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Published in: BMC Pediatrics 1/2022

Open Access 01-12-2022 | Legg-Calvé-Perthes Disease | Research

Trends in hospitalization for pediatric hip arthroplasty: an epidemiological Nationwide study in Italy from 2001 to 2015

Authors: Umile Giuseppe Longo, Rocco Papalia, Sergio De Salvatore, Laura Ruzzini, Ilaria Piergentili, Giuseppe Salvatore, Vincenzo Candela, Vincenzo Denaro

Published in: BMC Pediatrics | Issue 1/2022

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Abstract

Background

The epidemiology of Pediatric Hip Arthroplasty (PHA) is unclear. Prevalence of PHA in Europe was reported in Scandinavian registries, but data on this procedure are not described in other countries. Therefore, it is challenging to redact a complete and valid epidemiological report on PHA in Europe. Nevertheless, national health statistics for PHA are helpful for an international audience, as different treatments are reported between countries. Moreover, sharing national statistics and correlating those to other countries’ protocols could be helpful to compare outcomes for different procedures internationally. The principal purpose is to evaluate the yearly hospital admission for PHA in Italy.

Methods

Data of this study were collected from the National Hospital Discharge Reports (SDO) reported at the Italian Ministry of Health.

Results

From 2001 to 2015, 770 PHA hospitalizations were performed in Italy, with an incidence of 0.5 procedures for every 100,000 pediatric Italian inhabitants. The average age of patients was 15.2 ± 4.6 years. The mean length of days of hospitalization was 10.9 ± 8.6 days. The majority of patients were male of 15–19 years old age group. A progressive decrease in days of hospitalizations was found during the years of the study.

