Incidence and complication rate of arthroplasty in Perthes disease management: A systematic review and meta-analysis

This is the authors' abstract. We don't add key points for this paper.

Background: Perthes disease presents a challenge in orthopedic management, often necessitating surgical intervention such as arthroplasty. This meta-analysis systematically evaluated the rate of occurrence and complications associated with arthroplasty in Perthes disease. Methods: statistics. Twenty-eight observational studies were included with a total of 1737 patients, reporting moderate heterogeneity. Complications following arthroplasty were significant with an incidence of 22.9 % among 283 patients. In summary, an analysis of 30 observational studies found a 7 % incidence of arthroplasty with complications following surgery affecting nearly 23 % of patients. Conclusion: The results of this study suggest that arthroplasty is a relatively uncommon procedure for Perthes disease management. Complications following arthroplasty are a significant concern, affecting nearly one-quarter of patients. Although the use of arthroplasty in Perthes is uncommon, the rate of complications has raised concerns, indicating its use is relatively unsafe. Therefore, in patients with Perthes disease who undergo arthroplasty, attention should be given to the risk of complications, and preventive measures need to be investigated to overcome this risk. Type of study: Systematic review and meta-analysis. Level of evidence: II.