Conclusion Total hip arthroplasty in patients younger than 55 years provides reliable outcomes at up to 10 years .
Background Total hip arthroplasty ( THA ) is increasingly performed in younger patients despite the lack of comprehensive assessment of long-term outcomes .
We systematic ally review ed the contemporary literature to assess the 1 ) indications , 2 ) implant selection and long-term survivorship , 3 ) complication and reoperation rates and 4 ) radiographic and functional outcomes of primary THA in patients younger than 55 years .
Custom stems for femoral deformity in patients less than 40 years of age
Background and purpose Femoral deformity associated with osteoarthritis is a challenge for both the surgeon and the implant . Many of the patients with these deformities are young . St and ard implants can be difficult to fit into these femurs . We prospect ively evaluated the outcome of custom uncemented femoral stems in young patients . Methods 61 consecutive patients ( 72 hips ) underwent surgery for osteoarthritis because of femoral deformity at a mean age of 35 ( 22–40 ) years . The patients received a CT3D-A custom-made femoral stem and an uncemented cup . The mean follow-up time was 14 ( 10–16 ) years . 2 patients died at 7 and 8 years after surgery , otherwise , none of the patients were lost to follow-up . Results At follow-up , the femoral prosthesis had not been revised in 59 patients ( 70 hips ) . 3 patients ( 3 hips ) had required revision surgery due to loosening of the acetabular component ; 2 hips were awaiting revision surgery for loosening of the acetabular cup . There were no cases of dislocation or infection . At review , all stems were considered stable according to the radiographic criteria . No migration or subsidence was observed on plain radiographs . Interpretation Our results are comparable to published results of custom stems regarding survival and outcome . Considering the young age and the deformities in this series of uncemented custom femoral stems , and the fact that there was follow-up of up to 16 years , the survival is remarkable . This technique appears to be a reasonable alternative in younger patients with femoral deformities
Conclusion Total hip arthroplasty in patients younger than 55 years provides reliable outcomes at up to 10 years .
Background Total hip arthroplasty ( THA ) is increasingly performed in younger patients despite the lack of comprehensive assessment of long-term outcomes .
We systematic ally review ed the contemporary literature to assess the 1 ) indications , 2 ) implant selection and long-term survivorship , 3 ) complication and reoperation rates and 4 ) radiographic and functional outcomes of primary THA in patients younger than 55 years .