Bilateral Total Hip Arthroplasty: 1-Stage or 2-Stage? A Meta-Analysis.

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Abstract

[Indexed for MEDLINE] 9. Musculoskelet Surg. 2020 Apr;104(1):17-24. doi: 10.1007/s12306-020-00645-z. Epub 2020 Feb 6. Total hip arthroplasty and sexual activity: a systematic review. Neonakis EM(1), Perna F(2), Traina F(2), Faldini O(2), Antoniou G(3), Kyriakopoulos G(4), Triantafyllopoulos IK(5), Megaloikonomos PD(6), Faldini C(2). Author information: (1)Third Department of Orthopaedics, Metropolitan General Hospital, 264 Mesogeion Avenue, 15562, Holargos, Athens, Greece. neonakisemmanouil@gmail.com. (2)IRCCS - Istituto Ortopedico Rizzoli, Bologna, Italy. (3)Department of Orthopaedics, "Evangelismos" General Hospital, Athens, Greece. (4)Department of Orthopaedics, "Giorgos Gennimatas" General Hospital, Athens, Greece. (5)Laboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. (6)International Center for Hip, Knee and Foot Surgery, ATOS Clinic Heidelberg, Heidelberg, Germany. Hip discomfort due to degenerative pathologies causes limitations in the everyday activities of patients, including sexual activity. To address such limitations, patients are usually treated with total hip arthroplasty (THA). The aim of this systematic review was to investigate the success of this surgical procedure to ameliorate sexual activity of patients. We performed a comprehensive research of four electronic databases for articles pertaining to the benefits of THA on sexual activity. Exclusion criteria included articles not in English. The search initially yielded 34 articles. Two authors subsequently read all abstracts and excluded all studies unrelated to the topic, leaving 16 articles for further evaluation. Sixteen articles filtered by orthopaedic departments were included in this review. A total of 2391 patients were considered. Pre- and postoperative reports on sexual concerns have been evaluated and compared. The current literature suggests that sexual life is improved after THA. Patient education regarding postoperative expectations and resumption of sexual activity is severely lacking and the majority of surgeons offer little or no information on the subject. Specifically designed studies on the subject are required to evaluate the effects of surgery and approaches on postoperative restrictions. DOI: 10.1007/s12306-020-00645-z