Hip arthrodesis remains an option for treatment of severe arthritis in
young persons resulting primarily from osteonecrosis, congenital dysp
lasia, and joint sepsis, The authors reviewed six patients who underwe
nt fusions as young adults (average age: 30.8 years) with an average f
ollow-up period of 11.7 years, Solid arthrodesis without infection was
noted in all cases, Patients who worked returned to prior employment
without limitation, All patients complained of symptomatic low back pa
in and felt ambulation was limited by ipsilateral knee pain, Five of s
ix noted impaired sexual function; although childbearing was not affec
ted in one case, Four of six were satisfied with the operation, but on
ly three of six would undergo it again given the alternative of total
joint arthroplasty.