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

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....

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Autores principales: Kenanidis, Eustathios, Kakoulidis, Panagiotis, Panagiotidou, Sousana, Leonidou, Andreas, Lepetsos, Panagiotis, Topalis, Christos, Anagnostis, Panagiotis, Potoupnis, Michael, Tsiridis, Eleftherios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2021
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7874953/
https://www.ncbi.nlm.nih.gov/pubmed/33585021
http://dx.doi.org/10.4081/or.2020.8549
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author Kenanidis, Eustathios
Kakoulidis, Panagiotis
Panagiotidou, Sousana
Leonidou, Andreas
Lepetsos, Panagiotis
Topalis, Christos
Anagnostis, Panagiotis
Potoupnis, Michael
Tsiridis, Eleftherios
author_facet Kenanidis, Eustathios
Kakoulidis, Panagiotis
Panagiotidou, Sousana
Leonidou, Andreas
Lepetsos, Panagiotis
Topalis, Christos
Anagnostis, Panagiotis
Potoupnis, Michael
Tsiridis, Eleftherios
author_sort Kenanidis, Eustathios
collection PubMed
description 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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spelling pubmed-78749532021-02-11 Total hip arthroplasty in patients with slipped capital femoral epiphysis: a systematic analysis of 915 cases Kenanidis, Eustathios Kakoulidis, Panagiotis Panagiotidou, Sousana Leonidou, Andreas Lepetsos, Panagiotis Topalis, Christos Anagnostis, Panagiotis Potoupnis, Michael Tsiridis, Eleftherios Orthop Rev (Pavia) Article 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. PAGEPress Publications, Pavia, Italy 2021-01-28 /pmc/articles/PMC7874953/ /pubmed/33585021 http://dx.doi.org/10.4081/or.2020.8549 Text en ©Copyright: the Author(s) http://creativecommons.org/licenses/by-nc/4.0/ This work is licensed under a Creative Commons Attribution NonCommercial 4.0 License (CC BY-NC 4.0).
spellingShingle Article
Kenanidis, Eustathios
Kakoulidis, Panagiotis
Panagiotidou, Sousana
Leonidou, Andreas
Lepetsos, Panagiotis
Topalis, Christos
Anagnostis, Panagiotis
Potoupnis, Michael
Tsiridis, Eleftherios
Total hip arthroplasty in patients with slipped capital femoral epiphysis: a systematic analysis of 915 cases
title Total hip arthroplasty in patients with slipped capital femoral epiphysis: a systematic analysis of 915 cases
title_full Total hip arthroplasty in patients with slipped capital femoral epiphysis: a systematic analysis of 915 cases
title_fullStr Total hip arthroplasty in patients with slipped capital femoral epiphysis: a systematic analysis of 915 cases
title_full_unstemmed Total hip arthroplasty in patients with slipped capital femoral epiphysis: a systematic analysis of 915 cases
title_short Total hip arthroplasty in patients with slipped capital femoral epiphysis: a systematic analysis of 915 cases
title_sort total hip arthroplasty in patients with slipped capital femoral epiphysis: a systematic analysis of 915 cases
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7874953/
https://www.ncbi.nlm.nih.gov/pubmed/33585021
http://dx.doi.org/10.4081/or.2020.8549
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