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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2011 February;62(1):43-8
Controversies in treating the young adult hip patient
Flecher X., Aubaniac J. M., Parratte S., Argenson J. N.
Center for Osteoarthritis Surgery, Marseille, France
Several options have been introduced to enhance the results of total hip arthroplasty (THA) in the young. Regarding component fixation and design, the choice of a cementless stem is a suitable option. However, the surgeon has to be aware of the disturbed proximal anatomy of the femur in this population and custom cementless stem has shown adequate midterm results. Hard bearing surfaces have demonstrated lower rates of wear while longterm studies failed to prove a high impact on survivorship and cost-effectiveness. Finally, modern techniques as hip resurfacing of mini invasive approach have recently been discussed in the young adult to allow faster recovery and a better return to sport activities. The aim of this article is to discuss all those attractive options.