Total hip arthroplasty: minimally invasive surgery or not? Meta-analysis of clinical trials

International Orthopaedics
Filippo MiglioriniJörg Eschweiler

Abstract

There exist a relevant number of clinical trials comparing the minimally invasive surgery to the standard-invasive approach in total hip arthroplasty (THA). Up to date, there are still debates concerning the most effective approach in THA. The purpose of this study is to compare the clinical outcomes concerning patients undergoing primary THA performed via the minimally invasive versus standard-invasive surgery incision. The search was performed in the main databases, evaluating both quantitative and qualitative results. All the randomised controlled trials (RCTs) and non-randomised controlled trials (nRCTs) comparing the minimally invasive versus the standard-invasive approach were enrolled in this study. We focused on the clinical and radiological outcomes and on the complication rate. Study methodological quality was assessed performing the PEDro critical appraisal scale. All meta-analyses were performed using the Review Manager software. To analyse the publication's bias, we performed the Funnel plot. We enrolled in our study 4761 patients, undergoing to 4842 total hip arthroplasties. The mean follow-up was 22.26 months. In favour of the minimally invasive group, we reported less total estimated blood loss, shorter surgical...Continue Reading

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Citations

Aug 30, 2019·International Orthopaedics·Viktor ShilnikovKhadizhat Masueva
May 4, 2020·Archives of Orthopaedic and Trauma Surgery·Filippo MiglioriniPaolo Arentini
Jan 17, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Filippo MiglioriniBjörn Rath
Jan 19, 2021·Foot & Ankle International·Chi-Yuan LiuChen-Chie Wang
Mar 27, 2021·Journal of Orthopaedic Surgery and Research·Yong HuHe-Bei He
Apr 20, 2021·The Journal of Arthroplasty·Petros IsmailidisAnnegret Mündermann
Apr 18, 2021·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Filippo MiglioriniAlice Baroncini

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