Does previous osteotomy compromise total hip arthroplasty? A systematic review.

Area of Science:

• Orthopedic Surgery
• Arthroplasty Research
• Hip Reconstruction

Background:

• Hip osteotomy procedures have seen increased utilization.
• The impact of prior hip osteotomy on subsequent total hip arthroplasty (THA) outcomes is debated.
• Understanding THA in the context of prior osteotomy is crucial for patient management.

Purpose of the Study:

• To systematically review literature on clinical outcomes, complications, and survivorship of THA after hip osteotomy.
• To compare THA results in patients with prior hip osteotomy versus those without.
• To assess the feasibility and safety of THA following hip osteotomy.

Main Methods:

• Systematic literature review of studies reporting on THA after hip osteotomy.
• Inclusion criteria focused on studies with comparative data or sufficient case numbers.
• Analysis of operative time, blood loss, clinical outcomes, complications, and implant survivorship.

Main Results:

• Ten studies met the inclusion criteria for the review.
• Post-osteotomy THA cohorts demonstrated increased operative time and estimated blood loss.
• Clinical results and survivorship were comparable between post-osteotomy and primary THA groups.

Conclusions:

• Total hip arthroplasty following pelvic and femoral osteotomy provides significant pain relief and functional improvement.
• Outcomes, complication rates, and survivorship of THA after hip osteotomy are similar to primary THA.
• While technically more demanding, THA is a viable option for patients with prior hip osteotomy history.