Abstract
A series of 193 hips treated with total hip arthroplasty in patients who were less than 59 years of age was reviewed. Satisfactory clinical results were obtained in most of the cases at the time of the last follow-up. Aseptic loosening of the components was observed in 57 hips (29.5%) and revision surgery was performed in 38 hips (19.7%) . Second revision surgery was performed in 6 hips. Relatively good clinical results were obtained in all these cases after revisions and second revisions. Technical failures including cementing techniques and selection of components seemed to be the main cause of aseptic loosening of the components rather than the relatively young age of the patients. These results support the premise that total hip arthroplasty is one of the recommended surgical treatments for endstage osteoarthrosis of the hip in younger patients.