Mid-to long-term results of revision total hip replacement in patients aged 50 years or younger

P. T.H. Lee*, D. L. Lakstein, B. Lozano, O. Safir, J. Backstein, A. E. Gross

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Revision total hip replacement (THR) for young patients is challenging because of technical complexity and the potential need for subsequent further revisions. We have assessed the survivorship, functional outcome and complications of this procedure in patients aged < 50 years through a large longitudinal series with consistent treatment algorithms. Of 132 consecutive patients (181 hips) who underwent revision THR, 102 patients (151 hips) with a mean age of 43 years (22 to 50) were reviewed at a mean follow-up of 11 years (2 to 26) post-operatively. We attempted to restore bone stock with allograft where indicated. Using further revision for any reason as an end point, the survival of the acetabular component was 71% (SD 4) and 54% (SD 7) at ten- and 20 years. The survival of the femoral component was 80% (SD 4) and 62% (SD 6) at ten- and 20 years. Complications included 11 dislocations (6.1%), ten periprosthetic fractures (5.5%), two deep infections (1.1%), four sciatic nerve palsies (2.2%; three resolved without intervention, one improved after exploration and freeing from adhesions) and one vascular injury (0.6%). The mean modified Harris Hip Score was 41 (10 to 82) pre-operatively, 77 (39 to 93) one year post-operatively and 77 (38 to 93) at the latest review. This overall perspective on the mid- to long-term results is valuable when advising young patients on the prospects of revision surgery at the time of primary replacement.

Original languageEnglish
Pages (from-to)1047-1051
Number of pages5
JournalBone and Joint Journal
Volume96 B
Issue number8
StatePublished - Aug 2014
Externally publishedYes


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