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Abstract
Purpose
We investigated the results of the third generation alumina on alumina bearing total hip arthroplasty in patients under the age of forty.
Materials and Methods
Fifty patients (57 hips) under the age of forty, who had uncemented total hip arthroplasty using third generation alumina bearing, between April 2000 and March 2006 were observed. The group consisted of 24 men and 26 women. The average age at the operation was 30.3 years (18-39 years). The average follow up period was 8.0 years (5-11 years). The most common cause for surgery was rheumatoid arthritis. We assessed the clinical and radiological results and postoperative complications.
Results
The mean Harris hip score at the last follow-up was 96 points on average. There was no inguinal pain. However, there were two hips of which the patient was experiencing thigh pain. One hip with squeaking was observed. We could observe the stable bony fixation of implants in all hips. There were no aseptic loosening and no osteolysis around the implants. Postoperative complications included one hip with nonunion of trochanteric osteotomy and one hip with dislocation. There were no ceramic fractures, no postoperative infections and no revisions.
Figures and Tables
Figure 1
Radiographs of a 20-year-old male patient who complained of a noise (squeaking) from right hip joint. (A) The inclination angle in anteroposterior view was 53°. (B) The anteversion angle in lateral view was 10°. The squeaking did not disturb his daily activity and close observation has been performed.
Figure 2
(A) A hip AP radiograph taken at postoperative 2 weeks of a 22-year-old female patient, who underwent the third generation alumina-on-alumina total hip arthroplasty, shows sound fit cup and stem. (B) Radiographs of hip AP and lateral view taken at postoperative 11 years show no evidence of periprosthetic osteolysis or loosening.
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