Total hip arthroplasty in inflammatory arthritis in patients under 35 years. A 7 to 19 year follow-up.

Total hip arthroplasty in patients with inflammatory arthritis is compromised by the young age of patients at presentation, intake of non-steroidal anti-inflammatory drugs, steroid use and autoimmune diseases which negatively affect bone quality. This study evaluates the survival of total hip arthroplasties (THA) in 32 patients with inflammatory hip disease who were under the age of 35 at the index operation and on which 57 primary total hip arthroplasties were performed between 1989 and 2001. Polished straight tapered cemented stems were used in all 57 hips.

Single-stage bilateral total hip arthroplasty in patients less than 35 years. Forty arthroplasties with 5-17 years follow-up.

Between 1991 and 2003, the senior author performed 42 bilateral total hip arthroplasties as a single-stage procedure in 21 patients less than 35 years old. One patient was lost to follow-up, leaving 40 total hip arthroplasties in 11 male and 9 female patients for review, with a mean follow-up of 9.7 years (5-17 years).