Osteoarthritis Research Today is a free monthly online journal that collates and summarizes the latest research about Osteoarthritis, including details on treatment, symptoms, causes, medication.

Surface arthroplasty in young patients with hip arthritis secondary to childhood disorders.

Amstutz HC, Su EP, Le Duff MJ

Joint Replacement Institute, Orthopaedic Hospital, 2400 South Flower Street, Los Angeles, CA 90007, USA. hamstutz@laoh.ucla.edu

Legg-Calvé-Perthes disease (LCP) and slipped capital femoral epiphysis (SCFE) may result in alterations of the proximal femoral morphology, leading to the development of hip osteoarthritis as a young adult. Hip surface arthroplasty presents special technical challenges in these patients because of the abnormal anatomy of the head and neck. The authors reviewed the radiographic and clinical results of patients with a history of LCP or SCFE who underwent hip resurfacing between 1996 and 2002. Despite the challenges in performing hip resurfacing in this patient population and the inability to completely normalize hip anatomy, biomechanics, and leg length discrepancy, the results to date have been encouraging.

Published 18 April 2005 in Orthop Clin North Am, 36(2): 223-30, x.
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