Total Hip Arthroplasty in Down Syndrome Patients: An Improvement in Quality of Life. Replacement Arthroplasty in Down Syndrome (RADS) Study Group.

Allan E. Gross, John J. Callaghan, Michael G. Zywiel, Justin J. Greiner, Yona Kosashvili, Aaron J. Johnson, John C. Clohisy, David Backstein, Michael A. Mont*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose this study was to assess survival rates, clinical outcomes, and radiographic outcomes of total hip arthroplasty in Down syndrome patients. We reviewed 26 total hip arthroplasties (21 patients) performed by four experienced hip surgeons. These patients had a mean age of 35 years and a mean follow-up of 106. months. Clinical outcomes were assessed using Harris Hip scores, and radiographic evaluation for component fixation and migration was performed. The overall survival with aseptic failure as an endpoint was 85%. The mean Harris Hip score improved to 84 points at final follow-up. While these patients can be challenging to treat, excellent surgical technique and selective use of acetabular constraint can reliably provide patients with excellent pain-relief and improved function.

Original languageEnglish
Pages (from-to)701-706
Number of pages6
JournalJournal of Arthroplasty
Volume28
Issue number4
DOIs
StatePublished - Apr 2013
Externally publishedYes

Keywords

  • Clinical outcomes
  • Down syndrome
  • Harris hip score
  • Quality of life
  • Radiographic outcomes
  • Total hip arthroplasty

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