[Short-stem THA-complications and therapy options].

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Einhaltung ethischer Richtlinien. Interessenkonflikt: K.P. Kutzner ist als medizinischer Berater für die Firma Mathys (Schweiz) tätig. Alle beschriebenen Untersuchungen am Menschen oder an menschlichem Gewebe wurden mit Zustimmung der zuständigen Ethikkommission, im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt. Von allen beteiligten Patient/-innen liegt eine Einverständniserklärung vor. 14. Medicine (Baltimore). 2024 Dec 13;103(50):e40348. doi: 10.1097/MD.0000000000040348. No need for hip precautions after total hip arthroplasty with posterior approach: A systematic review and meta-analysis. Guo J(1), He Q(2), Sun Y(1), Liu X(1), Li Y(1). Author information: (1)Department of Orthopedics, Chaohu Hospital of Anhui Medical University, Hefei, China. (2)Department of Infectious Diseases, Chaohu Hospital of Anhui Medical University, Hefei, China. BACKGROUND: Nowadays, total hip arthroplasty (THA) is one of the most successful procedures in the field of orthopedics and trauma. The posterior approach has historically been associated with a higher rate of hip dislocation. To reduce the rate of hip dislocation in the posterior approach, most orthopedic surgeons would recommend hip precautions (HP) for their patients postoperatively based on previous theories. However, recent randomized controlled trials have shown no significant difference in hip dislocation rates with or without HP, in contrast to previous theories. Based on these, this study conducted a meta-analysis of these randomized controlled trials to try to get qualitative conclusions. METHODS: Randomized controlled trials of HP after THA up to July 28, 2023, were searched in 3 databases, PubMed, Embase, and the Cochrane Library. Data extraction and literature quality assessment were performed by 2 independent authors and extracted hip dislocation, hip disability and Osteoarthritis Outcome Score, joint replacement (HOOS JR) scores over 6 weeks, and time to discontinuation of mobility aids. Stata software and Revman software were used to perform this meta-analysis. RESULTS: Following screening, 3 papers with a total of 1215 participants were included in the analysis. This meta-analysis showed that there was no statistically significant difference in hip dislocation rates with or without HP after THA undergoing the posterior approach and that the without HP group instead showed better outcomes in terms of HOOS JR scores and time to discontinuation of mobility aids. CONCLUSION: THA with a posterior approach does not require hip precautions. Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc. DOI: 10.1097/MD.0000000000040348 PMCID: PMC11651519