No increased mortality after total hip arthroplasty in patients with a history of pediatric hip disease: a matched, population-based cohort study on 4,043 patients

Abstract

2021): No increased mortality after total hip arthroplasty in patients with a history of pediatric hip disease: a matched, population-based cohort study on 4,043 patients, Acta Orthopaedica,

Similar risk of cancer in patients younger than 55 years with or without a total hip arthroplasty (THA): a population- based cohort study on 18,771 exposed to THA and 87,683 controls

“…Contradicting this assumption, our analysis of comorbidities in exposed and unexposed individuals rather indicates the opposite, with more comorbidities present among young THA patients than among the general population. This finding is consistent with previous descriptions of cardiovascular and endocrine disorders being more common in patients with Legg-Calvé-Perthes' disease or slipped capital femoral epiphysis, 2 of the more frequent pediatric hip disorders (31)(32)(33). Thus, our estimated cancer risk would, rather, be inflated, which is consistent with a "worstcase" scenario.…”

Racial Disparities in Postoperative Outcomes Following Operative Management of Pediatric Developmental Dysplasia of the Hip

“…2 If the diagnosis is made later in a child's life, more invasive interventions become necessary to avoid future complications such as chronic dislocation resulting in leg length discrepancies, reduced function of the hip, early osteoarthritis, and total hip arthroplasty. [5][6][7][8] For patients who have persistent DDH after conservative treatment or for those who are diagnosed after the age of 2 years, surgical treatment of DDH is indicated. 5 Although surgical correction of hip dysplasia has an excellent success rate, there are risks and complications that can occur.…”

“…If a diagnosis of DDH is made early, a variety of conservative treatment options such as harnesses and braces can be used to promote normal, concentric hip development 2. If the diagnosis is made later in a child’s life, more invasive interventions become necessary to avoid future complications such as chronic dislocation resulting in leg length discrepancies, reduced function of the hip, early osteoarthritis, and total hip arthroplasty 5–8…”