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TOTAL HIP ARTHROPLASTY IN PATIENTS YOUNGER THAN 25 YEARS OF AGE AFTER CHILDHOOD SEPTIC HIP



Abstract

Background: Childhood septic hip should usually be treated immediately by arthrotomy and antibiotic. Even if treated correctly, the affected hip may become osteoarthritic and functionally disabling.

Usually the literature is not in favor of THA in young patients, and the reports are on patients older than 32 years of age.

Aims: We present here a unique group of very young patients who suffered from early coxarthrosis due to septic hip in childhood, with an average age of 19.14 years at the time of the arthroplasty.

Methods: Seven patients who suffered from early coxarthrosis due to septic hip in childhood underwent total hip arthroplasty, with an average age of 19.14 years (range between 14 and 25 years) at the time of the arthroplasty.

Results: The Harris Hip Score (HHS) improved from a pre-operative mean of 58.43 to a post-operative mean of 94.14. The follow-up period ranged between 2 and 25 years, with an average of 8.14 years.

Conclusion: We conclude that THA in young people with early coxarthrosis due to septic hip in childhood provides good functional results.

The abstracts were prepared by Orah Naor. Correspondence should be addressed to him at the Israel Orthopaedic Association, PO Box 7845, Haifa 31074, Israel.