Open AccessEighteen-Year Results of Cementless THA with Alumina-on-HXLPE Bearings in Patients <30 Years Old
Author(s) -
Young-Hoo Kim,
Jang Won Park
Publication year - 2020
Publication title -
journal of bone and joint surgery. american volume/the journal of bone and joint surgery. american volume
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.634
H-Index - 260
eISSN - 1058-2436
pISSN - 0021-9355
DOI - 10.2106/jbjs.19.01157
Subject(s) - medicine , osteolysis , survivorship curve , total hip arthroplasty , surgery , fixation (population genetics) , radiography , cancer , population , environmental health
Despite overall good survivorship and clinical outcomes in the short term after total hip arthroplasty (THA) with use of alumina ceramic-on-highly cross-linked polyethylene (HXLPE) in patients younger than 30 years of age, there is a paucity of long-term data to evaluate the fixation of the components and the prevalence of osteolysis. We reviewed the records of 45 patients (54 hips) who had been included in a previous report to evaluate the long-term functional outcomes as well as radiographic and computed tomographic scan findings (particularly with regard to component fixation and osteolysis) after a mean duration of follow-up of 17.8 years. One femoral stem was revised because of aseptic loosening, and 2 acetabular components were revised because of recurrent dislocation. The survival rate at 17.8 years was 98% for the femoral component and 96% for the acetabular component. LEVEL OF EVIDENCE:: Therapeutic Level IV. See Instructions for Authors for a complete description of level of evidence.