Total Hip Arthroplasty in Adolescents – Literature review and own clinical experience
DOI:
https://doi.org/10.58542/jbota.v63i1.227Keywords:
“Arthroplasty, “Hip Replacement”, ‘‘adolescents/teenagers”, “outcomes”, “complications”, “implant survival”Abstract
Abstract
Background: Total hip arthroplasty in adolescent patients is still researched surgical procedure in terms of indications, outcomes and long-term survivorship. The purpose of this report is to assess the results from THA in teenagers from the literature and to add data from our own clinical practice in order to provide insights for clinical decision-making in this specific and unique age group.
Material and Results: A systematic literature review was performed including studies reporting clinical, radiological, functional outcomes and survivorship of THA in adolescent patients for any cause, with a minimum follow-up of one year. We added data from our clinical experience of 4 cases with hip endoprostheses in teenagers. Overall results showed significant increase of Harris Hip Score (HHS) with more than 53 points postoperatively, reaching values over 90 points (93±2) which is considered a very good and excellent result. Ten years survival rate has been reported in more than 85% of cases, with aseptic loosening mainly of the acetabular component. Revision rate has been 14,4%, as the leading cause – acetabular loosening in 64% of the cases. Complications have been found to be 3,4%.
Conclusion: Total hip arthroplasty is a highly effective option for adolescents with severe destruction of the hip joint. It has demonstrated very good survivorship, low complication rate and acceptable functional results. However, altered hip anatomy, an increased revision rate and the long term implant survival must be considered before performing THA in teenagers.
