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Systematic evaluation of the degree of joint amnesia in patients after total hip arthroplasty with direct anterior approach

Journal of orthopaedic surgery and research, 2024-01, Vol.19 (1) [Peer Reviewed Journal]

COPYRIGHT 2024 BioMed Central Ltd. ;ISSN: 1749-799X ;EISSN: 1749-799X ;DOI: 10.1186/s13018-023-04504-y

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  • Title:
    Systematic evaluation of the degree of joint amnesia in patients after total hip arthroplasty with direct anterior approach
  • Author: Zhang, Fukang ; Zhang, Zhuangzhuang ; Fan, Hua ; Cheng, Qinghao ; Guo, Hongzhang
  • Subjects: Medical research ; Medicine, Experimental
  • Is Part Of: Journal of orthopaedic surgery and research, 2024-01, Vol.19 (1)
  • Description: Objective A comparative study of joint amnesia in patients undergoing total hip arthroplasty with the direct anterior approach and posterior approach was conducted through a comprehensive evaluation. Methods The literature on joint amnesia in postoperative patients who underwent total hip arthroplasty by the direct anterior approach and the posterior approach was systematically searched in PubMed, Embase, Web of Science, Cochrane Library, CNKI, CBM, Wanfang, and VIP databases from the time of library construction until February 13, 2023. Meta-analysis was performed using RevMan 5.3 software after independent searching, screening of the literature, data extraction, and quality assessment of the included studies by two investigators in strict accordance with the guidelines for conducting meta-analyses. Results A total of one RCT and six cohort studies were included in this meta-analysis. Meta-analysis results indicated that at 1 month postoperatively (MD = 2.08, 95% CI (0.20, 3.96), P = 0.03), 3 months (MD = 10.08, 95% CI (1.20, 18.96), P = 0.03), and 1 year (MD = 6.74, 95% CI (1.30, 12.19), P = 0.02), DAA total hip arthroplasty was associated with better FJS compared to PA at 1 year postoperatively. However, there was no statistical significance in FJS between the two groups at 5 years postoperatively (MD = 1.35, 95% CI (- 0.58, 3.28), P = 0.17). Conclusion Current evidence suggests that the degree of joint amnesia after THA for DAA was not found to be superior to that of PA. Further, these findings require confirmation by including a larger number of high-quality randomized controlled studies. Study design Systematic review; Level of evidence, 3.
  • Publisher: BioMed Central Ltd
  • Language: English
  • Identifier: ISSN: 1749-799X
    EISSN: 1749-799X
    DOI: 10.1186/s13018-023-04504-y
  • Source: Geneva Foundation Free Medical Journals at publisher websites
    PubMed Central
    Springer Open Access Journals
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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