00091 | PedsOrtho.com

Topic:

Issue:

Category:

Title:

Total Hip Arthroplasty in Teenagers: A Systematic Literature Review

Author:

te Velde, Jens P. BSc; Buijs, George S. MD; Schafroth, Matthias U. MD, PhD; Saouti, Rachid MD; Kerkhoffs, Gino M.M.J. MD, PhD; Kievit, Arthur J. MD

Journal:

Journal of Pediatric Orthopaedics

Date:

February 2024

Reference:

44(2): p e115-e123, DOI: 10.1097/BPO.0000000000002578

URL:

https://journals.lww.com/pedorthopaedics/fulltext/2024/02000/total_hip_arthroplasty_in_teenagers__a_systematic.4.aspx

Level Of Evidence:

# of Patients:

2040 patients, 2379 hips

Study Type:

Systematic review

Location:

Not specified

Summary:

The review investigates total hip arthroplasty (THA) in teenagers, a procedure generally avoided in this age group. It highlights improved functional outcomes and implant survival in recent studies. The review aims to provide an overview of existing data on THA in teenagers, including functional outcomes, implant survival, and complications.

Methods:

Systematic review of studies on primary THA in teenagers, focusing on functional outcomes, implant survival, and complications. Demographic and surgical data were also collected.

Exclusions:

Studies without primary THA or those that did not report relevant outcome measures.

Results:

The mean patient age was 18 years, with an average follow-up of 7.7 years. The average revision rate was 11.7%. The most frequently used functional outcome measures showed improvements of 84.3% and 92.3% at the latest follow-up. Prosthesis or liner loosening caused 50.2% of revisions. Loosening (14.8%) and prosthesis/liner wear (14.8%) were the most frequent complications. The most common techniques were cementless fixation (70.7%), ceramic-on-ceramic articulation (34.7%), and the posterior surgical approach (82.3%).

Conclusions:

Functional outcomes after THA in teenagers generally improve. Revision rates are high, especially in older studies (pre-1995), but post-1995 revision rates are similar to those seen in adult populations. Further research is needed to improve implant survival and ease of revision in teenagers.

Relevance:

Limitations:

Perspective: