Journal article
Evidence-based analysis of removal of orthopaedic implants in the pediatric population
Journal of pediatric orthopaedics, Vol.28(7), pp.701-704
10/2008
DOI: 10.1097/BPO.0b013e3181875b60
PMID: 18812893
Abstract
Requested project of the Pediatric Orthopaedic Society of North America Evidenced-Based Medicine Committee.
The English literature was systematically reviewed for scientific evidence supporting or disputing the common practice of elective removal of implants in children.
Several case series reported implant removal, but none contained a control group with retained implants. No articles reported long-term outcomes of retained implants in large numbers. Several small series describe complications associated with retained implants without evidence of causation. The existing literature was not amenable to a meta-analysis. By compiling data from the literature, it is possible to calculate a complication rate of 10% for implant removal surgery. The complication rate for removal of implants placed for slipped capital femoral epiphysis is 34%. Articles regarding postmarket implant surveillance and basic science were also reviewed.
There is no evidence in the current literature to support or refute the practice of routine implant removal in children.
Details
- Title: Subtitle
- Evidence-based analysis of removal of orthopaedic implants in the pediatric population
- Creators
- Ellen M Raney - Shriners Hospitals for Children - HonoluluDavid M Freccero - Tripler Army Medical CenterLori A Dolan - University of Iowa Hospitals and ClinicsDonald E Lighter - Shriners Hospitals for Children - TampaRamona R Fillman - Shriners Hospitals for Children - HonoluluHenry G Chambers - Dermatology Specialists
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric orthopaedics, Vol.28(7), pp.701-704
- DOI
- 10.1097/BPO.0b013e3181875b60
- PMID
- 18812893
- ISSN
- 0271-6798
- eISSN
- 1539-2570
- Language
- English
- Date published
- 10/2008
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984627309202771
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