Conclusions

In Europe, the incidence of hospital admission for PHA is not fully described. There is a lack of consensus on the best type of surgery to perform on young patients. Epidemiological studies are helpful to understand the national variation of a specific surgical procedure and compare them with other countries.
Literature
1.
go back to reference Sedrakyan A, Romero L, Graves S, Davidson D, de Steiger R, Lewis P, et al. Survivorship of hip and knee implants in pediatric and young adult populations: analysis of registry and published data. J Bone Joint Surg Am. 2014;96(Suppl 1):73–8.CrossRef Sedrakyan A, Romero L, Graves S, Davidson D, de Steiger R, Lewis P, et al. Survivorship of hip and knee implants in pediatric and young adult populations: analysis of registry and published data. J Bone Joint Surg Am. 2014;96(Suppl 1):73–8.CrossRef
2.
go back to reference Lehmann TG, Engesaeter IØ, Laborie LB, Lie SA, Rosendahl K, Engesaeter LB. Total hip arthroplasty in young adults, with focus on Perthes’ disease and slipped capital femoral epiphysis: follow-up of 540 subjects reported to the Norwegian arthroplasty register during 1987-2007. Acta Orthop. 2012;83:159–64.CrossRef Lehmann TG, Engesaeter IØ, Laborie LB, Lie SA, Rosendahl K, Engesaeter LB. Total hip arthroplasty in young adults, with focus on Perthes’ disease and slipped capital femoral epiphysis: follow-up of 540 subjects reported to the Norwegian arthroplasty register during 1987-2007. Acta Orthop. 2012;83:159–64.CrossRef
3.
go back to reference Parcells BW. Pediatric hip and pelvis. Pediatr Clin N Am. 2020;67:139–52.CrossRef Parcells BW. Pediatric hip and pelvis. Pediatr Clin N Am. 2020;67:139–52.CrossRef
4.
go back to reference Thillemann TM, Pedersen AB, Johnsen SP, Søballe K. Danish hip arthroplasty registry. Implant survival after primary total hip arthroplasty due to childhood hip disorders: results from the Danish hip arthroplasty registry. Acta Orthop. 2008;79:769–76.CrossRef Thillemann TM, Pedersen AB, Johnsen SP, Søballe K. Danish hip arthroplasty registry. Implant survival after primary total hip arthroplasty due to childhood hip disorders: results from the Danish hip arthroplasty registry. Acta Orthop. 2008;79:769–76.CrossRef
5.
go back to reference Shrader MW. Total hip arthroplasty and hip resurfacing arthroplasty in the very young patient. Orthop Clin North Am. 2012;43:359–67.CrossRef Shrader MW. Total hip arthroplasty and hip resurfacing arthroplasty in the very young patient. Orthop Clin North Am. 2012;43:359–67.CrossRef
6.
go back to reference Espehaug B, Furnes O, Havelin LI, Engesaeter LB, Vollset SE, Kindseth O. Registration completeness in the Norwegian arthroplasty register. Acta Orthop. 2006;77:49–56.CrossRef Espehaug B, Furnes O, Havelin LI, Engesaeter LB, Vollset SE, Kindseth O. Registration completeness in the Norwegian arthroplasty register. Acta Orthop. 2006;77:49–56.CrossRef
7.
go back to reference Halvorsen V, Fenstad AM, Engesæter LB, Nordsletten L, Overgaard S, Pedersen AB, et al. Outcome of 881 total hip arthroplasties in 747 patients 21 years or younger: data from the Nordic arthroplasty register association (NARA) 1995-2016. Acta Orthop. 2019;90:331–7.CrossRef Halvorsen V, Fenstad AM, Engesæter LB, Nordsletten L, Overgaard S, Pedersen AB, et al. Outcome of 881 total hip arthroplasties in 747 patients 21 years or younger: data from the Nordic arthroplasty register association (NARA) 1995-2016. Acta Orthop. 2019;90:331–7.CrossRef
9.
go back to reference Longo UG, Salvatore G, Rizzello G, Berton A, Ciuffreda M, Candela V, et al. The burden of rotator cuff surgery in Italy: a nationwide registry study. Arch Orthop Trauma Surg. 2017;137:217–24.CrossRef Longo UG, Salvatore G, Rizzello G, Berton A, Ciuffreda M, Candela V, et al. The burden of rotator cuff surgery in Italy: a nationwide registry study. Arch Orthop Trauma Surg. 2017;137:217–24.CrossRef
10.
go back to reference Longo UG, Salvatore G, Locher J, Ruzzini L, Candela V, Berton A, et al. Epidemiology of Paediatric shoulder dislocation: a Nationwide study in Italy from 2001 to 2014. Int J Environ Res Public Health. 2020;17(8):2834 Longo UG, Salvatore G, Locher J, Ruzzini L, Candela V, Berton A, et al. Epidemiology of Paediatric shoulder dislocation: a Nationwide study in Italy from 2001 to 2014. Int J Environ Res Public Health. 2020;17(8):2834
11.
go back to reference Gill KG. Pediatric hip: pearls and pitfalls. Semin Musculoskelet Radiol. 2013;17:328–38.CrossRef Gill KG. Pediatric hip: pearls and pitfalls. Semin Musculoskelet Radiol. 2013;17:328–38.CrossRef
12.
go back to reference Lundeen GA, Masonis JL, Frick SL. Sequelae of pediatric hip disorders: survey responses from experts in adult hip reconstruction. Am J Orthop Belle Mead NJ. 2008;37:153–6.PubMed Lundeen GA, Masonis JL, Frick SL. Sequelae of pediatric hip disorders: survey responses from experts in adult hip reconstruction. Am J Orthop Belle Mead NJ. 2008;37:153–6.PubMed
13.
go back to reference Maffulli N, Margiotti K, Longo UG, Loppini M, Fazio VM, Denaro V. The genetics of sports injuries and athletic performance. Muscles Ligaments Tendons J. 2013;3:173–89.PubMedPubMedCentral Maffulli N, Margiotti K, Longo UG, Loppini M, Fazio VM, Denaro V. The genetics of sports injuries and athletic performance. Muscles Ligaments Tendons J. 2013;3:173–89.PubMedPubMedCentral
14.
