The outcomes of total hip arthroplasty in developmental dysplasia of hip versus osteoarthritis: a systematic review and meta-analysis
<h3>Purpose</h3><p dir="ltr">This systematic review and meta-analysis aimed to compare the outcomes of total hip arthroplasty (THA) in patients with developmental dysplasia of the hip (DDH) and those with osteoarthritis (OA).</p><h3>Methods</h3><p dir...
محفوظ في:
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| مؤلفون آخرون: | , , , , |
| منشور في: |
2023
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إضافة وسم
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| _version_ | 1864513521158455296 |
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| author | Loay A. Salman (14150322) |
| author2 | Osama Z. Alzobi (17346922) Abdallah Al-Ani (10687939) Ashraf T. Hantouly (14150319) Mohammed Al-Juboori (15449046) Ghalib Ahmed (14146800) |
| author2_role | author author author author author |
| author_facet | Loay A. Salman (14150322) Osama Z. Alzobi (17346922) Abdallah Al-Ani (10687939) Ashraf T. Hantouly (14150319) Mohammed Al-Juboori (15449046) Ghalib Ahmed (14146800) |
| author_role | author |
| dc.creator.none.fl_str_mv | Loay A. Salman (14150322) Osama Z. Alzobi (17346922) Abdallah Al-Ani (10687939) Ashraf T. Hantouly (14150319) Mohammed Al-Juboori (15449046) Ghalib Ahmed (14146800) |
| dc.date.none.fl_str_mv | 2023-07-06T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00590-023-03635-6 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/The_outcomes_of_total_hip_arthroplasty_in_developmental_dysplasia_of_hip_versus_osteoarthritis_a_systematic_review_and_meta-analysis/24980835 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Mathematical sciences Statistics Developmental dysplasia of the hip Osteoarthritis Total hip arthroplasty Revision Outcome |
| dc.title.none.fl_str_mv | The outcomes of total hip arthroplasty in developmental dysplasia of hip versus osteoarthritis: a systematic review and meta-analysis |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Purpose</h3><p dir="ltr">This systematic review and meta-analysis aimed to compare the outcomes of total hip arthroplasty (THA) in patients with developmental dysplasia of the hip (DDH) and those with osteoarthritis (OA).</p><h3>Methods</h3><p dir="ltr">Four databases were searched from inception till February 2023 for original studies that compared the outcomes of THA in DDH and OA. The primary outcome was the revision rate; the secondary outcomes were dislocation and failure modes (i.e. aseptic loosening, PJI, instability, and periprosthetic fractures), hospital stay and costs. This review was conducted as per PRISMA guidelines, and the risk of bias was assessed using the Newcastle–Ottawa scale.</p><h3>Results</h3><p dir="ltr">A total of 9 observational studies with 575,255 THA (469,224 hips) were included, with a mean age of 50.6 years and 62.1 years for DDH and OA groups, respectively. There was a statistically significant difference in revision rate between DDH and OA patients in favour of OA (OR, 1.66; 95% CI 1.11–2.48; p-value, 0.0251). However, dislocation rate (OR, 1.78, 95% CI 0.58–5.51; p-value, 0.200), aseptic loosening (OR, 1.69; 95% CI 0.26–10.84; p-value, 0.346) and PJI (OR, 0.76; 95% CI 0.56–1.03; p-value, 0.063) were comparable across both groups.</p><h3>Conclusion</h3><p dir="ltr">A higher revision rate following total hip arthroplasty was associated with DDH compared with osteoarthritis. However, both groups had similar dislocation rates, aseptic loosening and PJI. Consideration of confounding factors, such as patient age and activity level, is crucial when interpreting these findings.</p><h3>Level of evidence</h3><p dir="ltr">III.</p><h3>Trial registration</h3><p dir="ltr">PROSPERO registration: CRD42023396192.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Orthopaedic Surgery & Traumatology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00590-023-03635-6" target="_blank">https://dx.doi.org/10.1007/s00590-023-03635-6</a></p><p dir="ltr">Additional institutions affiliated with: Surgical Specialty Center - HMC</p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_f85105cd52e9f17762020a58d3da725a |
