Incidence of total hip arthroplasty in patients with Legg-Calve-Perthes disease after conservative or surgical treatment: a meta-analysis

Zhi, Xinwang; Wu, Hui-Mei; Xiang, Chen-Yu; Wang, Jianqun; Tan, Ying; Zeng, Chun; Xu, H.; Canavese, Federico

doi:10.1007/s00264-023-05770-5

Cited by 5 publications

(7 citation statements)

References 39 publications

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“… 4 , 5 Successively, additional works were evaluated to cover other aspects of the THA treatment for a complete overview. 6 The search time frame was 15 years (2008–2023).…”

Section: Resultsmentioning

confidence: 99%

“…According to a recent study, the incidence of THA in LCPD patients is 6.8% after conservative treatment and 5.14% after surgical one. 6 Age, containment, and follow-up are the main features paving the way to a THA treatment. 4 , 5 …”

Section: Resultsmentioning

confidence: 99%

“…In general, THA in patients with LCPD has comparable functional results as patients with primary osteoarthritis (OA), although some studies have shown that they have a higher revision rate at midterm follow-up. 4 Moreover, these patients have an increased risk of sciatic nerve palsy, mainly related to having had antecedent surgical hip procedures 4 - 6 ( Figure 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…For example, conservative treatment for LCPD in children older than seven increases the likelihood of THA. 6 In addition, the risk of THA increases over time, with a higher incidence observed after 40 years of follow-up in patients diagnosed with DDH, LCPD, SCFE, and achondroplasia. Nonetheless, the majority of pediatric patients with hip pathology typically undergo osteotomies during childhood and adolescence for femoral head alignment and coverage of the acetabular roof.…”

Section: Discussionmentioning

confidence: 99%

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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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“… 4 , 5 Successively, additional works were evaluated to cover other aspects of the THA treatment for a complete overview. 6 The search time frame was 15 years (2008–2023).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Total hip arthroplasty in patients with common pediatric hip orthopedic pathology

De Salvo,

Sacco,

Mainard

et al. 2024

Journal of Children's Orthopaedics

Self Cite

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show abstract

“…Particularly, the incidence of THA increased dramatically after 40 years of follow-up, regardless of treatment modality. Interestingly, they pointed out the Stulberg classification is not a good predictor of the incidence of THA in patients with LPCD who have reached skeletal maturity [ 25 ]. On the other hand, Huhnstock et al reported that the modified Stulberg classification applied at five year follow-up is a significant predictor of unsatisfactory long-term outcome in patients with LCPD [ 26 ]…”

Section: Introductionmentioning

confidence: 99%

News in paediatric orthopaedic surgery: an overview of the latest advances in paediatric orthopaedics and traumatology (2020–2023)

Mainard

Canavese

2023

International Orthopaedics (SICOT)

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Purpose We propose to survey — even if arbitrarily — the publications in paediatric orthopaedics and traumatology that have had the greatest impact on the specialty during the period extending from the beginning of the COVID-19 pandemic in December 2020 and the end of all health restrictions in March 2023. Methods Only studies with a high level of evidence or clinical relevance were selected. We briefly discussed the results and conclusions of these quality articles to situate them in relation to the existing literature and current practice. Results Publications are presented by dividing traumatology and orthopaedics whose publications are further subdivided according to anatomical districts; articles concerning neuro-orthopaedics, tumours, and infections were presented separately while sports medicine is jointly presented with knee-related articles. Conclusions Despite the difficulties encountered during the global COVID-19 pandemic (2020–2023), orthopaedic and trauma specialists, including paediatric orthopaedic surgeons, have maintained a high level of scientific output, in terms of quantity and quality of production.

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Proximal femoral varus osteotomy for Legg–Calvé–Perthes disease: Do age and lateral pillar classifications influence short-to-mid-term clinical and radiological outcomes?

Hoseini-Zare,

Mirghaderi,

Ilharreborde

et al. 2024

Orthopaedics & Traumatology: Surgery & Research

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Incidence of total hip arthroplasty in patients with Legg-Calve-Perthes disease after conservative or surgical treatment: a meta-analysis

Cited by 5 publications

References 39 publications

Total hip arthroplasty in patients with common pediatric hip orthopedic pathology

Total hip arthroplasty in patients with common pediatric hip orthopedic pathology

News in paediatric orthopaedic surgery: an overview of the latest advances in paediatric orthopaedics and traumatology (2020–2023)

Proximal femoral varus osteotomy for Legg–Calvé–Perthes disease: Do age and lateral pillar classifications influence short-to-mid-term clinical and radiological outcomes?

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