Total hip arthroplasty in young adults, with focus on Perthes' disease and slipped capital femoral epiphysis
نویسندگان
چکیده
BACKGROUND AND PURPOSE Pediatric hip diseases account for 9% of all primary hip arthroplasties in the Norwegian Arthroplasty Register. We wanted to validate the diagnosis as reported to the register and to assess the quality of life of these patients after hip replacement. PATIENTS AND METHODS 540 patients accepted to participate in this follow-up study (634 hips). All were less than 40 years of age and had been reported to the Norwegian Arthroplasty Register as having undergone a primary total hip arthroplasty (THA) between 1987 and 2007. The underlying diagnosis, age at diagnosis, and type of treatment given prior to the hip replacement were recorded from the original hospital notes. RESULTS The diagnoses reported to the Norwegian Arthroplasty Register were confirmed to be correct in 91% of all cases (538/592). For the 94 hips that had been treated due to Perthes' disease or slipped capital femoral epiphysis (SCFE), the diagnosis was verified in 95% of cases (89/94). The corresponding proportion for inflammatory hip disease was 98% (137/140) and it was only 61% for primary osteoarthritis (19/31). The self reported quality of life (EQ-5D) was poorer for these young patients with THA than for persons in age-matched cohorts from Great Britain and Sweden, except for those with an underlying SCFE. INTERPRETATION The diagnoses reported to the Norwegian Arthroplasty Register as the underlying cause of THA were correct in 91% of cases. Individuals who undergo THA before the age of 40 have a reduced quality of life, except for those requiring a hip replacement because of SCFE.
منابع مشابه
Eleven Year Results of Total Hip Arthroplasty in Patients with Secondary Osteoarthritis Due to Slipped Capital Femoral Epiphysis
BACKGROUND Total hip arthroplasty (THA) in patients with a history of Slipped Capital Femoral Epiphysis (SCFE), is typically indicated to address the consequent deformity of the proximal femur and/or acetabulum. It can be a challenging procedure for the orthopaedic surgeon. Previous studies have focused on prevention of osteoarthritis post-SCFE. However, there is a paucity of data on the outcom...
متن کاملComplete slippage of capital femoral epiphysis: total hip arthroplasty with custom-made stem.
Slipped capital femoral epiphysis occurs in adolescents, most often shortly after the onset of puberty. In patients suffering form renal osteodystrophy, the incidence is higher and the condition usually occurs at a younger age. Metabolic changes induce weakening of the bone, which makes the hip joint vulnerable. The initial treatment consists of phosphate-restricted diet, lanthanum carbonate, c...
متن کاملLegg-Calvé-Perthes disease and slipped femoral capital epiphysis in the skeletal remains of the Mediaeval Necropolis of Santa Maria (Sintra, Portugal)
This paper discusses the differential diagnosis of unusual and distinct pathological changes in two left femurs and one left pelvic bone fragment from the Necropolis of Santa Maria, Sintra (Portugal), dated from the 14-17 centuries. The differential diagnosis of the lesions gave rise to several possible pathological conditions, namely, slipped femoral capital epiphysis, Legg-CalvéPerthes diseas...
متن کاملClinical Outcomes of Hip Arthroscopic Surgery in Patients With Femoral Retroversion: A Matched Study to Patients With Normal Femoral Anteversion
Background Femoral retroversion has been noted as a possible risk factor for poor clinical results after hip arthroscopic surgery. Purpose To compare the outcomes of the arthroscopic treatment of hip abnormalities in patients with femoral retroversion to patients with femoral anteversion between 10° and 20°. Study Design Cohort study; Level of evidence, 3. Methods Between November 2011 an...
متن کامل