Total hip replacement in patients younger than thirty years old. A five-year follow-up study.

Abstract
Young patients [29] with 33 arthritic hips had total hip replacement. Follow-up at 10 mo. showed that they were doing well, but at 5 yr, 57% showed evidence of actual or potential loosening of at least 1 component of the prosthesis. Factors that seemed to adversely affect the results were an initial diagnosis of avascular necrosis, a previous mold arthroplasty, heavy patient activity, a unilateral arthroplasty and weight of > 82 kg (180 lb). Acetabular loosening occurred more than twice as frequently as femoral loosening.

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