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- W2010309711 abstract "Background Total hip arthroplasty is commonly used for treatment of osteonecrosis of the femoral head. We systematically reviewed the available literature to define the outcomes. Methods A total of 3495 hips were available for analysis with an average patient age of 44.9 years and average follow-up of 7.4 years. Results The outcomes for all cohorts revealed a mean postoperative Harris hip score of 85.4 points (6.7 years), revision rate of 14.4% (7.1 years), and “good” outcome rate of 78.8% (6.5 years). Cohorts with longer than 15 years of follow-up had a mean 22.5% revision rate and 35.1% “poor” outcome rate. Sickle cell disease, alcohol, and traumatic causes for osteonecrosis increased risks for unfavorable outcomes. Cemented fixation was associated with a greater number of unfavorable outcomes compared with the cementless group [cemented fixation: mean postoperative Harris hip score of 85.2 points (7.9 years), revision rate of 19.1% (8.1 years), and good outcome rate of 67.3% (6.1 years); cementless fixation: mean postoperative Harris hip score of 90.6 points (6.8 years), revision rate of 11.4% (6.3 years), and good outcome rate of 82.5% (6.3 years)]. Conclusions We found acceptable and sustainable outcomes for total hip arthroplasty for hip osteonecrosis. Specific risk factors associated with osteonecrosis increased the risk for unfavorable outcomes." @default.
- W2010309711 created "2016-06-24" @default.
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- W2010309711 date "2010-01-01" @default.
- W2010309711 modified "2023-09-26" @default.
- W2010309711 title "Outcomes of total hip arthroplasty for osteonecrosis of the hip: systematic review and meta-analysis" @default.
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- W2010309711 doi "https://doi.org/10.1097/bco.0b013e3181b9b227" @default.
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