Long-term follow-up of 96 patients younger than age 25 with 119 primary cemented total hip arthroplasties

Abstract

Background and purpose: Long-term follow-up of young patients following cemented primary THA is scarce. Therefore, we analyzed the survival of all consecutive primary THAs in patients under 25 years performed at our institute.Patients and methods: All primary THAs performed in patients younger than 25 years in our tertiary care institute between 1988 and 2015 were included (n = 119). Cemented fixation was used in all patients. In the case of acetabular bone deficiencies, reconstruction was performed using impaction bone grafting (IBG). We used Kaplan–Meier analysis to determine the survival of the primary THA with endpoints revision for any reason and aseptic loosening.Results: The mean age at the primary THA was 20 years. The most prevalent diagnosis was avascular necrosis (31%). The mean follow-up of the primary THA was 11 years (range 0–32). 2 patients (2 hips) were lost to follow-up. 16 revisions were registered. The survival of any component for endpoint revision for any reason was estimated at 92% (95% confidence interval [CI] 84–96) and 81% (CI 67–90) at 10- and 15-year follow-up, respectively. The survival of any component for endpoint revision for aseptic loosening was 99% (CI 93–100) and 88% (CI 71–95) at 10 and 15 years, respectively. 3 hips were revised due to infection.Conclusion: Favorable long-term outcomes of primary THA in very young patients can be obtained using cemented fixation and IBG.