title: Systematic review of total hip arthroplasty in patients under 30 years old.
abstract: We performed a systematic review to assess whether joint replacement in this very  young patient group provides significant functional improvement and whether these procedures are associated with good implant survivorship. The studies included presented the results of  450 THA procedures. All patients showed an improvement in functional score and symptom relief. Uncemented stems showed good integration with no signs of loosening. Cemented implants showed high rates of loosening. This study shows that THA in the very young patient can provide good functional improvement and relief of symptoms and that the more modern uncemented implant designs used with hard-on-hard bearings can be associated with improved implant survival. Long-term studies are necessary to confirm the superiority and improved survivorship of these newer  implants.
authors.affiliation: Department of Orthopaedics, Guy's and St Thomas' Hospitals, London - UK.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Gee
authors.forename: Adil
authors.initials: A
authors.lastname: Ajuied
authors.forename: Zameer
authors.initials: Z
authors.lastname: Shah
authors.forename: Marc
authors.initials: M
authors.lastname: George
authors.forename: Marcus J K
authors.initials: MJ
authors.lastname: Bankes
mesh_terms: D000328:Adult; D000367:Age Factors; D019644:Arthroplasty, Replacement, Hip; D006801:Humans; D016896:Treatment Outcome