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Clinical Orthopaedics and Related Research®

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Open Access 01-12-2010 | Symposium: Papers Presented at the 2009 Closed Meeting of the International Hip Society

Cemented Hip Designs are a Reasonable Option in Young Patients

Authors: Vincent Busch, MD, Rik Klarenbeek, MD, Tom Slooff, MD, PhD, B. Willem Schreurs, MD, PhD, Jean Gardeniers, MD, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 12/2010

Abstract

Background

Young patients with degenerative cartilage disease of the hip remain a challenge for the orthopaedic surgeon. Different treatment options are available of which uncemented hips are the most popular owing to long-term concerns about cemented implants. As an alternative, we have used a cemented hip design in combination with bone impaction grafting in patients with acetabular defects.

Questions/purposes

We therefore determined the survival rates and radiological failures of cemented THA in patients younger than 30 years and reported clinical scores, complications and current state of the revised THAs.

Methods

We retrospectively reviewed all 48 patients (69 hips) younger than 30 years at the time of surgery who had a primary cemented THA performed between 1988 and 2004. Acetabular defects were reconstructed using bone impaction grafting in 29 hips. Mean age at surgery was 24.6 years (range, 16–29 years). Revisions were documented, radiographs were analyzed, and the Kaplan-Meier method was used to determine survival for different end points. No patient was lost to followup, three patients (four hips) had died. Minimum followup was 2 years (mean, 8.4 years; range, 2–18 years).

Results

Eight hips were revised (three for infection and five for aseptic loosening) and one hip dislocated for which open reduction was necessary. One additional cup was considered a radiographic failure. The 10-year survival was 83% (95% confidence interval, 69%–92%) with revision for any reason as the end point and 90% (95% confidence interval, 77%–96%) with revision for aseptic loosening.

Conclusions

We found a high survival rate of these cemented THA in young patients. In young patients with acetabular bone defects we recommend reconstruction using cemented implants with bone impaction grafting.

Level of Evidence

Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Title: Cemented Hip Designs are a Reasonable Option in Young Patients
Authors: Vincent Busch, MD
Rik Klarenbeek, MD
Tom Slooff, MD, PhD
B. Willem Schreurs, MD, PhD
Jean Gardeniers, MD, PhD
Publication date: 01-12-2010
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 12/2010
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-010-1355-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cemented Hip Designs are a Reasonable Option in Young Patients

Abstract

Background

Questions/purposes

Methods

Results

Conclusions

Level of Evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Questions/purposes

Methods

Results

Conclusions

Level of Evidence

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Papers Presented at the 2009 Closed Meeting of the International Hip Society: Editorial Comment

Case Reports: Painful Limbs/Moving Extremities: Report of Two Cases

Long-term Results for Minor Column Allografts in Revision Hip Arthroplasty

The Fate of Grafting Acetabular Defects During Revision Total Hip Arthroplasty

Acknowledgment