What has changed in total hip arthroplasty in patients of juvenile idiopathic arthritis since 2000? A systematic review and pooled data analysis.
Juvenile chronic arthritis
Juvenile idiopathic arthritis
Juvenile rheumatoid arthritis
Total hip arthroplasty
Total hip replacement
Journal
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
18
08
2022
accepted:
13
03
2023
medline:
18
9
2023
pubmed:
23
3
2023
entrez:
22
3
2023
Statut:
ppublish
Résumé
The prevalence of juvenile idiopathic arthritis (JIA) is estimated to be 16-150 per 100,000 children worldwide. The hip joint may be involved in over 50% of children leading to significant morbidity which may require surgical intervention in the form of arthroplasty. The literature lacks a concise overview of the outcomes, including complication and implant survival of total hip arthroplasty (THA) in juvenile idiopathic arthritis (JIA). The aim of this study is to systematically analyze the literature and report the outcomes of THA in JIA. Search was conducted in the online databases PubMed, Embase and Cochrane database. It included all original studies which evaluated clinical and/or radiological outcomes of THA in JIA with a minimum sample size of 5 patients and published in English. The level of evidence of the included studies was graded according to the Oxford Centre for Evidence Based Medicine. The Institute of Health Economics checklist was used to assess the quality of the studies included. The nine studies included were retrospective in nature with all being Level IV according to Oxford Centre for Evidence Based Medicine. 475 hips in 304 patients with majority of them being females (241/304, 79.2%) were included in this review. All the studies reported the outcome objectively using various scores. The proportion of revision surgeries (92/378), either femoral or acetabular, noted was 22% (95% CI 10-33%). The proportion of acetabular revisions (72/378) was 16% (95% CI 8-25%) as compared to 4% (95% CI 1-6%) for femoral revisions (20/378). There was no difference in survivorship when cemented and uncemented implants were compared. JIA patients with advanced hip disease represent a unique population with need for extra-long implant longevity. THA in patients of JIA leads to improved pain relief as well as mobility but the conversion of the same outcomes to functional activity is not proportionally improved. The current trend is the use of uncemented and ceramic-on-ceramic implants. Acetabular implants require earlier revision as compared to femoral implants. Age at surgery can be delayed by early institution of methotrexate which indirectly improves implant survival. IV.
Identifiants
pubmed: 36947313
doi: 10.1007/s00590-023-03525-x
pii: 10.1007/s00590-023-03525-x
doi:
Types de publication
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2737-2748Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
Références
Swarup I, Lee Y, Christoph EI et al (2015) Implant survival and patient-reported outcomes after total hip arthroplasty in young patients with juvenile idiopathic arthritis. J Arthroplasty 30:398–402. https://doi.org/10.1016/j.arth.2014.09.018
doi: 10.1016/j.arth.2014.09.018
pubmed: 25449584
Daurka JS, Malik AK, Robin DA, Witt JD (2012) The results of uncemented total hip replacement in children with juvenile idiopathic arthritis at ten years. J Bone Joint Surg Br 94-B:1618–1624. https://doi.org/10.1302/0301-620X.94B12.29124
doi: 10.1302/0301-620X.94B12.29124
Li XA, Iyer S, Cross MB, Figgie MP (2012) Total joint replacement in adolescents: literature review and case examples. Curr Opin Pediatr 24:57–63. https://doi.org/10.1097/MOP.0b013e32834ec96a
doi: 10.1097/MOP.0b013e32834ec96a
pubmed: 22245907
Cruz-Pardos A, García-Rey E, García-Cimbrelo E, Ortega-Chamarro J (2012) Alumina-on-alumina THA in patients with juvenile idiopathic arthritis: a 5-year followup study. Clin Orthop Relat Res 470:1421–1430. https://doi.org/10.1007/s11999-011-2046-0
doi: 10.1007/s11999-011-2046-0
pubmed: 21879408
Oxford Centre for Evidence-Based Medicine: Levels of Evidence (2009)—Centre for Evidence-Based Medicine (CEBM), University of Oxford. https://www.cebm.ox.ac.uk/resources/levels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009 . Accessed 25 May 2022
Institute of Health Economics |. https://www.ihe.ca/publications/ihe-quality-appraisal-checklist-for-case-series-studies . Accessed 22 Jun 2022
De Ranieri A, Wagner N, Imrie SN et al (2011) Outcome of primary total hip arthroplasty in charnley class C patients with juvenile idiopathic arthritis. J Arthroplasty 26:1182–1188. https://doi.org/10.1016/j.arth.2010.10.003
