The orthopaedic treatment of young patients with hip osteoarthritis is a challenge for the orthopaedic surgeon, as young patients have higher expectation for function and quality of life. Surgical treatment has evolved to joint preservation surgery in the past decade. The proper selection of patients for these techniques allows us to obtain excellent results and delay the need for prosthetic surgery. Total hip replacement is the technique of choice in young patients with moderate or severe hip osteoarthritis. Improvement in biomaterials and bearing surfaces are required to improve the prosthesis survival rates and the quality of life of these patients.

The orthopaedic treatment of young patients with hip osteoarthritis is a challenge for the orthopaedic surgeon, as young patients have higher expectation for function and quality of life. Surgical treatment has evolved to joint preservation surgery in the past decade. The proper selection of patients for these techniques allows us to obtain excellent results and delay the need for prosthetic surgery. Total hip replacement is the technique of choice in young patients with moderate or severe hip osteoarthritis. Improvement in biomaterials and bearing surfaces are required to improve the prosthesis survival rates and the quality of life of these patients.