Evidence-based analysis of removal of orthopaedic implants in the pediatric population. Export

@article{citeulike:3702756, abstract = {BACKGROUND: Requested project of the Pediatric Orthopaedic Society of North America Evidenced-Based Medicine Committee. METHODS: The English literature was systematically reviewed for scientific evidence supporting or disputing the common practice of elective removal of implants in children. RESULTS: 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. CONCLUSIONS: There is no evidence in the current literature to support or refute the practice of routine implant removal in children.}, author = {Raney, E. M. and Freccero, D. M. and Dolan, L. A. and Lighter, D. E. and Fillman, R. R. and Chambers, H. G.}, citeulike-article-id = {3702756}, citeulike-linkout-0 = {http://dx.doi.org/10.1097/BPO.0b013e3181875b60}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/18812893}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=18812893}, doi = {10.1097/BPO.0b013e3181875b60}, issn = {1539-2570}, journal = {Journal of pediatric orthopedics}, keywords = {implant, journal-club-2008, scfe}, number = {7}, pages = {701--704}, posted-at = {2008-11-26 10:47:55}, priority = {2}, title = {Evidence-based analysis of removal of orthopaedic implants in the pediatric population.}, url = {http://dx.doi.org/10.1097/BPO.0b013e3181875b60}, volume = {28}, year = {2008} }

TY - JOUR ID - citeulike:3702756 L3 - citeulike-article-id:3702756 N2 - BACKGROUND: Requested project of the Pediatric Orthopaedic Society of North America Evidenced-Based Medicine Committee. METHODS: The English literature was systematically reviewed for scientific evidence supporting or disputing the common practice of elective removal of implants in children. RESULTS: 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. CONCLUSIONS: There is no evidence in the current literature to support or refute the practice of routine implant removal in children. IS - 7 JF - Journal of pediatric orthopedics SN - 1539-2570 EP - 704 TI - Evidence-based analysis of removal of orthopaedic implants in the pediatric population. VL - 28 SP - 701 KW - implant KW - journal-club-2008 KW - scfe AU - Raney, EM AU - Freccero, DM AU - Dolan, LA AU - Lighter, DE AU - Fillman, RR AU - Chambers, HG PY - 2008///v UR - http://dx.doi.org/10.1097/BPO.0b013e3181875b60 ER -