Activity Level in Young Patients With Primary Total Hip Arthroplasty

2007 ◽  
Vol 22 (1) ◽  
pp. 39-47 ◽  
Author(s):  
V. Franklin Sechriest ◽  
Richard F. Kyle ◽  
Daniel J. Marek ◽  
Jesse D. Spates ◽  
Khaled J. Saleh ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Young Patients ◽  
Activity Level ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

scholarly journals Sports Activity and Patient-Related Outcomes after Cementless Total Hip Arthroplasty in Patients Younger than 40 Years

2021 ◽  
Vol 10 (20) ◽  
pp. 4644
Author(s):  
Luis Navas ◽  
Jasmin Faller ◽  
Sebastian Schmidt ◽  
Marcus Streit ◽  
Matthias Hauschild ◽  
...  
Keyword(s):  
Los Angeles ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Young Patients ◽  
Activity Level ◽  
Harris Hip Score ◽  
Return To Sports ◽  
Sports Activity ◽  
Total Hip

Background: The management of degenerative hip diseases in young patients remains a challenge. Despite the improvement of hip-preserving procedures, total hip arthroplasty (THA) may be required in some instances. In addition, young patients undergoing THA have high expectations concerning their postoperative level of activity. Purpose: (1) to define the sports activity level and the return to sports after THA, (2) to describe the modification or initiation of new sports disciplines, and (3) to report the clinically meaningful outcomes after THA in patients younger than 40 years. Methods: A total of 36 patients (40 hips) were prospectively analyzed at a midterm follow-up of 3.9 years. The modified Harris Hip Score (mHHS); the Visual Analog Scale (VAS) for pain; the University of California, Los Angeles (UCLA) activity scale; and sports and recreational activity levels were assessed via questionnaire. The minimal clinically important difference (MCID) was determined by calculating half of the standard deviation, and the substantial clinical benefit (SCB) as well as patient acceptable symptomatic state (PASS), were calculated by the anchor method for the mHHS. Results: At the final follow-up, there was a significant improvement in mHHS (34.1 to 92.6; p < 0.0001), UCLA (3.2 to 7.6; p < 0.0001), and VAS for pain (8 to 1; p < 0.0001). More patients were active in sports at follow-up than before surgery (44% to 92%, p < 0.0001). In addition, the duration and frequency of sports activities showed a significant increase (p < 0.0001). The MCID, SCB and PASS for mHHS were 89% and 58%, respectively. No revision surgery had to be performed. Conclusion: This study showed that a large proportion of patients under 40 years of age who underwent THA increased their physical activity. Eighty-six percent of the patients were highly active, with a UCLA score ≥ 7. Furthermore, the reported MCID, SCB, and PASS for mHHS were achieved by more than 80% of patients.

Trends in Total Hip Arthroplasty in Young Patients - Results from a Regional Register

2017 ◽  
Vol 27 (5) ◽  
pp. 443-448 ◽  
Author(s):  
Amit Kumar ◽  
Benjamin V. Bloch ◽  
Colin Esler
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Young Patients ◽  
Activity Level ◽  
Arthroplasty Register ◽  
Total Hip ◽  
The United Kingdom ◽  
Acetabular Fixation ◽  
Hip Arthroplasties ◽  
The Ideal

Introduction In the United Kingdom, over 83,000 primary total hip arthroplasties (THAs) were performed last year, of which 20% are in patients under the age of 60 years. These patients generally have a longer life expectancy and a higher activity level than an older cohort, which may potentially translate to higher revision rates. Methods We reviewed our Trent regional arthroplasty register to assess current surgical practice in younger patients undergoing total hip arthroplasty. The results were compared to a previous study published in 2005. Results Between 2010 and 2012, 1,097 primary THAs were performed on patients aged 54 or less. There was an equal cohort of males to females with a mean age of 46 years of patients undergoing THA. Osteoarthritis was the commonest aetiology for patients having surgery. Reviewing the components used there were 32 different femoral and 30 different acetabular types along with 70 different combinations of components. There were 608 uncemented THAs, 313 hybrid THRs, 98 cemented THAs, 67 resurfacing arthroplasties and 11 reverse hybrid THAs. Discussion The majority of implants were uncemented in both femur and acetabulum with consultants performing most of the procedures. There is a clear preference for uncemented femoral and acetabular fixation in the younger patient, and the trend towards uncemented components has increased over the last 10 years amongst the same surgeons. There continues to be a wide variety of cup and stem usage along with many different combinations of components, with no consensus on the ideal combination.

scholarly journals Does Activity Level After Primary Total Hip Arthroplasty Affect Aseptic Survival?

2021 ◽  
Vol 11 ◽  
pp. 68-72
Author(s):  
David A. Crawford ◽  
Joanne B. Adams ◽  
Gerald R. Hobbs ◽  
Michael J. Morris ◽  
Keith R. Berend ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Activity Level ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

National Trends in Primary Total Hip Arthroplasty in Extremely Young Patients

2012 ◽  
Vol 27 (10) ◽  
pp. 1870-1878 ◽  
Author(s):  
Sean S. Rajaee ◽  
David Trofa ◽  
Elizabeth Matzkin ◽  
Eric Smith
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Young Patients ◽  
Total Hip ◽  
National Trends ◽  
Primary Total Hip Arthroplasty

Primary Total-Hip Arthroplasty With the Autophor 900-S Fully Porous Coated Stem in Young Patients

2005 ◽  
Vol 20 (4) ◽  
pp. 436-442 ◽  
Author(s):  
George E. Petsatodes ◽  
John E. Christoforides ◽  
Pericles P. Papadopoulos ◽  
Anastasios G. Christodoulou ◽  
Dimitrios Karataglis ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Young Patients ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

Cementless total hip arthroplasty in young patients under the age of 30: a minimum 10-year follow-up

2018 ◽  
Vol 28 (5) ◽  
pp. 507-513 ◽  
Author(s):  
Eun Ho Shin ◽  
Kyoung Ho Moon
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Young Patients ◽  
Revision Arthroplasty ◽  
Activity Level ◽  
Head Size ◽  
Harris Hip Score ◽  
Total Hip ◽  
The Mean

Purpose: The purpose of this study was to evaluate the clinical and radiologic outcomes of young patients (under the age of 30) who received a total hip arthroplasty (THA) and in whom patients had been followed for more than 10 years. Materials and methods: This retrospective study was conducted for 51 hips (44 patients) that had undergone THA. The mean age for the index operation was 25.71 years, and the mean follow-up period was 13.7 years. Clinical outcomes were evaluated by Harris hip score (HHS), activity level, and complications. Radiographic evaluations were assessed according to osteolysis, loosening, and polyethylene wear. Results: The average HHS improved from 67.47 pre-operatively to 97.42 at the final follow-up ( p < 0.001). The activity level changed from 1.92 pre-operatively to 1.33 at the final follow-up ( p < 0.001). Ten cases had undergone revision arthroplasty within the follow-up period, and the overall survival rate was 80.4% at the final follow-up with revision for any reason as the end point. Polyethylene liners were used in all revision cases ( p = 0.003). Patients with modular stem had a higher failure rate than patients with a fully porous coated stem ( p < 0.001). Furthermore, a small diameter head size was associated with a higher risk of revision surgery ( p = 0.003). Complications such as dislocations were found in three hips. Conclusion: Cementless THA yields encouraging clinical and radiological results in young and active patients under the age of 30. However, the bearing surface, type of stem, and head size influenced component durability and revision rate.

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