FP12.2 16 Year Outcomes Following Young Adult Hip Replacement for Sequelae of Paediatric Hip Pathology

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ID: 331331
2026
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Abstract
Abstract ICLA12 - The Chondral Masterclass: Advanced Scaffolds, Orthobiologic Realities, and Young THA, Auditorium B (BMCC Level 1), October 9, 2026, 10:30 - 12:30 Aims Long-term outcomes following total hip arthroplasty (THA) in children and young adults remain inadequately defined, particularly with respect to durability across underlying pathologies. Existing studies in this cohort remain small, and often lack the inclusion of patient reported outcomes (PROMs). The aim of this study was to evaluate outcomes and revision rates for young adult THA in a tertiary referral hospital. Methods A retrospective cohort study was conducted using prospectively collected PROMs data available via electronic health records. Patients under 25 years old presenting for total hip replacement for sequelae of paediatric pathology between Jan 2004 and Jan 2014 were included. Primary outcomes recorded were all cause revision and WOMAC scores. Outcomes were further stratified by surgical indication. Results A total of 42 THAs were included. Overall, 2 revisions were recorded (4.8%) with a mean follow up of 16 years. Overall functional outcomes demonstrated substantial and durable improvement. There was a statistically significant improvement in the 1, 2, 5, 10 & 15 year WOMAC scores (p <0 .001) relative to pre-op, there was no significant difference in PROMs recorded between the post-op follow up time points, showing sustained benefits up to 15 years. Conclusion Across a heterogeneous cohort of young patients undergoing total joint arthroplasty 10-year WOMAC outcomes showed large and durable improvements across all indications. Revision rates were reassuringly low at 16 years mean follow up, supporting the long-term effectiveness and durability of total joint arthroplasty in children and young adults.
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Authors Orla Hennessy, Tom Doyle, Ciara Doran, Ciaran Stanley, James Cashman
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.090
URL
https://doi.org/10.1093/jhps/hnag043.090
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