Outcomes of total hip replacement in patients with slipped capital femoral epiphysis

Traina, Francesco; Fine, Marcello De; Abati, Caterina Novella; Bordini, Barbara; Toni, Aldo

doi:10.1007/s00402-012-1538-z

Cited by 12 publications

(33 citation statements)

References 32 publications

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“…According to all registry reports, THA modular necks had lower survivorship as did the clinical series that we reviewed for this aspect of modularity [1,4,6,8,12,17,19,20,24,35,40,44,48,68,71,73,75,[78][79][80][81]. Similar survivorships and revision rates were found for modular stem/body and body/neck femoral components, whereas registry data revealed similar results except when these types of stems were paired with a MoM articulating bearing, which was reported to increase revision rates even further [1].…”

Section: Discussionmentioning

confidence: 53%

“…No study involving retrieval analysis or metal ion levels was included. Twenty reports on dual modular femoral components in the literature met inclusion criteria [4,6,8,12,17,19,20,24,35,40,44,48,68,71,73,75,[78][79][80][81]. The levels of evidence for these articles that met inclusion criteria were: Level I (zero), Level II (four), Level III (four), and Level IV (twelve).…”

Section: Modularity Search Criteriamentioning

confidence: 99%

“…This increased frequency of revision with exchangeable neck prostheses occurred with all bearing surfaces in the Australian Registry (Table 3). Twelve studies reported on various types of modular femoral neck and stem components with a range of survivorship from 91% to 100% with a range of followup of 8.6 and 5 years, respectively [4,8,17,19,20,35,44,68,73,[79][80][81]. Eight reports dealing specifically with the S-ROM modular stem/body (DePuy Orthopaedics Inc, Warsaw, IN, USA) reported a range of survivorships for aseptic loosening of 93.3% to 100% with a range of followup of 19 years and 10 years, respectively [6,12,24,40,48,71,75,78].…”

Section: Modular Femoral Components In Thamentioning

confidence: 99%

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How Have Alternative Bearings and Modularity Affected Revision Rates in Total Hip Arthroplasty?

Mihalko

Wimmer

Pacione

et al. 2014

Clin Orthop Relat Res

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Background Total hip arthroplasty (THA) continues to be one of the most successful surgical procedures in the medical field. However, over the last two decades, the use of modularity and alternative bearings in THA has become routine. Given the known problems associated with hardon-hard bearing couples, including taper failures with more modular stem designs, local and systemic effects from metal-on-metal bearings, and fractures with ceramic-onceramic bearings, it is not known whether in aggregate the survivorship of these implants is better or worse than the metal-on-polyethylene bearings that they sought to replace. Questions/purposes Have alternative bearings (metal-onmetal and ceramic-on-ceramic) and implant modularity decreased revision rates of primary THAs?Methods In this systematic review of MEDLINE and EMBASE, we used several Boolean search strings for each topic and surveyed national registry data from Englishspeaking countries. Clinical research (Level IV or higher) with C 5 years of followup was included; retrieval studies and case reports were excluded. We included registry data at C 7 years followup. A total of 32 studies (and five registry reports) on metal-on-metal, 19 studies (and five registry reports) on ceramic-on-ceramic, and 20 studies (and one registry report) on modular stem designs met inclusion criteria and were evaluated in detail. Insufficient data were available on metal-on-ceramic and ceramic-onmetal implants, and monoblock acetabular designs were evaluated in another recent systematic review so these were not evaluated here.One of the authors (WMM) receives royalty payments, during the study period, an amount of USD 10,000 to USD 100,000 from B Braun/Aesculap Inc (Center Valley, PA, USA) and less than USD 10,000 from Elsevier Inc (Philadelphia, PA, USA); receives USD 10,000 to USD 100,000 as a consultant for B Braun/Aesculap Inc and less than USD 10,000 from Medtronic Inc (Memphis, TN, USA); receives research funding, during the study period, an amount of less than USD 10,000 from B Braun/Aesculap Inc and less than USD 10,000 Stryker Inc (Mahwah, NJ, USA); and serves on the editorial boards for the Journal of Arthroplasty, The Knee, the International Journal of Orthopaedics, and The Journal of Long Term Effects of Medical Implants. One of the authors (MAW) receives institutional funding in the amount of less than USD 10,000 from Biomet, Inc (Warsaw, IN, USA), USD 10,000 to USD 100,000 from CeramTec GmbH (Lauf, Germany), and material support from Zimmer Inc (Warsaw, Inc, USA) and B Braun/Aesculap AG. He is an unpaid consultant for Endolab GmbH and a paid consultant receiving an amount of less than USD 10,000 from Irwing Fritche Urquhart & Moore LLC (New Orleans, LA, USA). One of the authors (MPL) owns Zimmer Holdings, Inc stock but received no payments during the study period. Results There was no evidence in the literature that alternative bearings (either metal-on-metal or ceramic-onceramic) in THA have decreased revision rates. Registry data, however, showed that large he...

