This session explores the complex and evolving topic of total hip arthroplasty (THA) in young patients.
Moritz Tannast opens the discussion addressing the technical challenges that may arise, focusing on anatomical considerations. He presents strategies to manage complex cases, through appropriate surgical approaches and tailored implant selection.
Nicolas Bonin then highlights the specific considerations that differentiate total hip replacement in young adults. He emphasizes the importance of evaluating life expectancy, activity level, sports ambitions, and anatomical factors before proceeding with surgery.
Filippo Randelli shifts the focus to sport and THA: Can patients safely return to athletic activities after hip replacement? Under what conditions? What impact does this have on implant longevity? He shares practical insights on managing active patients and minimizing the risk of revision surgery.
Finally, Vikas Khanduja and Oliver Marin-Pena present data on outcomes and satisfaction rates of total hip replacement in younger patients compared to older populations, offering a broader perspective on long-term success and patient expectations.
Vikas Khanduja is a Consultant Orthopaedic Surgeon specialising in both sports surgery and arthroplasty aspects of hip surgery and has a particular interest in arthroscopic surgery of the hip. He has been instrumental in setting up the tertiary referral service for Young Adult Hip Surgery in Cambridge for the East of England.
Mr. Khanduja qualified as a Doctor in 1997 and then completed his Basic Surgical training in London. Following this he received his Higher Surgical Training in Trauma and Orthopaedics on the North Thames circuit in London, gaining the FRCS (Orth) in 2005. Subsequently, he undertook his sub‐specialty training fellowships in knee and hip surgery with eminent surgeons in the field in London, Cambridge, Zurich and New York.
Complementing his clinical practice, his research interests centre around Optimisation of arthroscopic management of femoroacetabular impingement. In particular, he has been working on disease stratification of FAI using novel imaging techniques, better pre-operative planning tools using dynamic analysis of the hip and optimisation of arthroscopic management of FAI via precision surgery using navigation to improve outcomes.
Mr. Khanduja sits on the Executive Board of the British Hip Society ** as the President, the ESSKA Board as Chair of European Hip Preservation Associates, the SICOT Board as President Elect, the NIHR MSK NSG as the Orthopaedic Lead for the Eastern Region and is the Trustee and Past Chair of the Non Arthroplasty Hip Registry.
Professor Reina is Head of Hip and Trauma department, of the University Hospital in Toulouse, France. He holds a PhD in Anthropobiology. He completed a fellowship in Oxford, UK and worked in Mayo Clinic, Rochester for research.
His main focus is hip & pelvis surgery. His clinical practice comprises conservative surgery, primary and complex revision total hip arthroplasty as well as trauma for complex acetabular fractures.
Board member of French Hip Knee Surgery, he is also member of the European Hip Society and the International Board of the American Association of Hip Knee Surgeons. He published more than 150 peer reviewed publications and book chapters, and lectured in various international conferences. His research interests integrate big data in orthopedics, modern care in hip surgery such as minimally invasive techniques, and musculoskeletal system’s ability to adapt to its environment (biomechanics and anthropological variability).
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