| identifier_str_mv | 10.1007/s00590-023-03635-6 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24980835 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | The outcomes of total hip arthroplasty in developmental dysplasia of hip versus osteoarthritis: a systematic review and meta-analysisLoay A. Salman (14150322)Osama Z. Alzobi (17346922)Abdallah Al-Ani (10687939)Ashraf T. Hantouly (14150319)Mohammed Al-Juboori (15449046)Ghalib Ahmed (14146800)Biomedical and clinical sciencesClinical sciencesMathematical sciencesStatisticsDevelopmental dysplasia of the hipOsteoarthritisTotal hip arthroplastyRevisionOutcome<h3>Purpose</h3><p dir="ltr">This systematic review and meta-analysis aimed to compare the outcomes of total hip arthroplasty (THA) in patients with developmental dysplasia of the hip (DDH) and those with osteoarthritis (OA).</p><h3>Methods</h3><p dir="ltr">Four databases were searched from inception till February 2023 for original studies that compared the outcomes of THA in DDH and OA. The primary outcome was the revision rate; the secondary outcomes were dislocation and failure modes (i.e. aseptic loosening, PJI, instability, and periprosthetic fractures), hospital stay and costs. This review was conducted as per PRISMA guidelines, and the risk of bias was assessed using the Newcastle–Ottawa scale.</p><h3>Results</h3><p dir="ltr">A total of 9 observational studies with 575,255 THA (469,224 hips) were included, with a mean age of 50.6 years and 62.1 years for DDH and OA groups, respectively. There was a statistically significant difference in revision rate between DDH and OA patients in favour of OA (OR, 1.66; 95% CI 1.11–2.48; p-value, 0.0251). However, dislocation rate (OR, 1.78, 95% CI 0.58–5.51; p-value, 0.200), aseptic loosening (OR, 1.69; 95% CI 0.26–10.84; p-value, 0.346) and PJI (OR, 0.76; 95% CI 0.56–1.03; p-value, 0.063) were comparable across both groups.</p><h3>Conclusion</h3><p dir="ltr">A higher revision rate following total hip arthroplasty was associated with DDH compared with osteoarthritis. However, both groups had similar dislocation rates, aseptic loosening and PJI. Consideration of confounding factors, such as patient age and activity level, is crucial when interpreting these findings.</p><h3>Level of evidence</h3><p dir="ltr">III.</p><h3>Trial registration</h3><p dir="ltr">PROSPERO registration: CRD42023396192.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Orthopaedic Surgery & Traumatology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00590-023-03635-6" target="_blank">https://dx.doi.org/10.1007/s00590-023-03635-6</a></p><p dir="ltr">Additional institutions affiliated with: Surgical Specialty Center - HMC</p>2023-07-06T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00590-023-03635-6https://figshare.com/articles/journal_contribution/The_outcomes_of_total_hip_arthroplasty_in_developmental_dysplasia_of_hip_versus_osteoarthritis_a_systematic_review_and_meta-analysis/24980835CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/249808352023-07-06T03:00:00Z |
| spellingShingle | The outcomes of total hip arthroplasty in developmental dysplasia of hip versus osteoarthritis: a systematic review and meta-analysis Loay A. Salman (14150322) Biomedical and clinical sciences Clinical sciences Mathematical sciences Statistics Developmental dysplasia of the hip Osteoarthritis Total hip arthroplasty Revision Outcome |
| status_str | publishedVersion |
| title | The outcomes of total hip arthroplasty in developmental dysplasia of hip versus osteoarthritis: a systematic review and meta-analysis |
| title_full | The outcomes of total hip arthroplasty in developmental dysplasia of hip versus osteoarthritis: a systematic review and meta-analysis |
| title_fullStr | The outcomes of total hip arthroplasty in developmental dysplasia of hip versus osteoarthritis: a systematic review and meta-analysis |
| title_full_unstemmed | The outcomes of total hip arthroplasty in developmental dysplasia of hip versus osteoarthritis: a systematic review and meta-analysis |
| title_short | The outcomes of total hip arthroplasty in developmental dysplasia of hip versus osteoarthritis: a systematic review and meta-analysis |
| title_sort | The outcomes of total hip arthroplasty in developmental dysplasia of hip versus osteoarthritis: a systematic review and meta-analysis |
| topic | Biomedical and clinical sciences Clinical sciences Mathematical sciences Statistics Developmental dysplasia of the hip Osteoarthritis Total hip arthroplasty Revision Outcome |