文献类型：期刊文献

英文题名：Systematic evaluation of the degree of joint amnesia in patients after total hip arthroplasty with direct anterior approach (DAA) compared with posterior approach (PA)

作者：Zhang, Fukang[1];Zhang, Zhuangzhuang[1];Fan, Hua[1];Cheng, Qinghao[2];Guo, Hongzhang[2]

第一作者：Zhang, Fukang

通信作者：Guo, HZ[1]

机构：[1]Gansu Univ Chinese Med, Clin Med Coll 1, Lanzhou, Peoples R China;[2]Gansu Prov Hosp, 204 West Donggang Rd, Lanzhou 730000, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Prov Hosp, 204 West Donggang Rd, Lanzhou 730000, Peoples R China.

年份：2024

卷号：19

期号：1

外文期刊名：JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH

收录：;Scopus(收录号：2-s2.0-85181462305);WOS:【SCI-EXPANDED(收录号:WOS:001137121700003)】；

基金：Not applicable.

语种：英文

摘要：ObjectiveA 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.MethodsThe 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.ResultsA 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).ConclusionCurrent 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 designSystematic review; Level of evidence, 3.