Abstract
This study reports the early results of Birmingham Hip Resurfacing in a group of patients less than 25 years of age. We assessed over a period of 5 years all patients who underwent hip resurfacing who were under the age of 25. Thirty-eight patients underwent 43 hip resurfacing procedures for a variety of diagnoses. This included 15 with Developmental Dysplasia of the Hip (DDH), 13 with Osteonecrosis (ON) of the femoral head, and 7 with End-stage Spastic Hip Disease (ESSHD). We assessed complications, failure and revision rates. Patients completed co-op and oxford hip scores and both clinical and radiographic assessments. At a follow-up of a maximum of 5 years the survival rate was 93% with a further 7% showing radiographic features of failure. Thirteen hips (30%) had a femoral osteotomy at the time of resurfacing allowing correction of length and rotation with no apparent increase in complications. Those who required revision were successfully converted to metal- metal total hip replacement. Our results report the first use of this type of prosthesis in a group of patients under the age of 25 and demonstrate comparable results to standard treatments at this early stage. This study supports the use of hip resurfacing as alternative to conventional treatments for this complex group of patients.
Theses abstracts were prepared by Professor Roger Lemaire. Correspondence should be addressed to EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
