Early results of primary total hip arthroplasty performed in young adults at a regional Saudi-Arabian orthopedics center: a prospective observational study
Background. Younger patients undergoing primary total hip arthroplasty (THA) have different indications and outcomes than elderly patients. Furthermore, studies reporting the results of THA in young patients are scarce in our area. The aim of the study is to report the early experience and clinic...
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| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2024-12-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
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| Online Access: | https://journal.rniito.org/jour/article/viewFile/17570/pdf |
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| author | Walid M. Al-Shaer Ali H. Al-Yami Mokhtar Ahmed Al-Sayed Ali Mohammed Al-Zaidan Emad Ruddah Al-Sufyani Ahmed A. Khalifa Raad M. M. Al-Thaqafi Abdulmohsen H. Al-Hamyani Mohammed M. Al-Subaie |
| author_facet | Walid M. Al-Shaer Ali H. Al-Yami Mokhtar Ahmed Al-Sayed Ali Mohammed Al-Zaidan Emad Ruddah Al-Sufyani Ahmed A. Khalifa Raad M. M. Al-Thaqafi Abdulmohsen H. Al-Hamyani Mohammed M. Al-Subaie |
| author_sort | Walid M. Al-Shaer |
| collection | DOAJ |
| description | Background. Younger patients undergoing primary total hip arthroplasty (THA) have different indications and outcomes than elderly patients. Furthermore, studies reporting the results of THA in young patients are scarce in our area.
The aim of the study is to report the early experience and clinical results after total hip arthroplasty in patients ≤40 years old from a regional Saudi-Arabian hospital as a representative of the Arab (Middle Eastern) population.
Methods. We conducted a prospective observational study over one year by following all patients (≤40 years) who underwent primary THA at a regional Saudi-Arabin orthopedics center. Twenty-five patients (a mean age of 31.60±6.07 years, and 14 (56%) were males) were eligible for final inclusion. The functional assessment was performed according to the Harris Hip Score (HHS), leg length discrepancy (LLD) was evaluated, and complications at any point were reported.
Results. The commonest indication was advanced avascular necrosis (28%) followed by post-traumatic osteoarthritis (24%) and rheumatoid arthritis (24%). Cementless fixation was utilized in 20 (80%) THAs, and the bearing surface was either metal- or ceramic-on-polyethylene in 92% of THAs. After a mean follow up of 20.0±4.5 months, HHS improved from a pre-operative mean of 29.20±5.29 to 85.48±7.18 (p = 0.0001). Excellent and good results were reported in 84%. All working patients (52%) returned to their jobs after THAs. The leg length discrepancy improved significantly from a pre-operative mean of 2.12±1.01 cm to the last follow up mean of 0.72±0.4 cm, p = 0.0001. Two (8%) patients had superficial wound infections at the time of suture removal, which were treated successfully by daily dressing and antibiotics. None required revision.
Conclusions. Primary total hip arthroplasty is the option for managing end-stage hip disease, even in younger patients when hip preservation surgeries are invalid. Our results showed improved functional outcomes and a return to pre-disease daily activities in most patients, with considerably lower complication incidence. |
| format | Article |
| id | doaj-art-7bf3d2d6403f4a08b73d0b1912f1f682 |
| institution | Kabale University |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| publishDate | 2024-12-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj-art-7bf3d2d6403f4a08b73d0b1912f1f6822025-01-20T02:43:24ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332024-12-01304384610.17816/2311-2905-175701362Early results of primary total hip arthroplasty performed in young adults at a regional Saudi-Arabian orthopedics center: a prospective observational studyWalid M. Al-Shaer0https://orcid.org/0009-0002-6883-4741Ali H. Al-Yami1https://orcid.org/0000-0002-2446-4913Mokhtar Ahmed Al-Sayed2https://orcid.org/0000-0002-1431-3126Ali Mohammed Al-Zaidan3https://orcid.org/0009-0005-7812-4649Emad Ruddah Al-Sufyani4https://orcid.org/0009-0003-8859-5589Ahmed A. Khalifa5https://orcid.org/0000-0002-0710-6487Raad M. M. Al-Thaqafi6https://orcid.org/0000-0001-9162-7754Abdulmohsen