PDF(Pubmed)
Abstract：
UNASSIGNED: Although conversion arthroplasty of fused hips can relieve pain and provide patient satisfaction, long-term outcomes of total hip arthroplasty (THA) after hip fusion remain a subject of debate. This meta-analysis aimed to assess the effectiveness of THA for fused hips over a long period with concerns over potential complications.
UNASSIGNED: A systematic search of five databases from 2000 until 2023 identified English studies evaluating THA for fused hips with at least 100 months of follow-up. Meta-analyses were conducted using random-effect models via the comprehensive meta-analysis software. Sensitivity analysis, in-depth meta-regression, Egger\'s test, and the trim-and-fill method were performed appropriately.
UNASSIGNED: The meta-analysis assessed 790 patients and 889 hips with a mean follow-up of 11 years. At the final follow-up, the mean Harris Hip Score (HHS) and leg length discrepancy (LLD) improved by 34.755 and 2.3 cm from the baseline, respectively. Regarding survival of hip fusion conversion to THA, most studies (88.8%) reported a 5-year implant survival rate of at least 90%, and the 15-year and 20-year implant survival rates, ranged between 80-90% and 70-90%, respectively. Subjective dissatisfaction with the conversion of hip fusion to THA was only 5.3%. Composite rates of revision, instability, and aseptic loosening were 13.6%, 3.8%, and 8.8%, respectively.
UNASSIGNED: Conversion of fused hips to THA results in favourable long-term outcomes regarding HHS, LLD, survival rates, and subjective satisfaction, leading to improved quality of life in properly selected patients. However, the presence of complications should be considered when evaluating the overall success of the procedure.
UNASSIGNED: A systematic search of five databases from 2000 until 2023 identified English studies evaluating THA for fused hips with at least 100 months of follow-up. Meta-analyses were conducted using random-effect models via the comprehensive meta-analysis software. Sensitivity analysis, in-depth meta-regression, Egger\'s test, and the trim-and-fill method were performed appropriately.
UNASSIGNED: The meta-analysis assessed 790 patients and 889 hips with a mean follow-up of 11 years. At the final follow-up, the mean Harris Hip Score (HHS) and leg length discrepancy (LLD) improved by 34.755 and 2.3 cm from the baseline, respectively. Regarding survival of hip fusion conversion to THA, most studies (88.8%) reported a 5-year implant survival rate of at least 90%, and the 15-year and 20-year implant survival rates, ranged between 80-90% and 70-90%, respectively. Subjective dissatisfaction with the conversion of hip fusion to THA was only 5.3%. Composite rates of revision, instability, and aseptic loosening were 13.6%, 3.8%, and 8.8%, respectively.
UNASSIGNED: Conversion of fused hips to THA results in favourable long-term outcomes regarding HHS, LLD, survival rates, and subjective satisfaction, leading to improved quality of life in properly selected patients. However, the presence of complications should be considered when evaluating the overall success of the procedure.
摘要：
■尽管融合髋关节的转换关节成形术可以减轻疼痛并使患者感到满意，髋关节融合术后全髋关节置换术(THA)的长期结局仍是争论的话题.这项荟萃分析旨在评估THA在长期内融合髋关节的有效性，并担心潜在的并发症。
■从2000年到2023年，对五个数据库进行了系统搜索，确定了英语研究评估THA的融合臀部，并进行了至少100个月的随访。通过综合荟萃分析软件使用随机效应模型进行荟萃分析。敏感性分析,深入的元回归，Egger\'stest,并适当地执行了修剪和填充方法。
■荟萃分析评估了790例患者和889例臀部，平均随访时间为11年。在最后的后续行动中，平均Harris髋关节评分（HHS）和腿长差异（LLD）从基线提高了34.755和2.3厘米，分别。关于髋关节融合转换为THA的存活率，大多数研究（88.8%）报道植入物的5年生存率至少为90%，以及15年和20年的植入物生存率，介于80-90%和70-90%之间，分别。对髋关节融合转化为THA的主观不满意度仅为5.3%。综合修订率，不稳定性,无菌性松动占13.6%，3.8%,和8.8%，分别。
■将融合的臀部转换为THA会带来有利的长期结果，LLD,存活率,和主观满意度，导致改善正确选择的患者的生活质量。然而,在评估手术的总体成功率时,应考虑是否存在并发症.
■从2000年到2023年，对五个数据库进行了系统搜索，确定了英语研究评估THA的融合臀部，并进行了至少100个月的随访。通过综合荟萃分析软件使用随机效应模型进行荟萃分析。敏感性分析,深入的元回归，Egger\'stest,并适当地执行了修剪和填充方法。
■荟萃分析评估了790例患者和889例臀部，平均随访时间为11年。在最后的后续行动中，平均Harris髋关节评分（HHS）和腿长差异（LLD）从基线提高了34.755和2.3厘米，分别。关于髋关节融合转换为THA的存活率，大多数研究（88.8%）报道植入物的5年生存率至少为90%，以及15年和20年的植入物生存率，介于80-90%和70-90%之间，分别。对髋关节融合转化为THA的主观不满意度仅为5.3%。综合修订率，不稳定性,无菌性松动占13.6%，3.8%,和8.8%，分别。
■将融合的臀部转换为THA会带来有利的长期结果，LLD,存活率,和主观满意度，导致改善正确选择的患者的生活质量。然而,在评估手术的总体成功率时,应考虑是否存在并发症.
