Outcome measures and survivorship following total hip arthroplasty in adolescent population

Fernández-Fernández, Ricardo; Moraleda-Novo, Luis; Armas, Joaquin Nuñez De; Cruz-Pardos, Ana

doi:10.1007/s00264-022-05536-5

Cited by 7 publications

(2 citation statements)

References 42 publications

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“…Arthroplasty has been performed most frequently on hip and knee joints, but has also been described for shoulder, elbow, metacarpophalangeal, and ankle joints [57][58][59][60][61][62]. This operation is indicated in young adults suffering from severe pain and a limited range of motion (due to joint destruction) [63].…”

Section: Arthroplastymentioning

confidence: 99%

Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies

Klein

Barbier

Glorion

et al. 2023

JCM

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Juvenile idiopathic arthritis is the most common chronic rheumatic disease encountered in children under the age of sixteen and causes significant impairments in daily life. Over the last two decades, the introduction of new drug treatments (including disease-modifying antirheumatic drugs and biologics) has changed the course of this disease, thus reducing the indication for surgery. However, some patients fail to respond to drug therapy and thus require personalized surgical management, e.g., the local reduction of joint effusion or a synovial pannus (via intra-articular corticosteroid injections, synovectomy, or soft tissue release), and management of the sequelae of arthritis (such as growth disorders and joint degeneration). Here, we provide an overview of the surgical indications and outcomes of the following interventions: intra-articular corticosteroid injections, synovectomy, soft tissue release, surgery for growth disorders, and arthroplasty.

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Section: Arthroplastymentioning

confidence: 99%

Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies

Klein

Barbier

Glorion

et al. 2023

JCM

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“…Total hip arthroplasty (THA) is the ultimate treatment for osteoarthritis caused by DDLH [ 1 ]. However, for active young people and adolescents, the revision-free survival rate is lower than older patients [ 2 , 3 ]. Therefore, hip preservation surgery is of great importance for adolescents and older children.…”

Section: Introductionmentioning

confidence: 99%

The modified capsular arthroplasty for young patients with developmental dislocation of the hip

Zhang,

Luo,

Cheng

et al. 2023

Journal of Hip Preservation Surgery

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The present study aimed to investigate the clinical results of the modified Codivilla–Hey Groves–Colonna capsular arthroplasty in the treatment of young patients with developmental dislocation of the hip. We retrospectively evaluated 90 patients (92 hips) who underwent the modified capsular arthroplasty from June 2012 to June 2021. Hips were evaluated using the modified hip Harris score (mHHS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and the 12-item International Hip Outcome Tool (iHOT-12). The Tönnis osteoarthritis grade and the Severin classification system were used to assess the radiographic outcomes. The average age was 15.7 years (range: 8–26 years). The mean pre-operative mHHS, the WOMAC score and the iHOT-12 score were 83.03, 14.05 and 52.79, respectively. The patients were followed for a mean of 41.1 months (range: 12.1–120.9 months). The patients had a mean mHHS of 83.61 (range: 31.2–97), a WOMAC score of 16.41 (range: 0–51) and an iHOT-12 score of 64.81 (range: 12.9–98.2) at the final follow-up. Capsular thickness had a positive predication on the final functional outcomes. The excellent/good rate of radiological reduction was 79.3%. More than 60% of patients had no/slight osteoarthritis. A total of 54 hips (58.7%) had superior radiographic outcomes. The risk factors for inferior radiographic outcomes were capsular quality (odds ratio [OR]: 0.358, 95% confidence interval [CI]: 0.113–0.931) and capsular thickness (OR: 0.265, 95% CI: 0.134–0.525). Joint stiffness was the most common complication (14.1%). We confirmed the efficacy of this procedure in the treatment of developmental hip dislocation. Patients with poor capsular quality are not suitable for this procedure. With suitable selection according to indications, this procedure can restore the hip rotation center with a low incidence of femoral head necrosis or severe osteoarthritis.

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Periacetabular osteotomy for Tönnis grade 2 osteoarthritis secondary to hip dysplasia

Zhang

Ren

Cheng

et al. 2023

International Orthopaedics (SICOT)

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Outcome measures and survivorship following total hip arthroplasty in adolescent population

Cited by 7 publications

References 42 publications

Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies

Surgical Treatment of Juvenile Idiopathic Arthritis in the Era of Novel Drug Therapies

The modified capsular arthroplasty for young patients with developmental dislocation of the hip

Periacetabular osteotomy for Tönnis grade 2 osteoarthritis secondary to hip dysplasia

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