Abstract
Background
Patients with postpolio residual paralysis can develop disabling hip arthritis in
paralytic as well as a nonparalytic limb, warranting total hip arthroplasty (THA).
Limited literature is available on the results of THA among these patients in the
form of small series or case reports. We have undertaken a systematic review to evaluate
the clinical outcome of THA in patients with poliomyelitis with hip pathologies.
Methods
A systematic search of electronic databases of PubMed, Scopus, and Web of Science
pertaining to English literature was undertaken from 1945 to August 2020 to assess
the results of THA in patients with poliomyelitis. Information was gathered about
demographics, indication, clinical course, complications, functional outcome, survival,
and need for any revision surgery in these patients.
Results
The literature search revealed 81 articles. Finally, after deduplication and manual
selection, 16 relevant articles (128 hips) were included for evaluation. There is
a paucity of literature evaluating THA in patients with poliomyelitis over the last
2 decades. The principal reason for arthroplasty was osteoarthritis of the hip in
the ipsilateral (paralyzed) limb. A combination of cemented, uncemented, and hybrid
implant fixation system was found to be used by surgeons. Addressing instability and
perioperative management of limb length discrepancy were found to be challenging propositions.
Conclusion
THA remains an effective intervention to relieve pain and improve quality of life
in patients of poliomyelitis afflicted with either primary or secondary arthritis
of the hip. The use of uncemented nonconstrained hip implant designs appears to demonstrate
better results than constrained implants.
Keywords
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Article info
Publication history
Published online: January 22, 2021
Accepted:
January 18,
2021
Received in revised form:
December 25,
2020
Received:
October 17,
2020
Footnotes
Trial Registration number: Registered with PROSPERO and bears number ID:11582.
Date registered: Submitted on September 28, 2020, Registration pending.
One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to https://doi.org/10.1016/j.arth.2021.01.046.
Funding statement: The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests: None declared.
Conflict of interest: The authors declare no conflict of interest.
Statement of ethics: The current submitted article is a systematic review and did not involve patients.
Patient consent for publication: Not required.
Identification
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