Abstract: Background: Management of end – stage hip in young adults (< 50 years) remains a challenge. Hip -preserving surgeries in the setting of advanced often do not provide adequate pain relief. The implications of total hip arthroplasty in young patients is a matter of concern regarding the outcome and durability of the prosthesis. Improved techniques and biomaterials have stimulated the demand for total hip arthroplasty in young and active individuals
Materials and Methods: A retrospective study of cases done between 2011 to 2015. A total of 225 patients, average age 35 (20 – 50) operated at Department of Orthopaedics, Vydehi Institute of Medical Sciences & Research Centre. Patients were followed up for a period of 3 years. Harris Hip score was used to evaluate the outcome and the Wilcoxin ranked T test was used to calculate p value.
Results: An average follow up of 41 months (range 13 – 86) was done. The mean post-operative Harris hip score was significantly improved with p value <0.001. Postoperative complications included superficial infection, dislocation.
Conclusion: Total hip arthroplasty is an excellent option for management of end stage hip disease in young adults. Modern uncemented implants and alternate bearing surfaces have significantly improved longevity and reduced revision rates.
