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31% [95% CI 7.54-9.12%]). with a mean conversion time of 70.11 months. Certain features were associated with increased conversion rates, including increasing age, worsening arthritis and joint space less then 2 mm. This study demonstrates that the mean conversion rates to be less then 10% for HA and PAO, during the mean follow-up periods of included manuscripts. Joint preserving surgery appears to defer or at least delay the need for THA.Diarrhoea is a major health concern, especially in developing countries. Research has implicate