Outcomes of Primary Total Hip Arthroplasty Using Custom Femoral Stems in Patients With Secondary Hip Osteoarthritis: A Systematic Review
Background: This systematic review aims to evaluate the effectiveness and safety of custom femoral stems in primary total hip arthroplasty (THA) for patients with secondary osteoarthritis with abnormal hip anatomy. Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344124001894 |
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| author | Kevin Ilo, BSc, FRCS Prith Hallikeri, FRCS Habillan Naathan, BMBS Bernard Van Duren, D Phil, FRCS Mark Higgins, FRCS Iain McNamara, MD, FRCS Toby Smith, BSc, MSc, PhD |
| author_facet | Kevin Ilo, BSc, FRCS Prith Hallikeri, FRCS Habillan Naathan, BMBS Bernard Van Duren, D Phil, FRCS Mark Higgins, FRCS Iain McNamara, MD, FRCS Toby Smith, BSc, MSc, PhD |
| author_sort | Kevin Ilo, BSc, FRCS |
| collection | DOAJ |
| description | Background: This systematic review aims to evaluate the effectiveness and safety of custom femoral stems in primary total hip arthroplasty (THA) for patients with secondary osteoarthritis with abnormal hip anatomy. Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, databases were systematically searched for studies published on primary THA utilizing custom femoral stems. Inclusion criteria were studies on patients with secondary osteoarthritis receiving custom stems, with outcomes including implant survival, revision rates, and functional scores. Data were extracted from eligible studies, with a focus on overall and cause-specific revision rates. Results: A total of 689 studies were screened, 13 met the inclusion criteria, encompassing 806 patients and 951 custom THA procedures. The collective follow-up period averaged 11.6 years, with a mean age of 44.6 years. The mean reoperation and revision rates were 6.9% (95% confidence interval [CI]: 3.24-10.13) and 8.25% (95% CI: 4.02-12.47), respectively. The mean intraoperative fracture rate was 3.23% (95% CI: 1.35-5.11), and the mean postoperative leg length discrepancy was 4.25 mm (95% CI: 1.57-6.93). The mean improvement of postoperative Harris Hip Score was 40.32 (range 30-56). Conclusions: Custom femoral stems in primary THA demonstrate promising results in terms of implant survival and functional outcomes for patients with complex hip anatomy due to secondary osteoarthritis. These findings support the consideration of custom implants as a viable option for this patient demographic, although further research is warranted for long-term outcomes and direct comparisons with standard prostheses. |
| format | Article |
| id | doaj-art-2a3bbc12e333427c8f7027bb7d7b3f3b |
| institution | OA Journals |
| issn | 2352-3441 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-2a3bbc12e333427c8f7027bb7d7b3f3b2025-08-20T02:37:24ZengElsevierArthroplasty Today2352-34412024-12-013010150410.1016/j.artd.2024.101504Outcomes of Primary Total Hip Arthroplasty Using Custom Femoral Stems in Patients With Secondary Hip Osteoarthritis: A Systematic ReviewKevin Ilo, BSc, FRCS0Prith Hallikeri, FRCS1Habillan Naathan, BMBS2Bernard Van Duren, D Phil, FRCS3Mark Higgins, FRCS4Iain McNamara, MD, FRCS5Toby Smith, BSc, MSc, PhD6Elective Orthopaedics, Nottingham University Hospital, Nottingham, UK; Corresponding author. Nottignham Elective Orthopaedic Service, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, UK. Tel.: +44 115 969 1169.Elective Orthopaedics, Nottingham University Hospital, Nottingham, UKElective Orthopaedics, Nottingham University Hospital, Nottingham, UKElective Orthopaedics, Nottingham University Hospital, Nottingham, UKElective Orthopaedics, Nottingham University Hospital, Nottingham, UKNorfolk and Norwich University Hospital, Norwich, UK; Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UKFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK; Warwick Medical School, University of Warwick, Coventry, UKBackground: This systematic review aims to evaluate the effectiveness and safety of custom femoral stems in primary total hip arthroplasty (THA) for patients with secondary osteoarthritis with abnormal hip anatomy. Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, databases were systematically searched for studies published on primary THA utilizing custom femoral stems. Inclusion criteria were studies on patients with secondary osteoarthritis receiving custom stems, with outcomes including implant survival, revision rates, and functional scores. Data were extracted from eligible studies, with a focus on overall and cause-specific revision rates. Results: A total of 689 studies were screened, 13 met the inclusion criteria, encompassing 806 patients and 951 custom THA procedures. The collective follow-up period averaged 11.6 years, with a mean age of 44.6 years. The mean reoperation and revision rates were 6.9% (95% confidence interval [CI]: 3.24-10.13) and 8.25% (95% CI: 4.02-12.47), respectively. The mean intraoperative fracture rate was 3.23% (95% CI: 1.35-5.11), and the mean postoperative leg length discrepancy was 4.25 mm (95% CI: 1.57-6.93). The mean improvement of postoperative Harris Hip Score was 40.32 (range 30-56). Conclusions: Custom femoral stems in primary THA demonstrate promising results in terms of implant survival and functional outcomes for patients with complex hip anatomy due to secondary osteoarthritis. These findings support the consideration of custom implants as a viable option for this patient demographic, although further research is warranted for long-term outcomes and direct comparisons with standard prostheses.http://www.sciencedirect.com/science/article/pii/S2352344124001894Custom femoral stemsSecondary hip osteoarthritis |
| spellingShingle | Kevin Ilo, BSc, FRCS Prith Hallikeri, FRCS Habillan Naathan, BMBS Bernard Van Duren, D Phil, FRCS Mark Higgins, FRCS Iain McNamara, MD, FRCS Toby Smith, BSc, MSc, PhD Outcomes of Primary Total Hip Arthroplasty Using Custom Femoral Stems in Patients With Secondary Hip Osteoarthritis: A Systematic Review Arthroplasty Today Custom femoral stems Secondary hip osteoarthritis |
| title | Outcomes of Primary Total Hip Arthroplasty Using Custom Femoral Stems in Patients With Secondary Hip Osteoarthritis: A Systematic Review |
| title_full | Outcomes of Primary Total Hip Arthroplasty Using Custom Femoral Stems in Patients With Secondary Hip Osteoarthritis: A Systematic Review |
| title_fullStr | Outcomes of Primary Total Hip Arthroplasty Using Custom Femoral Stems in Patients With Secondary Hip Osteoarthritis: A Systematic Review |
| title_full_unstemmed | Outcomes of Primary Total Hip Arthroplasty Using Custom Femoral Stems in Patients With Secondary Hip Osteoarthritis: A Systematic Review |
| title_short | Outcomes of Primary Total Hip Arthroplasty Using Custom Femoral Stems in Patients With Secondary Hip Osteoarthritis: A Systematic Review |
| title_sort | outcomes of primary total hip arthroplasty using custom femoral stems in patients with secondary hip osteoarthritis a systematic review |
| topic | Custom femoral stems Secondary hip osteoarthritis |
| url | http://www.sciencedirect.com/science/article/pii/S2352344124001894 |
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