Implant Survival and Patient-Reported Outcomes after Total HIP Arthroplasty in Young Patients with Developmental Dysplasia of the HIP

2016 ◽  
Vol 26 (4) ◽  
pp. 367-373 ◽  
Author(s):  
Ishaan Swarup ◽  
Astrid C. Marshall ◽  
Yuo-yu Lee ◽  
Mark P. Figgie
2017 ◽  
Vol 27 (3) ◽  
pp. 286-292 ◽  
Author(s):  
Ishaan Swarup ◽  
Marisa Shields ◽  
Erik N. Mayer ◽  
Chelsea J. Hendow ◽  
Jayme C. Burket ◽  
...  

Background Osteonecrosis of the hip is a clinical, radiographic, and pathologic entity that commonly affects young patients. This study evaluates long-term implant survival and patient-reported outcomes after primary total hip arthroplasty (THA) in patients with osteonecrosis aged 35 or younger. Methods A retrospective study with prospective follow-up was conducted at a major academic medical center. Chart review was performed to identify young THA patients with osteonecrosis, and follow-up surveys were conducted to determine implant survival and patient-reported outcomes. Kaplan-Meier survival analysis was performed to evaluate implant survival, and the hip disability and osteoarthritis outcome score (HOOS) was used to describe patient-reported outcomes. Results The study included 135 patients (204 THAs) with a mean time to follow-up of 14 years. In this group, 10-year implant survival was 86% and 20-year implant survival was 66%. Implant survival was longer in male patients (p = 0.02) and patients that were over the age of 25 at the time of surgery (p = 0.03). The mean HOOS scores at follow-up were 87 for pain, symptoms, and ADLs, and 77 for sports. All HOOS measures were lower in patients that underwent a revision THA, and HOOS-Pain and HOOS-Sport scores were lower in patients that were over the age of 25 at the time of surgery (p<0.05). Conclusions Young patients with osteonecrosis have good implant survival and long-term outcomes after THA. Patient factors and implant characteristics should be considered when predicting implant survival and outcomes after THA in young patients with osteonecrosis.


2018 ◽  
Vol 33 (9) ◽  
pp. 2893-2898 ◽  
Author(s):  
Ishaan Swarup ◽  
Yuo-yu Lee ◽  
Yu-fen Chiu ◽  
Ryan Sutherland ◽  
Marisa Shields ◽  
...  

2016 ◽  
Vol 31 (2) ◽  
pp. 429-433 ◽  
Author(s):  
Jeffrey B. Stambough ◽  
Ao Xiong ◽  
Geneva R. Baca ◽  
Ningying Wu ◽  
John J. Callaghan ◽  
...  

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