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Open Access 11-03-2023 | Osteoarthrosis | Review

The outcomes of total hip replacement in osteonecrosis versus osteoarthritis: a systematic review and meta-analysis

Authors: Loay A. Salman, Ashraf T. Hantouly, Harman Khatkar, Abdallah Al-Ani, Abedallah Abudalou, Mohammed Al-Juboori, Ghalib Ahmed

Published in: International Orthopaedics | Issue 12/2023

Abstract

Purpose

This systematic review and meta-analysis aimed to compare the outcomes of THA in patients with osteonecrosis (ON) and those with osteoarthritis (OA).

Methods

Four databases were searched from inception till December 2022 for original studies that compared the outcomes of THA in ON and OA. The primary outcome was the revision rate; the secondary outcomes were dislocation and Harris hip score. This review was conducted in line with PRISMA guidelines, and the risk of bias was assessed using the Newcastle–Ottawa scale.

Results

A total of 14 observational studies with 2,111,102 hips were included, with a mean age of 50.83 ± 9.32 and 55.51 ± 8.95 for ON and OA groups, respectively. The average follow-up was 7.25 ± 4.6 years. There was a statistically significant difference in revision rate between ON and OA patients in favour of OA (OR: 1.576; 95%CI: 1.24–2.00; p-value: 0.0015). However, dislocation rate (OR: 1.5004; 95%CI: 0.92–2.43; p-value: 0.0916) and Haris hip score (HHS) (SMD: − 0.0486; 95%CI: − 0.35–0.25; p-value: 0.6987) were comparable across both groups. Further sub-analysis adjusting for registry data also showed similar results between both groups.

Conclusion

A higher revision rate, periprosthetic fracture and periprosthetic joint infection following total hip arthroplasty were associated with osteonecrosis of the femoral head compared with osteoarthritis. However, both groups had similar dislocation rates and functional outcome measures. This finding should be applied in context due to potential confounding factors, including patient’s age and activity level.

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Title: The outcomes of total hip replacement in osteonecrosis versus osteoarthritis: a systematic review and meta-analysis
Authors: Loay A. Salman
Ashraf T. Hantouly
Harman Khatkar
Abdallah Al-Ani
Abedallah Abudalou
Mohammed Al-Juboori
Ghalib Ahmed
Publication date: 11-03-2023
Publisher: Springer Berlin Heidelberg
Keywords: Osteoarthrosis
Hip-TEP
Periprosthetic Fracture
Hip-TEP
Osteoarthrosis
Osteonecrosis
Published in: International Orthopaedics / Issue 12/2023
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-023-05761-6

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Springer Medicine

The outcomes of total hip replacement in osteonecrosis versus osteoarthritis: a systematic review and meta-analysis

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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