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Total Hip Arthroplasty pp 207–217Cite as

Total Hip Arthroplasty Using a Short, Metaphyseal-Fitting Anatomic Cementless Femoral Component in Patients with Femoral Head Osteonecrosis Who Are Less than 30 Years Old

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Abstract

Background: The studies on the short, metaphyseal-fitting anatomic cementless femoral component in patients younger than 30 years of age who had osteonecrosis of the femoral head are absent. The purpose of this current study was to evaluate midterm results of the short, metaphyseal-fitting anatomic cementless femoral component in patients younger than 30 years of age who had osteonecrosis of the femoral head with a particular emphasis on the clinical and radiographic results, thigh pain, stress shielding, revision rate, and osteolysis.

Methods: We reviewed the 70 patients (111 hips) younger than 30 years of age who had osteonecrosis of the femoral head. All surgeries were performed by a single surgeon. The most common cause of osteonecrosis of the femoral head was ethanol-associated. Demographic data, Harris hip score, Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index, and University of California, Los Angeles (UCLA), activity score were recorded. Radiographic evaluation was performed to determine implant fixation, stress shielding, and osteolysis. The minimum follow-up was 5 years (mean, 5.7 years; range, 5–6.5 years).

Results: The mean preoperative Harris hip score, WOMAC score, and UCLA activity score were 35 points, 68 points, and 3 points, respectively. At final follow-up, the mean Harris hip score, WOMAC score, and UCLA activity score were 96 points, 17 points, and 8 points, respectively. No hip resulted in thigh pain after 1 year postoperatively. All of the acetabular and femoral components were well fixed at final follow-up. No hip exhibited squeaking, ceramic fracture, loosening, or osteolysis at the final follow-up.

Conclusions: The midterm results of the short, metaphyseal-fitting anatomic cementless femoral component provided stable fixation without diaphyseal fixation in the highly active younger patients with osteonecrosis of the femoral head.

Level of Evidence: Therapeutic level II. See the Instructions to Authors for a complete description of levels of evidence.

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Authors and Affiliations

  1. The Joint Replacement Center, School of Medicine, Ewha Womans University School of Medicine, Seoul, Korea

    Young-Hoo Kim MD, Jang-Won Park MD & Jun-Shik Kim MD

  2. The Joint Replacement Center, MokDong Hospital, Ewha Womans University, 911-1, MokDong, Seoul, YangCheon-Ku, 158-710, Korea

    Young-Hoo Kim MD

Authors
  1. Young-Hoo Kim MD
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  2. Jang-Won Park MD
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  3. Jun-Shik Kim MD
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Correspondence to Young-Hoo Kim MD .

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Editors and Affiliations

  1. Orthopaedic Hospital Vienna-Speising, Speisinger Str. 109, Vienna, 1130, Austria

    Karl Knahr

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© 2013 EFORT

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Kim, YH., Park, JW., Kim, JS. (2013). Total Hip Arthroplasty Using a Short, Metaphyseal-Fitting Anatomic Cementless Femoral Component in Patients with Femoral Head Osteonecrosis Who Are Less than 30 Years Old. In: Knahr, K. (eds) Total Hip Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35653-7_19

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  • DOI: https://doi.org/10.1007/978-3-642-35653-7_19

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35652-0

  • Online ISBN: 978-3-642-35653-7

  • eBook Packages: MedicineMedicine (R0)

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