have longer follow-up to have a better evaluation on outcomes.

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“…However, the outcome of primary THA in young patients is inferior compared with older patients (Walker et al 2016, AOANJJR 2018, NJR 2018. Due to this increase in number of primary THA in young patients, and the inferior outcome, an increase in the number of revision arthroplasties is inevitable in young patients.…”

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confidence: 99%

Outcome of revision hip arthroplasty in patients younger than 55 years: an analysis of 1,037 revisions in the Dutch Arthroplasty Register

et al. 2020

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Functional Outcomes of Total Hip Arthroplasty in Patients Aged 30 Years or Less: A Systematic Review and Meta-Analysis

Cited by 33 publications

References 32 publications

Implant survival and patient-reported outcome following total hip arthroplasty in patients 30 years or younger: a matched cohort study of 1,008 patients in the Swedish Hip Arthroplasty Register

Implant survival and patient-reported outcome following total hip arthroplasty in patients 30 years or younger: a matched cohort study of 1,008 patients in the Swedish Hip Arthroplasty Register

Outcomes of Unilateral Total Hip Arthroplasty in Patients Aged Under 35 Years in Iranian Population: A Preliminary Study

Outcome of revision hip arthroplasty in patients younger than 55 years: an analysis of 1,037 revisions in the Dutch Arthroplasty Register

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