Activity levels and functional outcomes of young patients undergoing total hip arthroplasty.

@article{Malcolm2014ActivityLA,
  title={Activity levels and functional outcomes of young patients undergoing total hip arthroplasty.},
  author={Tennison L. Malcolm and Caleb R. Szubski and Amy S. Nowacki and Alison K. Klika and Joseph P. Iannotti and Wael K. Barsoum},
  journal={Orthopedics},
  year={2014},
  volume={37 11},
  pages={
          e983-92
        }
}
The activity demands of young patients undergoing total hip arthroplasty (THA) have not been clearly defined. University of California Los Angeles (UCLA) activity score, Hip disability and Osteoarthritis Outcome Score (HOOS), Short Form-12 version 2 (SF-12v2), and Functional Comorbidity Index (FCI) questionnaires were administered to 70 young patients who had undergone THA (young THA group; ie, ≤30 years old), 158 general patients who had undergone THA (general THA group; ie, ≥31 years old… 
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TLDR
Contemporary total hip arthroplasty in patients 25 years of age and younger is associated with improved hip function, and secure fixation of cementless implants at early followup.
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TLDR
This review of the literature demonstrates an improvement in radiographic outcomes and survivorship of THA, but no significant differences in pain and function scores, in very young patients treated over the past two decades when compared with historical controls.
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TLDR
The UCLA scale had the best reliability, provided the highest completion rate, and showed no floor effects, and seems to be the most appropriate scale for assessment of physical activity levels in patients undergoing total joint arthroplasty.
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TLDR
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TLDR
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TLDR
Uncemented total hip arthroplasty was found to confer a significant improvement in function and to have an acceptable short-term outcome in very young patients with end-stage arthritis of the hip.
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TLDR
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Patient Activity after Total Hip Arthroplasty Declines with Advancing Age
TLDR
The high mean measured number of walking cycles, which were even higher than those reported for subjects without an arthroplasty, suggests patients benefit from THA, and female gender, advanced age, and obesity correlated with lower activity.
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TLDR
Primary cemented total hip arthroplasties in very young patients show satisfactory medium-term results, however, in cases with acetabular bone stock loss, a reconstruction with bone impaction grafting is advisable.
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