Clinical Outcomes and Complications Following Hip Fusion Conversion to Total Hip Arthroplasty: A Systematic Review and Meta-Analysis

Conversion of a Failed Hip Hemiarthroplasty to Total Hip Arthroplasty: A Systematic Review and Meta-Analysis

“…The difference between the preoperative and postoperative HHS scores was 39.1, showing a major improvement in patient outcomes after cTHA. These results are consistent with previous research, which also shows significant improvements in HHS after cTHA, highlighting its role in enhancing patient mobility and quality of life [ 43 , 44 ]. Additionally, the results indicated that patients with lower initial mobility and quality of life saw greater benefits from cTHA.…”

“… Study Type of study Number of hips Mean follow-up PJI PPFX Dislocation Stem loosening Acetabular loosening Overall re-revision Current study Systematic review of cTHA of HA 4699 4 6.4% 2.2% 7.6% 1.6% 1.9% 8.7% Daliri et al. [ 44 ] (2023) Systematic review of cTHA of hip fusion 2286 NR 3% 4% 2% 5% 12% Kenny et al. [ 45 ] (2019) a Systematic review of rTHA 9952 NR 2.9% 0.5% 3.8% 3.0% 13.2% Goldman et al.…”

Transfemoral Osseointegration in Association With Total Hip Replacement: Observational Cohort Study of Patients With Follow-Up Exceeding 2 Years

“…Still, several complications remain onerous, particularly in complex scenarios. A 2023 systematic review of hip fusion conversion to arthroplasty reported the following complication profile: heterotopic ossification (14%), aseptic loosening (5%), intraoperative fracture (4%), greater trochanteric nonunion (3%), deep infection (3%), neural injuries (3%), and dislocation (2%) [ 19 ]. An exceptionally important point is that current total joint infection criteria consider a direct sinus to the joint to be a major criterion for infection [ 20 ].…”