Early Total Hip Arthroplasty is a Cost-Effective Treatment for Severe Radiographic Slipped Capital Femoral Epiphysis Over an Individual's Lifetime

Araujo, Olivia B de; Paranjape, Chinmay; Bracey, Daniel N.; Vergun, Anna D.

doi:10.1016/j.arth.2022.11.017

Cited by 1 publication

(1 citation statement)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From the point of view of cost-effectiveness, joint-preserving surgeries were reported to have the potential to be a highly cost-effective alternative if it leads to a delay in the need for THA of 5 years or longer [ 32 ]. However, based on current implant progress and performance, several authors mentioned that an earlier THA is cost-effective when considering an individual’s quality of life and life expectancy; it depends on how joint-preserving surgeries ensure the postoperative long-term good clinical outcomes and satisfaction [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the long-term patient-reported outcomes after hip arthroplasty or joint preserving with Sugioka femoral osteotomy in patients with femoral head osteonecrosis

Shoji,

Shozen,

Ueki

et al. 2024

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose This study retrospectively evaluated long-term clinical outcomes and patient-reported outcome measures (PROMs) in patients with osteonecrosis of the femoral head (ONFH) who underwent transtrochanteric rotational osteotomy (TRO), curved varus osteotomy (CVO), and total hip arthroplasty (THA). Methods We retrospectively reviewed the 109 hips in 96 patients (46 men, 50 women) who underwent CVO, TRO, or THA for ONFH treatment. The mean follow-up period for the TRO, CVO, and THA groups was 14.8, 11.5, and 13.3 years, respectively. Results The THA conversion rate of the TRO patients was significantly higher than that of the patients with CVO, and the final clinical scores in the patients with TRO did not improve compared with preoperative scores. Postoperative PROMs showed that the total and pain scores of the patients with THA were significantly higher than those of patients with TRO and CVO, while the PROM score did not change between patients with TRO and CVO. The analysis further showed that the preoperative type C2, stage 3A, or postoperative type C1 and C2 were significant predictors of decreased final PROM scores. Conclusion This study found that CVO and THA are clinically effective treatments for ONFH, with significant improvements compared with preoperative scores. However, THA was associated with significantly higher PROMs and pain scores than those of CVO and TRO in long-term follow-up. Furthermore, our results suggest that postoperative PROMs depend mainly on the preoperative level of collapse and postoperative transposed intact ratio of the articular surface of the femoral head.

show abstract

Section: Discussionmentioning

confidence: 99%