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Outcomes of neck modularity in total hip arthroplasty: an Italian perspective.

Authors
  • Papalia, R1
  • Di Martino, A2, 3
  • Caldaria, A1
  • Zampogna, B1
  • Denaro, V1
  • 1 Department of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Via Alvaro del Portillo, 200, 00128, Rome, Italy. , (Italy)
  • 2 Department of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Via Alvaro del Portillo, 200, 00128, Rome, Italy. [email protected] , (Italy)
  • 3 Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, 19107, USA. [email protected]
Type
Published Article
Journal
Musculoskeletal surgery
Publication Date
Dec 01, 2019
Volume
103
Issue
3
Pages
215–220
Identifiers
DOI: 10.1007/s12306-019-00589-z
PMID: 30673963
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The aim of this study is to conduct a systematic review of clinical outcomes and complications of modular neck THA among Italian cohorts. Only reviewed publications focused on Italian cohort patients in English language were considered for inclusion. Studies were included if they involved patients who underwent total hip replacement surgery with modular necks, and reported aetiology or survival rate or bone stability or clinical scores or complications. The studies included in our search reported data on 3714 patients and 3856 hips. Most of the studies were from high-volume surgery centres. The most frequent diagnosis was osteoarthritis that occurred in 2910 cases (75.9%). The average survival rate and average bone stability were 97.20% and 99.37%, respectively. The average HHS improved from 42.1 prior to surgery to 89.52 after surgery. Studies included in our search reported 40 complications. The most frequently reported complication was dislocation (40%). This review showed excellent survival rate and bone stability and good clinical outcomes in Italian cohort patients treated with modular neck THA, and these clinical results are comparable with international cohort rates. This review suggests that modular implants represent a very satisfying choice when practised by expert orthopaedic joint surgeons.

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