THE IMPACT OF LONG-TERM FOLLOW-UP ON TOTAL HIP ARTHROPLASTY: A SYSTEMATIC REVIEW

Total hip arthroplasty (THA) is a highly effective procedure, however national registries show that the average age has decreased and that younger patients are more likely to require revision. Long-term THA follow-up has traditionally been suggested to detect aseptically failing THA and reduce the dangers associated with significant modifications however follow-up services are presently in decline. To assess the influence of long-term follow-up on total hip arthroplasty, a systematic review was done. The study was registered with the PROSPERO International Prospective Register of Systematic Reviews and followed PRISMA principles databases included MEDLINE and Embase, and all studies were evaluated for quality. From 2009 to 2020, original research was conducted on the follow-up of persons with THA. 4,137 papers were reviewed for eligibility 30 studies were included in the final analysis, representing 25 nations throughout the world. The study endpoint, patient details, loss to follow-up, revisions, ratings, and radiographic analyses were all retrieved. Total hip arthroplasty patients had a worse long-term self-reported physical quality of life and hip functioning than untreated patients with advanced hip osteoarthritis, although they nevertheless perform better physically. The amount of post-surgical satisfaction, on the other hand, is very high.