{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:29:07Z","timestamp":1790231347469,"version":"4.1.0"},"reference-count":38,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T00:00:00Z","timestamp":1351728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:p>Debilitating arthritis in teenage patients is a complex problem with limited surgical options. Hip arthrodesis is unpopular amongst patients, and contemporary total hip arthroplasty (THA) may be a promising alternative. We report on the outcomes of THA in patients less than 20 years of age. All consecutive teenage patients undergoing THA at a tertiary referral centre were reviewed. Mean follow-up was 3.4 years (range 0.6\u20136.8) and 9 patients had at least 5 years follow-up. There were 51 THAs in 43 patients with a mean age of 17 years (range 12\u201319). The commonest indication was osteonecrosis (35 cases), mostly secondary to slipped upper femoral epiphysis (15 cases). Forty-six were uncemented and 5 were reverse hybrid THAs of which 7 were computer assisted design\/manufacture (CADCAM) components. The commonest bearing surface used was ceramic on ceramic (40 cases). The survival rate was 96% and there were 2 complications. At latest follow-up, the mean Harris hip score was 90 (range 68\u201399) and UCLA activity score was 6 (range 4\u20139). Radiological analysis showed 2 patients with lucent lines around the acetabular component, but no signs of osteolysis or wear. We report good short to intermediate term survivorship and outcomes, and feel THA represents a valid alternative option to hip arthrodesis.<\/jats:p>","DOI":"10.5301\/hip.2012.10352","type":"journal-article","created":{"date-parts":[[2012,12,11]],"date-time":"2012-12-11T08:35:43Z","timestamp":1355214943000},"page":"621-627","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Total Hip Arthroplasty in Teenagers: An Alternative to Hip Arthrodesis"],"prefix":"10.1177","volume":"22","author":[{"given":"Nirav K.","family":"Patel","sequence":"first","affiliation":[{"name":"Catterall Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex - UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Luff","sequence":"additional","affiliation":[{"name":"Catterall Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex - 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