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Total hip arthroplasty in adolescents: a systematic review and meta-analysis.
Huerfano, Elina; Bautista, Maria; Huerfano, Manuel; Nossa, Juan M.
Afiliação
  • Huerfano E; Department of Orthopaedic Surgery, Instituto Roosevelt and Medsport, Carrera 4 Este # 17 - 50, Bogotá, Colombia. elinahc@gmail.com.
  • Bautista M; Department of Orthopedic Surgery, Hospital Universitario Fundación Valle del Lili, Cali, Colombia.
  • Huerfano M; Department of Nephrology, Hospital Universitario Mayor Méderi, Bogotá, Colombia.
  • Nossa JM; Department of Orthopaedic Surgery, Instituto Roosevelt and Medsport, Carrera 4 Este # 17 - 50, Bogotá, Colombia.
Int Orthop ; 48(9): 2483-2492, 2024 Sep.
Article em En | MEDLINE | ID: mdl-38619564
ABSTRACT

PURPOSE:

Total hip arthroplasty (THA) has demonstrated excellent results in elderly patients, however, the indications, outcomes, and long-term results in adolescent patients are less understood. This study aims to assess the outcomes of THA in patients under 21, providing insights for clinical decision-making in this exceptional population.

METHODS:

A systematic review in PubMed, Ovid MEDLINE, and Embase database was performed. We included studies reporting clinical, radiological, and functional outcomes of THA in patients younger than 21 years, for any cause, with a with a minimum follow-up of one year. The ten year survivorship estimate was pooled using a meta-analysis methodology and each study was weighted according to its standard error, calculated from published confidence intervals.

RESULTS:

We included 25 studies involving 1166 hips. Median age was 17 years old, 60% were females, and the average follow-up was 8.1 years. Juvenile inflammatory arthritis was the main indication for total hip arthroplasty (THA). The all-cause revision rate was 14.4% and aseptic loosening was the most common cause. Only eight studies reported ten year survival rates and form the pooled analysis an 84.91% survival rate (95% CI 70.56 - 99.27) was obtained. An average score of 88.08 in the Harris Hip Score (HHS) was observed. We found a 3.43% complication rate.

CONCLUSIONS:

Hip arthroplasty is an acceptable option for adolescents with end-stage arthritis. However, the altered hip anatomy, the elevated revision rate, and the long-term implant survival must be considered before performing a THA in adolescent patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrite Juvenil / Falha de Prótese / Artroplastia de Quadril Limite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: Int Orthop Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Alemanha
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrite Juvenil / Falha de Prótese / Artroplastia de Quadril Limite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: Int Orthop Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Alemanha