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Related Experiment Video

Updated: Apr 2, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

Total hip replacement in adolescents.

Salome Hagelstein¹, Dominic Simon¹, Gautier Beckers¹

¹Department of Orthopaedics and Trauma Surgery, Musculoskeletal UniversityCenter Munich (MUM), LMU Hospital, Marchioninistraße 15, 81377, Munich, Germany.

Orthopadie (Heidelberg, Germany)

|April 1, 2026

Summary

This summary is machine-generated.

Total hip arthroplasty in adolescents is rare but growing, using advanced implants for conditions like osteonecrosis. Careful planning and modern materials show promise, but unique challenges and activity levels impact outcomes.

Keywords:

Adolescents Complication management Developmental dysplasia of the hip Implant survival Total hip arthroplasty

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Area of Science:

Orthopedic surgery
Pediatric orthopedics
Biomaterials science

Background:

Total hip arthroplasty (THA) in adolescents is uncommon but increasing.
Indications differ from adults, including osteonecrosis, secondary osteoarthritis, and pediatric hip deformities.
Advances in implant technology are driving this trend.

Purpose of the Study:

To review the current status of total hip arthroplasty in adolescents.
To discuss indications, surgical challenges, implant options, and outcomes.
To highlight the need for adolescent-specific assessment tools.

Main Methods:

Review of current literature on adolescent THA.
Analysis of indications, surgical considerations, and implant choices.
Discussion of complication patterns and outcome measurement limitations.

Main Results:

Modern uncemented implants with ceramic-on-ceramic or ceramic-on-highly cross-linked polyethylene articulations show durability.
Complication rates are comparable to adults, but revision rates may be higher due to activity and anatomy.
Standard outcome measures may not fully capture adolescent-specific results.

Conclusions:

Adolescent THA requires meticulous preoperative planning due to anatomical challenges and smaller implant sizes.
Promising implant technologies are available, but long-term data is still needed.
Age-adapted assessment tools are crucial for optimizing outcomes in this unique patient population.