BioMed Research International / 2013 / Article / Tab 4 / Clinical Study
Mean 5-Year Clinical and Radiographic Outcomes of Cementless Total Hip Arthroplasty in Patients under the Age of 30 Table 4 Studies of patients <30 years old with majority noninflammatory arthritis treated with cementless total hip arthroplasty (sorted by mean followup).
Study Kamath et al. [8 ] Costa et al. [5 ] Clohisy et al. [4 , 13 ] Current Study Restrepo et al. [10 , 14 ] Nizard et al. [9 ] Dudkiewicz et al. [6 ] Girard et al. [7 ] Wangen et al. [11 ] Year pub 2012 2012 2010 2013 2008 2008 2003 2010 2008 Mean age (range) 18 (13–20) 20 (13–30) 20 (12–25) 22 (15–29) 17.64 (13.5–20) 23.4 (13–30) 23.2 (14–29) 25 (15–30) 25 (15–30) Patients (hips) 17 (20) 40 (53) 88 (102) 34 (40) 25 (35) 94 (108) 56 (69) 34 (47) 44 (49) Mean F/U (years) 4.1 4.6 5 5.4 6.6 6.9 7.4 9 13 Prior operations 80%* 0% Unknown 50% 20% 18% High 27.70% Unknown % Inflammatory arthritis 0% 0% 12% 7% 26% 13% 29% 4% 0% Surgical approach 100% post 100% AL Post and AL 75% post 20% AL 100% AL 90% Post Unknown 100% post Post and DL Cementless stems 95% 100% 95% 100% 100% 53% 91.30% 94% 100% Cementless cups 100% 100% 100% 100% 100% 92% 91.30% 100% 100% Articulation 70% COC 100% MOP 45% MOXLP 67.5% MOM 27.5% MOP 63% COXLP 100% COC 100% MOP 100% MOM (Metasul) 100% MOP Infections 0% 1.9% 1% 2.5% 0% 0% 4.3% 4.3% Unknown Dislocations 0% 0% 3.9% 10% 0% 1.9% 7.2% 2.1% 6.1% Femoral aseptic Revision rate 0% 0% 0% 5%** 0% 4.6% 4.3% 0% 0% Acetabular aseptic revision rate 0% 1.9% 2.9% 2.5%** 0% 13.9% 15.9% 4.3% 49% Overall aseptic revision rate 5% 3.8% 7% 7.5%** 0% 15.7% 15.9% 4.3% 49%
Majority of prior operations were core decompression procedures for avascular necrosis.
Failure rates for reasons other than metallosis are listed for the current study.
