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J Pediatr Orthop. 2008 Oct-Nov;28(7):701-4. doi: 10.1097/BPO.0b013e3181875b60.

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

Author information

1
Shriners Hospitals for Children-Honolulu, Honolulu, HI, USA. eraney@shrinenet.org

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.

PMID:
18812893
DOI:
10.1097/BPO.0b013e3181875b60
[Indexed for MEDLINE]

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