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.
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.
Authors: Alexandre Boulos; Steven F DeFroda; Justin E Kleiner; Nathan Thomas; Joseph A Gil; Aristides I Cruz Journal: J Clin Orthop Trauma Date: 2017-07-01
Authors: Juan Pretell-Mazzini; Victor Rodriguez-Vega; Jorge Muñoz-Ledesma; Eva María Andrés-Esteban; Rafael Marti-Ciruelos; José Luis González-López; Angel Curto-De la Mano Journal: J Child Orthop Date: 2012-08-01 Impact factor: 1.548
Authors: J M Poircuitte; D Popkov; P Popkov; H Huber; D H Huber; E Polirsztok; P Lascombes; P Journeau Journal: Eur J Orthop Surg Traumatol Date: 2015-06-18