Uncemented Primary Total Hip Arthroplasty in Patients aged 55 years or younger: Results at a minimum of 5 years in a consecutive series.

Ryan Paul, Ismail Essop Goga

Abstract


Total hip arthroplasty is effective in the management of patients with advanced hip disease of various aetiologies. Surgical management of the younger patient requiring arthroplasty remains challenging due to their activity levels, physical demands, and the need for longevity of implanted components. High rates of failure of cemented implants in the young, active patient group led to an expanding interest in uncemented arthroplasty. The results of first generation uncemented, and certain of the second generation uncemented implants have been unacceptably  poor.

Other second generation femoral components (both porous and HA coated) have yielded excellent long term results, with survivorships of up to 96.8% at 20 years. There remain, however, concerns regarding high rates of liner wear, osteolysis and acetabular revision.

We plan a retrospective review of the 5 year results of patients (aged 55 years or younger)  treated with uncemented primary total hip arthroplasty.