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. 2020 Oct 16;15(1):476.
doi: 10.1186/s13018-020-01990-2.

Medium-term outcomes of total hip arthroplasty in juvenile patients

Francesco Luceri  1 , Ilaria Morelli  2 , Carlo Maria Sinicato  3 , Alberto Della Grazia  4 , Fabio Verdoni  1 , Nicola Maffulli  5   6   7 , Giuseppe M Peretti  1   8 , Domenico Curci  1
Affiliations

Medium-term outcomes of total hip arthroplasty in juvenile patients

Francesco Luceri et al. J Orthop Surg Res. .

Abstract

Background: Juvenile hip osteoarthritis is often the end result of congenital conditions or acquired hip ailments occurred during the paediatric age. This study evaluated the middle term results of total hip arthroplasty for end-stage juvenile hip osteoarthritis.

Materials and methods: This is a retrospective analysis of prospectively collected data on a cohort of 10 consecutive patients (12 hips), aged between 14 and 20 at operation, who underwent cementless total hip arthroplasty for end-stage juvenile secondary hip osteoarthritis in two orthopaedic tertiary referral centres between 2009 and 2018.

Results: Juvenile hip osteoarthritis occurred as a consequence of developmental dysplasia of the hip, Legg-Calvé-Perthes disease, femoral head necrosis or slipped capital femoral epiphysis. All patients showed a significant improvement in Harris Hip Score (p < 0.01) at 3.3 years average follow-up (range 0.7-10.1 years).

Conclusion: The management of juvenile hip osteoarthritis following developmental dysplasia of the hip, Legg-Calvé-Perthes disease, femoral head necrosis or slipped capital femoral epiphysis is still challenging. Careful preoperative planning is essential to achieve good outcomes and improve the Harris Hip Score in these young patients. Total hip arthroplasty is a suitable option for end-stage secondary juvenile hip osteoarthritis, when proximal femoral osteotomies and conservative treatments fail to improve patients' symptoms and quality of life.

Level of evidence: IV.

Keywords: Case series; Juvenile hip osteoarthritis; Paediatric; Total hip arthroplasty; Total hip replacement.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
a Plain radiographs of a 15-year-old male with right SCFE (patient 5). b Screw fixation of the right hip. c Preoperative planning. d Postoperative radiograph after right THA using anterior approach
Fig. 2
Fig. 2
a Plain radiographs of a 19-year-old female with LCPD (patient 7). b Arthrodiatasis of the left hip with external fixator. c Postoperative radiograph after left THA using posterolateral approach
See this image and copyright information in PMC

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