Contemporary Ceramic Total Hip Arthroplasty in Patients with Cerebral Palsy: Does It Work?

Yoon, Byung‐Ho; Lee, Yong Seuk; Ha, Yong‐Chan; Koo, Kyung‐Hoi

doi:10.4055/cios.2015.7.1.39

Cited by 11 publications

(10 citation statements)

References 33 publications

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“…Many patients undergoing THA have had previous operations, such as a soft-tissue release, osteotomy, excision arthroplasty, open reduction and internal fixation and spinal fusion. The percentage of patients who had undergone previous surgery, when this was reported, was 40%, 10 53%, 6 56%, 5 and 60%. 8 …”

Section: Resultsmentioning

confidence: 87%

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Total hip arthroplasty in patients with neuromuscular imbalance

Konan

Duncan

2018

The Bone & Joint Journal

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Patients with neuromuscular imbalance who require total hip arthroplasty (THA) present particular technical problems due to altered anatomy, abnormal bone stock, muscular imbalance and problems of rehabilitation. In this systematic review, we studied articles dealing with THA in patients with neuromuscular imbalance, published before April 2017. We recorded the demographics of the patients and the type of neuromuscular pathology, the indication for surgery, surgical approach, concomitant soft-tissue releases, the type of implant and bearing, pain and functional outcome as well as complications and survival. Recent advances in THA technology allow for successful outcomes in these patients. Our review suggests excellent benefits for pain relief and good functional outcome might be expected with a modest risk of complication. Cite this article: 2018;100-B(1 Supple A):17-21.

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Section: Resultsmentioning

confidence: 87%

“…Some authors reported selective use of constrained liners for instabilty, abductor insufficiency or hyperlaxity. 5 , 7 , 17 Yoon et al 10 reported good outcomes when using a ceramic-on-ceramic bearing. A dual mobilityarticulation was used by some authors to increase stability.…”

Section: Resultsmentioning

confidence: 99%

Total hip arthroplasty in patients with neuromuscular imbalance

Konan

Duncan

2018

The Bone & Joint Journal

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“…At 10 years, the survival rate collected by three studies was of 83.8%. 29 , 31 , 35 Implant preferences are specified in 11 studies, 23 , 25 , 26 , 29 – 36 and 243 cemented, 231 uncemented, 85 hybrid, and 14 reverse hybrid. Two studies describe the use of hip resurfacing techniques, 25 , 36 and one study describes the use of humeral stem in 12 hips 30 ( Table 4 ).…”

Section: Resultsmentioning

confidence: 99%

“…The authors found 14 studies regarding neuromuscular hip dysplasia and THA. [23][24][25][26][27][28][29][30][31][32][33][34][35][36] Going from 1993 to 2021, this selection mainly includes retrospective cohort studies.…”

Section: Neuromuscular Hip Dysplasiamentioning

confidence: 99%

Total hip arthroplasty in patients with common pediatric hip orthopedic pathology

De Salvo,

Sacco,

Mainard

et al. 2024

Journal of Children's Orthopaedics

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Purpose: Literature regarding total hip arthroplasty for pediatric hip diseases is scarce. This review aims to portray the various orthopedic conditions of childhood that can lead to significant impairment of the hip joint and, ultimately, to total hip arthroplasty in adolescence and adulthood. Methods: In total, 61 out of 3666 articles were selected according to (1) the diagnosis of one of the 12 pediatric hip pathologies (Legg–Perthes–Calvé disease, developmental dysplasia of the hip, slipped capital femoral epiphysis, neuromuscular hip dysplasia, post-traumatic avascular necrosis of the proximal femur, juvenile rheumatoid arthritis, achondroplasia, spondyloepiphyseal dysplasia, mucopolysaccharidosis, mucolipidosis, hip infections, and tumors) that required total hip arthroplasty; (2) minimum follow-up of 16 months; (3) assessed outcome with a clinical or radiologic score; (4) Methodological Items for Non-Randomized Studies quality score of 9 or higher. The following information for each pathology was retrieved: mean age at total hip arthroplasty, reason for total hip arthroplasty, type of total hip arthroplasty, surgical technique, mean follow-up, and outcomes. Results: Overall, the mean age at total hip arthroplasty for pediatric hip disease is in the sixth and seventh decade, except for tumors and skeletal dysplasias. The reason for performing total hip arthroplasty is often osteoarthrosis and abnormal anatomy. Prosthesis types change based on patient’s conditions and technological advances; custom-made implants are used for tumors, juvenile rheumatoid arthritis, and skeletal dysplasias; for other diseases, the most frequent are modular cementless implants. Outcomes are generally good, and all studies portray functional and pain improvements. Conclusion: Total hip arthroplasty is performed more frequently than in the past in patients with pediatric hip pathologies; it enhances patients’ quality of life by reducing pain and improving function. However, revision rate in these patients is not negligible.

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“…Among seven other retrospective studies, at varying lengths of follow-up, revision rates ranged from 0% to 27%. These studies with a combined 189 patients at mean 94 months of follow-up, reported 20 dislocations (10.6%), 11 cases of aseptic loosening (5.8%), 6 infections (3.2%), and 6 periprosthetic fractures (3.2%) [ [40] , [41] , [42] , [43] , [44] , [45] , [46] ]. While there was considerable heterogeneity across the studies with regard to severity of CP symptoms, functional improvements were noted in multiple studies, including cases of both mild and severe impairment [ 41 ].…”

Section: Resultsmentioning

confidence: 99%