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Total hip arthroplasty in very young bone marrow transplant patients.

Publication ,  Journal Article
Ledford, CK; Vap, AR; Bolognesi, MP; Wellman, SS
Published in: J Surg Orthop Adv
2015

Concerns remain about total hip arthroplasty (THA) performed in very young patients, especially those with complex medical history such as allogeneic bone marrow transplantation (ABMT). This study retrospectively reviews the perioperative courses and functional outcomes of ABMT patients <21 years old undergoing primary uncemented THA. Nine THAs were performed in five ABMT patients at an average age of 19.7 years. The interval between ABMT and THA was 73.0 months with clinical follow-up of 25.8 months. Harris Hip Scores (HHS) increased dramatically from preoperatively 44.5 (range, 31.1-53.4) to postoperatively 85.2 (range, 72.0-96.0) and all patients subjectively reported a good (four hips) to excellent (five hips) overall outcome. There was one reoperation for periprosthetic fracture fixation but there were no infections or revisions performed. Despite the history of severe hematopoietic conditions requiring ABMT, these very young patients do appear to have improved pain and function following primary THA with short-term follow-up.

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Published In

J Surg Orthop Adv

DOI

ISSN

1548-825X

Publication Date

2015

Volume

24

Issue

2

Start / End Page

99 / 104

Location

United States

Related Subject Headings

  • Young Adult
  • Retrospective Studies
  • Protoporphyria, Erythropoietic
  • Mucopolysaccharidosis I
  • Male
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive
  • Humans
  • Femur Head Necrosis
  • Child, Preschool
  • Child
 

Citation

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Ledford, C. K., Vap, A. R., Bolognesi, M. P., & Wellman, S. S. (2015). Total hip arthroplasty in very young bone marrow transplant patients. J Surg Orthop Adv, 24(2), 99–104. https://doi.org/10.3113/jsoa.2015.0099
Ledford, Cameron K., Alexander R. Vap, Michael P. Bolognesi, and Samuel S. Wellman. “Total hip arthroplasty in very young bone marrow transplant patients.J Surg Orthop Adv 24, no. 2 (2015): 99–104. https://doi.org/10.3113/jsoa.2015.0099.
Ledford CK, Vap AR, Bolognesi MP, Wellman SS. Total hip arthroplasty in very young bone marrow transplant patients. J Surg Orthop Adv. 2015;24(2):99–104.
Ledford, Cameron K., et al. “Total hip arthroplasty in very young bone marrow transplant patients.J Surg Orthop Adv, vol. 24, no. 2, 2015, pp. 99–104. Pubmed, doi:10.3113/jsoa.2015.0099.
Ledford CK, Vap AR, Bolognesi MP, Wellman SS. Total hip arthroplasty in very young bone marrow transplant patients. J Surg Orthop Adv. 2015;24(2):99–104.

Published In

J Surg Orthop Adv

DOI

ISSN

1548-825X

Publication Date

2015

Volume

24

Issue

2

Start / End Page

99 / 104

Location

United States

Related Subject Headings

  • Young Adult
  • Retrospective Studies
  • Protoporphyria, Erythropoietic
  • Mucopolysaccharidosis I
  • Male
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive
  • Humans
  • Femur Head Necrosis
  • Child, Preschool
  • Child