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Section: Discussionmentioning

confidence: 53%

Section: Modularity Search Criteriamentioning

confidence: 99%

Section: Modular Femoral Components In Thamentioning

confidence: 99%

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How Have Alternative Bearings and Modularity Affected Revision Rates in Total Hip Arthroplasty?

Mihalko

Wimmer

Pacione

et al. 2014

Clin Orthop Relat Res

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“…13,22 The complex anatomic and biomechanical alterations of the hip and the relatively young age of SCFE patients predispose to unique reconstructive challenges and higher failure rates. 22,24,25 The loss of head-neck offset, femoroacetabular impingement, previous surgical procedures, soft-tissue contractures are part of the difficulties rendering hip reconstruc-tion a technically demanding procedure. 23,26 There is limited evidence on the outcomes of THA in SCFE patients.…”

Section: Introductionmentioning

confidence: 99%

“…23,26 There is limited evidence on the outcomes of THA in SCFE patients. 7,13,22,24,[27][28][29][30][31][32] The purpose of this systematic review was to evaluate the current literature in terms of survival rate, functional outcomes, type of implants and complications of THA in SCFE patients.…”

Section: Introductionmentioning

confidence: 99%

Total hip arthroplasty in patients with slipped capital femoral epiphysis: a systematic analysis of 915 cases

Kenanidis¹,

Kakoulidis²,

Panagiotidou³

et al. 2021

Orthop Rev (Pavia)

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There is limited evidence on the outcomes of Total Hip Arthroplasty (THA) in Slipped Capital Femoral Epiphysis (SCFE) patients. This systematic review aims to evaluate the current literature in terms of survival rate, functional outcomes, complications and types of implants of THA in SCFE patients. Following the established methodology of PRISMA guidelines, PubMed, Cochrane library, ScienceDirect and Ovid MEDLINE were systematically searched from inception to September 2018. The search criteria used were: (“total hip arthroplasty’’ OR ‘’total hip replacement’’ OR “hip arthroplasty’’ OR ‘’hip replacement’’) AND (‘’slipped capital femoral epiphysis’’ OR ‘’slipped upper femoral epiphysis’’ OR ‘’femoral epiphysis’’). Ten studies were finally included in the analysis and were qualitatively appraised using the Newcastle-Ottawa tool. Variables were reported differently between studies. The sample size varied from 12 to 374 THAs. A total of 877 patients undergone 915 THAs. The mean reported follow-up ranged from 4.4 to 15.2 years and the mean patients’ age at the time of THA from 26 to 50 years. Four studies specified the type of implants used, with 62% being uncemented, 24% hybrid (uncemented cup/cemented stem) and 14% cemented. All but three studies reported the mean survival of implants that ranged from 64.9% to 94.8%. A limited number of complications were mentioned. There was a tendency for more favorable functional outcomes in modern studies. Modern THA-studies in SCFE patients showed improvement of survivorship, clinical outcomes and patient satisfaction. Future higher-quality studies are necessary to estimate long-term postoperative outcomes better.

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THA Following Pediatric Hip Diseases (Legg-Calvé-Perthes/Slipped Capital Femoral Epiphysis)

Kenanidis

Kakoulidis

Lampridis

et al. 2017

The Adult Hip - Master Case Series and Techniques

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Outcomes of total hip replacement in patients with slipped capital femoral epiphysis

Abstract: We recommend total hip replacement for patients who suffer from slipped capital femoral epiphysis because of the satisfactory survival, low complication rate, and the possibility of restoring leg length.

Cited by 12 publications

References 32 publications

How Have Alternative Bearings and Modularity Affected Revision Rates in Total Hip Arthroplasty?

How Have Alternative Bearings and Modularity Affected Revision Rates in Total Hip Arthroplasty?

Total hip arthroplasty in patients with slipped capital femoral epiphysis: a systematic analysis of 915 cases

THA Following Pediatric Hip Diseases (Legg-Calvé-Perthes/Slipped Capital Femoral Epiphysis)

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