Total hip arthroplasty in juvenile rheumatoid arthritis. Two to eleven-year results.

Ceramic-on-ceramic THA Implants in Patients Younger Than 20 Years

“…High success rates obtained in the general population, in concert with improvements in surgical techniques, component designs, and biomaterials have stimulated the demand for THA in very young and active patients who want to participate in typical activities of their healthy peers. However, many surgeons are reluctant to perform THAs in young adults because the population has been long considered at higher risk for revision surgery than the elderly population [27,33,38,39,44]. Adelani et al [1] reported that earlier studies evaluated mainly results of THA in patients with juvenile rheumatoid arthritis and the use of cemented implants and conventional polyethylene that potentially contributed to component failure.…”

Has Total Hip Arthroplasty in Patients 30 Years or Younger Improved? A Systematic Review

“…Historically, very young patients (defined as those 30 years of age and younger [4]) have not experienced the same survivorship as their older counterparts. This has been attributed to an antiquated surgical technique and the use of THA in patients with juvenile rheumatoid arthritis [5,6,14,22,23,26]. However, it is unclear whether young patients have benefitted from improving outcomes afforded by contemporary THA.…”

Survival of Bi-Metric femoral stems in 77 total hip arthroplasties for juvenile chronic arthritis

“…Patients are frequently young at the time of operation, and durability of arthroplasty is required for extended periods. Only a few series with a relatively small number of patients have been published [5,8,12,13,16,18].…”