Primary total hip replacement in childhood, adolescence and young patients: Quality and outcome of clinical studies
Titel:
Primary total hip replacement in childhood, adolescence and young patients: Quality and outcome of clinical studies
Auteur:
Jäger, M. Begg, M.J.W. Ready, J. Bittersohl, B. Millis, M. Krauspe, R. Thornhill, T.S.
Verschenen in:
Technology & health care
Paginering:
Jaargang 16 (2008) nr. 3 pagina's 195-214
Jaar:
2008-07-15
Inhoud:
Objective: The present meta-analysis illustrates relevantinformation about hip replacement in young patients that has been publishedduring the past 3 decades. Material and methods: Based on a MedLine literature review a total of 95 studies were evaluated. Parameters forevaluation of study quality and outcome were implant survival rates (ISR),number of patients, indications, follow-up, surgical approaches and numberof surgeons. Results: Most studies consider patient numbers <50. In 33 studiesone implant system was applied compared to 65 studies inwhich more than one system was used. Most studies include different surgicalapproaches. 20% of all studies contained neither the number of surgeons,nor the type of surgical approach. The overall ISR could be evaluated in 67studies. Sufficient data about the ISR of stem and/or sockets were availablein 50 papers. Conclusions: Most published studies analyzedinhomogeneous study populations; study variables vary as do the implantsused for treatment.