Medium-term outcomes of total hip arthroplasty in juvenile patients

Luceri, Francesco; Morelli, Ivano; Sinicato, Carlo Maria; Grazia, Alberto Della; Verdoni, Fabio; Maffulli, Nicola; Peretti, G.; Curci, Domenico

doi:10.1186/s13018-020-01990-2

Cited by 16 publications

(15 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several strategies have been proposed to reduce symptoms and improve the quality of life, such as corticosteroids, HA, and PRP injections 12–15. However, total joint replacement remains the only solution for end-stage OA 16,17…”

mentioning

confidence: 99%

Elderly Runners and Osteoarthritis: A Systematic Review

Migliorini

Marsilio

Oliva

et al. 2022

Sports Medicine and Arthroscopy Review

Self Cite

View full text Add to dashboard Cite

The impact of running on the onset of osteoarthritis (OA) is controversial. This study compared the incidence of OA in elderly runners versus nonrunners.Material and Methods: This systematic review was conducted according to the PRISMA guidelines. PubMed, Google scholar, Embase, and Web of Science databases were accessed in January 2022. All the published clinical studies investigating OA onset in runners versus non-runners were considered. Studies reporting data on OA and participants in other sports were excluded. Only studies investigating patients with a mean age older than 55 years were considered. The methodological quality of the articles was evaluated using the Newcastle-Ottawa Scale (NOS).Results: Data from 3001 participants and 6674 joints were retrieved. The mean age was 59.4 ± 2.7 years. The mean body mass index was 24.6 ± 2.5 kg/m 2 . The 5 included articles (963 runners, 2038 nonrunners) did not report significant differences in runners compared with controls. Conclusion:Middle aged runners did not present greater imaging or clinical signs of OA compared with nonrunner controls. Running at elite or recreational level did not increase the rate of OA progression in individuals older than 50 years.

show abstract

mentioning

confidence: 99%

Elderly Runners and Osteoarthritis: A Systematic Review

Migliorini

Marsilio

Oliva

et al. 2022

Sports Medicine and Arthroscopy Review

Self Cite

View full text Add to dashboard Cite

show abstract

“…Furthermore, they can have a negative impact on bone and stature development, requiring most invasive surgeries in the future ( 51 ). Proximal femoral osteotomies or joint prosthetic replacements in juvenile age are themselves technically challenging and guide the child to a future of multiple surgeries with increasing difficulties and potential complications ( 52 , 53 ). In fact, up to 33% of the contralateral hips with a post-slip deformity develop radiographic features of juvenile osteoarthritis at follow-up ranging from 16 to 66 years ( 13 , 28 ).…”

Section: Discussionmentioning

confidence: 99%

Role of the prophylactic fixation of contralateral unaffected hip in paediatric unilateral slipped capital femoral epiphysis: a systematic review

et al. 2022

Self Cite

View full text Add to dashboard Cite

The aim of this systematic review is to assess the role of the prophylactic fixation of contralateral unaffected hip in unilateral slipped capital femoral epiphysis (SCFE) in children, focusing on the possible complications of this surgical procedure. A systematic review of medical literature was conducted, according to the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) statement, to analyse the complications of prophylactic contralateral hip fixation in unilateral paediatric SCFE. We registered the complications reported in the included studies, scoring their severity according to the orthopaedic adaptation of Clavien–Dindo classification. From 1695 studies primarily identified, 14 studies were finally included: 1 prospective cohort study, 4 retrospective case-control studies and 9 retrospective case series, with a total of 811 children diagnosed with unilateral SCFE and treated on the unaffected contralateral hip. Grade IV complications were very rare (0.37%), while the rate of grade III events was 8%. No death was recorded. The most frequent complication was unplanned further surgery (6.29%) that was an epiphyseal refixation, owing to the physiologic growth of the proximal femur, in 42 cases. Cannulated screws fixation showed to have a lower major complication rate than pinning with K-wires, 5.37% vs 17.95%. The prophylactic fixation of contralateral unaffected hip in paediatric unilateral SCFE is a safe procedure. Although a benefit-cost analysis on this topic has not been published yet, considering the low rate of complications, prophylactic hip fixation is a viable option for patients presenting with unilateral SCFE, to prevent the occurrence of severe hip deformity and avoid future invasive surgeries.

show abstract

“…Equivalent radiographic indexes have been used to evaluate the continence of concave joints in other anatomical districts [42][43][44][45].…”

Section: Discussionmentioning

confidence: 99%

Novel Radiographic Indexes for Elbow Stability Assessment: Part A—Cadaveric Validation

Luceri

Cucchi

Rosagrata

et al. 2021

JOIO

Self Cite

View full text Add to dashboard Cite

Introduction Elbow bony stability relies primarily on the high anatomic congruency between the humeral trochlea and the ulnar greater sigmoid notch. No practical tools are available to distinguish different morphotypes of the proximal ulna and herewith predict elbow stability. The aim of this study was to assess inter-observer reproducibility, evaluate diagnostic performance and determine responsiveness to change after simulated coronoid process fracture for three novel elbow radiographic indexes. Methods Ten fresh-frozen cadaver specimens of upper limbs from human donors were available for this study. Three primary indexes were defined, as well as two derived angles: Trochlear Depth Index (TDI); Posterior Coverage Index (PCI); Anterior Coverage Index (ACI); radiographic coverage angle (RCA); olecranon–diaphisary angle (ODA). Each index was first measured on standardized lateral radiographs and subsequently by direct measurement after open dissection. Finally, a type II coronoid fracture (Regan and Morrey classification) was created on each specimen and both radiographic and open measurements were repeated. All measurements were conducted by two orthopaedic surgeons and two dedicated musculoskeletal radiologists. Results All three indexes showed good or moderate inter-observer reliability and moderate accuracy and precision when compared to the gold standard (open measurement). A significant change between the radiographic TDI and ACI before and after simulated coronoid fracture was observed [TDI: decrease from 0.45 ± 0.03 to 0.39 ± 0.08 (p = 0.035); ACI: decrease from 1.90 ± 0.17 to 1.58 ± 0.21 (p = 0.001)]. As expected, no significant changes were documented for the PCI. Based on these data, a predictive model was generated, able to identify coronoid fractures with a sensitivity of 80% and a specificity of 100%. Conclusion New, simple and easily reproducible radiological indexes to describe the congruency of the greater sigmoid notch have been proposed. TDI and ACI change significantly after a simulated coronoid fracture, indicating a good responsiveness of these parameters to a pathological condition. Furthermore, combining TDI and ACI in a regression model equation allowed to identify simulated fractures with high sensitivity and specificity. The newly proposed indexes are, therefore, promising tools to improve diagnostic accuracy of coronoid fractures and show potential to enhance perioperative diagnostic also in cases of elbow instability and stiffness. Level of evidence Basic science study. Clinical relevance The newly proposed indexes are promising tools to improve diagnostic accuracy of coronoid fractures as well as to enhance perioperative diagnostic for elbow instability and stiffness.

show abstract

Medium-term outcomes of total hip arthroplasty in juvenile patients

Cited by 16 publications

References 42 publications

Elderly Runners and Osteoarthritis: A Systematic Review

Elderly Runners and Osteoarthritis: A Systematic Review

Role of the prophylactic fixation of contralateral unaffected hip in paediatric unilateral slipped capital femoral epiphysis: a systematic review

Novel Radiographic Indexes for Elbow Stability Assessment: Part A—Cadaveric Validation

Contact Info

Product

Resources

About