THA in young: What’s the consensus?

Abstract

Introduction: Total hip arthroplasty (THA) has dramatically relieved pain and improved function in patients with advanced joint disease. Improvements in bearing surfaces have allowed indications to include younger patients. In spite of the advances in joint preserving surgical techniques, many patients present with advanced joint disease, which is not amenable to joint-salvage procedures. Method: Our study included 37 patients between 18 and 35 years of age. Prospective follow-up study was conducted at department of orthopaedics in Vydehi Institute of Medical Sciences and Research Centre, Bengaluru during period 2011-2016. Patient with advanced hip arthritis falling under the above age group were included. Functional results were measured by the Harris hip score for follow-up period of 3 years. Results: The data was analysed with Paired T test. There was statistically significant improvement (with p-valve < 0.001) of clinical as well as functional parameters. Mean pre-operative Harris hip score 65.95 and mean post-operative Harris hip score is 88.27. Conclusions: Total Hip Arthroplasty is an excellent option for management of end stage hip disease in young adults (shown by improved pain and outcome scores). Additional planning is necessary, due to complicated nature of deformities. Modern uncemented implants, alternate bearing surfaces have significantly improved longevity and reduced revision rates.