Total Hip Arthroplasty in Young Patients

The Journal of Arthroplasty: The Cut brings you another very special episode based on Knee Society Proceedings that highlight important research about knee arthroplasty.

In this episode of The Cut, our hosts Kim K. Tucker, MD and Nathanael D. Heckmann, MD welcomed guests Neil P. Sheth, MD, FACS and Rafael J. Sierra, MD to discuss all things on hip replacements in patients that are early in adulthood (30 or less). Our hosts begin the podcast discussing Dr. Sheth’s study that included patients less than 21- years old, but with a median age of 16 who underwent full hip replacement surgery. What results looked like after a five year follow up – favorable or not, how he determines to perform a full hip replacement versus hip preservation and how does a full hip replacement in young patients compare to those done with older adults?

While Dr. Sheth’s study showed that modern THA can succeed in teens, Dr. Sierra study focused on how those results transition into early adulthood when activity demands increase. Dr. Sierra’s study included patients less than 30 – years old (median age of 23) with a seven-year follow-up. Survivorship in this study shocked even Dr. Sierra.

Our guests also discuss how they approach the conversation of a total hip replacement with parents – what shared decision-making looks like, how they acquire consent from them and how they rely on them to monitor activity levels with the child. I think you’ll find this podcast extremely helpful, especially if you’ve encountered a younger patient with hip complications.

Enjoy and thanks for listening to The Journal of Arthroplasty: The Cut!

In This Episode:

Nathanael D. Heckmann, MD
Neil P. Sheth, MD, FACS
Rafael J. Sierra, MD
Kim K. Tucker, MD