H. Al-Hamyani7https://orcid.org/0009-0002-9998-9578Mohammed M. Al-Subaie8https://orcid.org/0009-0007-5886-3465Alhada Armed Forces HospitalMinistry of the National Guard – Health AffairsAlhada Armed Forces HospitalInternational Medical Center HospitalAlhada Armed Forces HospitalQena faculty of medicine and University Hospital, South Valley UniversityAlhada Armed Forces HospitalKing Faisal HospitalKing Abdulaziz Specialist HospitalBackground. Younger patients undergoing primary total hip arthroplasty (THA) have different indications and outcomes than elderly patients. Furthermore, studies reporting the results of THA in young patients are scarce in our area. The aim of the study is to report the early experience and clinical results after total hip arthroplasty in patients ≤40 years old from a regional Saudi-Arabian hospital as a representative of the Arab (Middle Eastern) population. Methods. We conducted a prospective observational study over one year by following all patients (≤40 years) who underwent primary THA at a regional Saudi-Arabin orthopedics center. Twenty-five patients (a mean age of 31.60±6.07 years, and 14 (56%) were males) were eligible for final inclusion. The functional assessment was performed according to the Harris Hip Score (HHS), leg length discrepancy (LLD) was evaluated, and complications at any point were reported. Results. The commonest indication was advanced avascular necrosis (28%) followed by post-traumatic osteoarthritis (24%) and rheumatoid arthritis (24%). Cementless fixation was utilized in 20 (80%) THAs, and the bearing surface was either metal- or ceramic-on-polyethylene in 92% of THAs. After a mean follow up of 20.0±4.5 months, HHS improved from a pre-operative mean of 29.20±5.29 to 85.48±7.18 (p = 0.0001). Excellent and good results were reported in 84%. All working patients (52%) returned to their jobs after THAs. The leg length discrepancy improved significantly from a pre-operative mean of 2.12±1.01 cm to the last follow up mean of 0.72±0.4 cm, p = 0.0001. Two (8%) patients had superficial wound infections at the time of suture removal, which were treated successfully by daily dressing and antibiotics. None required revision. Conclusions. Primary total hip arthroplasty is the option for managing end-stage hip disease, even in younger patients when hip preservation surgeries are invalid. Our results showed improved functional outcomes and a return to pre-disease daily activities in most patients, with considerably lower complication incidence.https://journal.rniito.org/jour/article/viewFile/17570/pdftotal hip arthroplastyyoung patientsmiddle eastern |
| spellingShingle | Walid M. Al-Shaer Ali H. Al-Yami Mokhtar Ahmed Al-Sayed Ali Mohammed Al-Zaidan Emad Ruddah Al-Sufyani Ahmed A. Khalifa Raad M. M. Al-Thaqafi Abdulmohsen H. Al-Hamyani Mohammed M. Al-Subaie Early results of primary total hip arthroplasty performed in young adults at a regional Saudi-Arabian orthopedics center: a prospective observational study Travmatologiâ i Ortopediâ Rossii total hip arthroplasty young patients middle eastern |
| title | Early results of primary total hip arthroplasty performed in young adults at a regional Saudi-Arabian orthopedics center: a prospective observational study |
| title_full | Early results of primary total hip arthroplasty performed in young adults at a regional Saudi-Arabian orthopedics center: a prospective observational study |
| title_fullStr | Early results of primary total hip arthroplasty performed in young adults at a regional Saudi-Arabian orthopedics center: a prospective observational study |
| title_full_unstemmed | Early results of primary total hip arthroplasty performed in young adults at a regional Saudi-Arabian orthopedics center: a prospective observational study |
| title_short | Early results of primary total hip arthroplasty performed in young adults at a regional Saudi-Arabian orthopedics center: a prospective observational study |
| title_sort | early results of primary total hip arthroplasty performed in young adults at a regional saudi arabian orthopedics center a prospective observational study |
| topic | total hip arthroplasty young patients middle eastern |
| url | https://journal.rniito.org/jour/article/viewFile/17570/pdf |
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