go back to reference Longo UG, Papalia R, De Salvatore S, Ruzzini L, Piergentili I, Oggiano L, et al. Developmental hip dysplasia: an epidemiological Nationwide study in Italy from 2001 to 2016. Int J Environ Res Public Health. 2021;18:6589.CrossRef Longo UG, Papalia R, De Salvatore S, Ruzzini L, Piergentili I, Oggiano L, et al. Developmental hip dysplasia: an epidemiological Nationwide study in Italy from 2001 to 2016. Int J Environ Res Public Health. 2021;18:6589.CrossRef
15.
go back to reference Sucato DJ. Approach to the hip for SCFE: the north American perspective. J Pediatr Orthop. 2018;38(Suppl 1):S5–12.CrossRef Sucato DJ. Approach to the hip for SCFE: the north American perspective. J Pediatr Orthop. 2018;38(Suppl 1):S5–12.CrossRef
16.
go back to reference Peck DM, Voss LM, Voss TT. Slipped capital femoral epiphysis: diagnosis and management. Am Fam Physician. 2017;95:779–84.PubMed Peck DM, Voss LM, Voss TT. Slipped capital femoral epiphysis: diagnosis and management. Am Fam Physician. 2017;95:779–84.PubMed
17.
go back to reference Karkenny AJ, Tauberg BM, Otsuka NY. Pediatric hip disorders: slipped capital femoral epiphysis and Legg-Calvé-Perthes disease. Pediatr Rev. 2018;39:454–63.CrossRef Karkenny AJ, Tauberg BM, Otsuka NY. Pediatric hip disorders: slipped capital femoral epiphysis and Legg-Calvé-Perthes disease. Pediatr Rev. 2018;39:454–63.CrossRef
18.
go back to reference Klassen RA, Parlasca RJ, Bianco AJ. Total joint arthroplasty. Applications in children and adolescents. Mayo Clin Proc. 1979;54:579–82.PubMed Klassen RA, Parlasca RJ, Bianco AJ. Total joint arthroplasty. Applications in children and adolescents. Mayo Clin Proc. 1979;54:579–82.PubMed
19.
go back to reference Longo UG, Ciuffreda M, Candela V, Berton A, Maffulli N, Denaro V. Hip scores: a current concept review. Br Med Bull. 2019;131:81–96.CrossRef Longo UG, Ciuffreda M, Candela V, Berton A, Maffulli N, Denaro V. Hip scores: a current concept review. Br Med Bull. 2019;131:81–96.CrossRef
20.
go back to reference Pollard TCB, Baker RP, Eastaugh-Waring SJ, Bannister GC. Treatment of the young active patient with osteoarthritis of the hip. A five- to seven-year comparison of hybrid total hip arthroplasty and metal-on-metal resurfacing. J Bone Joint Surg Br. 2006;88:592–600.CrossRef Pollard TCB, Baker RP, Eastaugh-Waring SJ, Bannister GC. Treatment of the young active patient with osteoarthritis of the hip. A five- to seven-year comparison of hybrid total hip arthroplasty and metal-on-metal resurfacing. J Bone Joint Surg Br. 2006;88:592–600.CrossRef
21.
go back to reference Johnson AJ, Zywiel MG, Maduekwe UI, Liu F, Mont MA, Gross TP. Is resurfacing arthroplasty appropriate for posttraumatic osteoarthritis? Clin Orthop Relat Res. 2011;469:1567–73.CrossRef Johnson AJ, Zywiel MG, Maduekwe UI, Liu F, Mont MA, Gross TP. Is resurfacing arthroplasty appropriate for posttraumatic osteoarthritis? Clin Orthop Relat Res. 2011;469:1567–73.CrossRef
22.
go back to reference Punwar S, Khan WS, Longo UG. The use of computer navigation in hip arthroplasty: literature review and evidence today. Ortop Traumatol Rehabil. 2011;13:431–8.CrossRef Punwar S, Khan WS, Longo UG. The use of computer navigation in hip arthroplasty: literature review and evidence today. Ortop Traumatol Rehabil. 2011;13:431–8.CrossRef
23.
go back to reference Su EP, Morgenstern R, Khan I, Gaillard MD, Gross TP. Hip resurfacing arthroplasty for end-stage arthritis caused by childhood hip disease. Hip Int J Clin Exp Res Hip Pathol Ther. 2020;30:572–80. Su EP, Morgenstern R, Khan I, Gaillard MD, Gross TP. Hip resurfacing arthroplasty for end-stage arthritis caused by childhood hip disease. Hip Int J Clin Exp Res Hip Pathol Ther. 2020;30:572–80.
24.
go back to reference McGrory B, Barrack R, Lachiewicz PF, Schmalzried TP, Yates AJ, Watters WC, et al. Modern metal-on-metal hip resurfacing. J Am Acad Orthop Surg. 2010;18:306–14.CrossRef McGrory B, Barrack R, Lachiewicz PF, Schmalzried TP, Yates AJ, Watters WC, et al. Modern metal-on-metal hip resurfacing. J Am Acad Orthop Surg. 2010;18:306–14.CrossRef
25.
go back to reference Luceri F, Morelli I, Sinicato CM, Della Grazia A, Verdoni F, Maffulli N, et al. Medium-term outcomes of total hip arthroplasty in juvenile patients. J Orthop Surg. 2020;15:476.CrossRef Luceri F, Morelli I, Sinicato CM, Della Grazia A, Verdoni F, Maffulli N, et al. Medium-term outcomes of total hip arthroplasty in juvenile patients. J Orthop Surg. 2020;15:476.CrossRef
26.
go back to reference Gharehdaghi M, Rahimi H, Eshraghi R, Mousavian A, Assadian M. Hip arthroplasty and its revision in a child: case report and literature review. Arch Bone Jt Surg. 2015;3:207–11.PubMedPubMedCentral Gharehdaghi M, Rahimi H, Eshraghi R, Mousavian A, Assadian M. Hip arthroplasty and its revision in a child: case report and literature review. Arch Bone Jt Surg. 2015;3:207–11.PubMedPubMedCentral
27.
go back to reference Candela V, De Carli A, Longo UG, Sturm S, Bruni G, Salvatore G, et al. Hip and groin pain in soccer players. Joints. 2019;7:182–7.CrossRef Candela V, De Carli A, Longo UG, Sturm S, Bruni G, Salvatore G, et al. Hip and groin pain in soccer players. Joints. 2019;7:182–7.CrossRef
Metadata
Title
Trends in hospitalization for pediatric hip arthroplasty: an epidemiological Nationwide study in Italy from 2001 to 2015
Authors
Umile Giuseppe Longo
Rocco Papalia
Sergio De Salvatore
Laura Ruzzini
Ilaria Piergentili
Giuseppe Salvatore
Vincenzo Candela
Vincenzo Denaro
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2022
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-022-03302-5

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