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European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

11.08.2023 | General Review

Joint awareness among total hip arthroplasty patients operated through anterior approach versus posterior approach: a systematic review and meta-analysis

verfasst von: Sujit Kumar Tripathy, Paulson Varghese, Shahnawaz Khan, Deepak Neradi, Mantu Jain, Ramesh Kumar Sen

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 1/2024

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Abstract

Purpose

The aim of this systematic review and meta-analysis was to compare joint awareness in patients who underwent total hip arthroplasty (THA) via the anterior approach (AA) versus the posterior approach (PA). The hypothesis was that patients who underwent THA via AA would have better forgetfulness of the artificial joint.

Methods

A comprehensive search of major literature databases and bibliographic details was conducted to identify studies evaluating the forgotten joint score (FJS-12) in total hip arthroplasty (THA) patients operated through the anterior approach (AA) and posterior approach (PA). Out of 234 studies identified, seven studies met the inclusion criteria for review. The Newcastle–Ottawa Scale was used to evaluate the quality of evidence and the risk of bias in the included studies. The FJS-12 was evaluated at three months, one year, and beyond 2 years.

Results

The mean FJS-12 at > 2 years was 82.03 in the AA group and 80.32 in the PA group. The forest plot analysis (n = 819 patients) revealed no significant difference in FJS-12 score between these two approaches (MD 2.13, 95% CI [− 1.17, 5.42], p = 0.21; I² = 60%). However, the joint awareness was significantly lesser in the AA group at 3 months (MD 12.56, 95% CI [9.58, 15.54], p < 0.00001, I² = 0%) and 1 year (MD 9.55, 95% CI [7.85, 11.24], p < 0.0001, I² = 0%).

Conclusions

After analyzing the available literature, it was found that THA patients operated through the AA approach have significantly lower joint awareness than those operated through the PA approach in the first year of surgery. However, there is no significant difference in joint awareness between these two approaches after 2 years.

Level of evidence

III.

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Titel: Joint awareness among total hip arthroplasty patients operated through anterior approach versus posterior approach: a systematic review and meta-analysis
verfasst von: Sujit Kumar Tripathy
Paulson Varghese
Shahnawaz Khan
Deepak Neradi
Mantu Jain
Ramesh Kumar Sen
Publikationsdatum: 11.08.2023
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 1/2024
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-023-03674-z

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Joint awareness among total hip arthroplasty patients operated through anterior approach versus posterior approach: a systematic review and meta-analysis