Good results with cemented total hip arthroplasty in patients between 40 and 50 years of age

Authors

  • Daniël C J de Kam
  • Jean W M Gardeniers
  • René P H Veth
  • B Willem Schreurs

DOI:

https://doi.org/10.3109/17453671003717831

Abstract

Background and purpose Total hip arthroplasties in young patients have lower long-term survival rates than in older patients. We evaluated the use of a unique treatment protocol in patients aged between 40 and 50 years. In all cases we used a cemented THA, and for acetabular deficiencies we also used impacted bone grafts together with a cemented cup. Methods In 140 consecutive patients who were between 40 and 50 years of age at index surgery, 168 cemented total hip prostheses were evaluated after a mean follow-up time of 10 (2–19) years. Acetabular deficiencies were reconstructed with wire meshes and impacted bone grafts with a cemented cup (70 hips). During follow-up, 18 patients died (27 hips); in this group 3 hips (3 patients) had been revised. None of the patients were lost to follow-up. In all surviving patients, clinical assessment was performed with hip-score questions and all radiographs were evaluated. Results All clinical questionnaires showed an improved clinical hip score. 29 hips (17%) were revised after a mean of 8 (0.3–18) years. Kaplan-Meier survival analysis showed a survival of 88% (95% CI: 82–94) after 10 years with revision of either component for any reason. Survival with endpoint revision for aseptic loosening of either component was 94% (95% CI: 90–99) after 10 years. Interpretation Cemented implants in young patients have satisfying long-term results. Reconstruction of acetabular deficiencies with impacted bone grafts show promising results.

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Published

2010-04-01

How to Cite

de Kam, D. C. J., Gardeniers, J. W. M., Veth, R. P. H., & Schreurs, B. W. (2010). Good results with cemented total hip arthroplasty in patients between 40 and 50 years of age. Acta Orthopaedica, 81(2), 165–170. https://doi.org/10.3109/17453671003717831