When we talk about hip replacements, patients are those under 55 years who the surgeon seeks greater survival, while patients wait to continue their physical activity.
Hip replacements are somewhat complicated in young patients, because their lifestyle is not the same as in adult patients. In the case of women, for example, in addition to the usual hassles, such as pain or stiffness, we add the constraint to family life, such as natural childbirth.
Age is a significant factor in the survival of the hip factor, an alternative that represents for many people the possibility to maintain their normal routines. This fact must be added that the improvement and development of new designs. In countries such as Finland, Australia and Canada, there has been an increase in performing arthroplasty in young adults, and now account for 15% of the total.
Complications of hip replacement in young adults
There are some factors that cause the failure of the implementation of the hip; the main one is this loosening.
The hip prosthesis attached to the bone of the patient with or without cement, and wear caused by friction of the components of the prosthesis generates an inflammatory reaction which gradually destroys the bone until the bone prosthesis is disengaged.
In this situation, experts Traumatology know that the objectives in this area are improving bone fixation and reduce friction and wear to limit the inflammatory reaction.
Duration of the hip in young adults
All young patients are interested in knowing how long they will last the hip. The truth is that there are models that can not give a precise date, while others have shown results 10, 25 and even 30 years.
According to the National Institute for Clinical Excellence (NICE), the criterion of excellence is based on a minor revision rate of 10% to 10 years. Surely in young patients should be more demanding, for example, to 20 years. For now, however, there are no publications that put him to 15 years. In this regard, it is important that the surgeon will explain to the patient the difference between "the latest or the newest" and "the best".
Keep in mind that the age and level of physical activity of the patient affect the durability of the implant. It is estimated that the risk of loosening of the stem decreases 1.8% for each year of age at the time of arthroplasty. Moreover, the degree of wear is determined by the type of patient work, leisure, asocial disease or BMI.
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