doi: 10.1016/j.arth.2010.10.003
pubmed: 21167675
Jolles BM, Bogoch ER (2012) Juvenile arthritis patients report favorable subjective outcomes of hip arthroplasty despite poor standard outcome scores. J Arthroplasty 27:1622–1628. https://doi.org/10.1016/j.arth.2012.02.024
doi: 10.1016/j.arth.2012.02.024
pubmed: 22522107
Kitsoulis PB, Stafilas KS, Siamopoulou A et al (2006) Total hip arthroplasty in children with juvenile chronic arthritis: long-term results. J Pediatr Orthop 26:8–12. https://doi.org/10.1097/01.bpo.0000187997.84213.d9
doi: 10.1097/01.bpo.0000187997.84213.d9
pubmed: 16439893
Lybäck CC, Lybäck CO, Kyrö A et al (2004) Survival of Bi-Metric femoral stems in 77 total hip arthroplasties for juvenile chronic arthritis. Int Orthop 28:357–361. https://doi.org/10.1007/s00264-004-0584-8
doi: 10.1007/s00264-004-0584-8
pubmed: 15316677
pmcid: 3456903
Malviya A, Walker LC, Avery P et al (2011) The long-term outcome of hip replacement in adults with juvenile idiopathic arthritis: the influence of steroids and methotrexate. J Bone Joint Surg Br 93:443–448. https://doi.org/10.1302/0301-620X.93B4.26078
doi: 10.1302/0301-620X.93B4.26078
pubmed: 21464480
Odent T, Journeau P, Prieur A-M et al (2005) Cementless hip arthroplasty in juvenile idiopathic arthritis. J Pediatr Orthop 25:465–470. https://doi.org/10.1097/01.bpo.0000161096.53963.0e
doi: 10.1097/01.bpo.0000161096.53963.0e
pubmed: 15958896
Burnham JM, Shults J, Dubner SE et al (2008) Bone density, structure, and strength in juvenile idiopathic arthritis: importance of disease severity and muscle deficits. Arthritis Rheum 58:2518–2527. https://doi.org/10.1002/art.23683
doi: 10.1002/art.23683
pubmed: 18668565
pmcid: 2705769
Scott RD, Sarokhan AJ, Dalziel R (1984) Total hip and total knee arthroplasty in juvenile rheumatoid arthritis. Clin Orthop Relat Res 182:90–98
doi: 10.1097/00003086-198401000-00012
Bos GJFJ, Lelieveld OTHM, Armbrust W et al (2016) Physical activity in children with juvenile idiopathic arthritis compared to controls. Pediatr Rheumatol 14:42. https://doi.org/10.1186/s12969-016-0102-8
doi: 10.1186/s12969-016-0102-8
Malviya A, Johnson-Lynn S, Avery P et al (2009) Juvenile idiopathic arthritis in adulthood and orthopaedic intervention. Clin Rheumatol 28:1411–1417. https://doi.org/10.1007/s10067-009-1266-0
doi: 10.1007/s10067-009-1266-0
pubmed: 19727915
Haber D, Goodman SB (1998) Total hip arthroplasty in juvenile chronic arthritis: a consecutive series. J Arthroplasty 13:259–265. https://doi.org/10.1016/s0883-5403(98)90170-x
doi: 10.1016/s0883-5403(98)90170-x
pubmed: 9590636
McCullough CJ, Remedios D, Tytherleigh-Strong G et al (2006) The use of hydroxyapatite-coated CAD-CAM femoral components in adolescents and young adults with inflammatory polyarthropathy: ten-year results. J Bone Joint Surg Br 88:860–864. https://doi.org/10.1302/0301-620X.88B7.17046
doi: 10.1302/0301-620X.88B7.17046
pubmed: 16798985
Girard J, Glorion C, Bonnomet F et al (2011) Risk factors for revision of hip arthroplasties in patients younger than 30 years. Clin Orthop Relat Res 469:1141–1147. https://doi.org/10.1007/s11999-010-1669-x
doi: 10.1007/s11999-010-1669-x
pubmed: 21086195
Waewsawangwong W, Ruchiwit P, Huddleston JI, Goodman SB (2016) Hip arthroplasty for treatment of advanced osteonecrosis: comprehensive review of implant options, outcomes and complications. Orthop Res Rev 8:13–29. https://doi.org/10.2147/ORR.S35547
doi: 10.2147/ORR.S35547
pubmed: 30774467
pmcid: 6209358
Brabnikova Maresova K, Jarosova K, Pavelka K, Stepan JJ (2014) The association between lean mass and bone mineral content in the high disease activity group of adult patients with juvenile idiopathic arthritis. BMC Musculoskelet Disord 15:51. https://doi.org/10.1186/1471-2474-15-51
doi: 10.1186/1471-2474-15-51
pubmed: 24558956
pmcid: 3974111
Shih L-Y, Shih H-N, Chen T-H (2003) The effects of sex and estrogen therapy on bone ingrowth into porous coated implant. J Orthop Res 21:1033–1040. https://doi.org/10.1016/S0736-0266(03)00111-6
doi: 10.1016/S0736-0266(03)00111-6
pubmed: 14554216
Henri Bauwens P, Fary C, Servien E et al (2020) Early low complication rate of ceramic-on-ceramic total hip arthroplasty by direct anterior approach. SICOTJ. 6:30. https://doi.org/10.1051/sicotj/2020027
doi: 10.1051/sicotj/2020027
Lehtimäki MY, Lehto MUK, Kautiainen H et al (1997) survivorship of the charnley total hip arthroplasty in juvenile chronic arthritis: a follow-up of 186 cases for 22 years. J Bone Joint Surg Br 79-B:792–795. https://doi.org/10.1302/0301-620X.79B5.0790792
doi: 10.1302/0301-620X.79B5.0790792