文献类型：期刊文献

英文题名：The efficacy and safety of direct superior approach (DSA) for total hip arthroplasty: a systematic review and meta-analysis

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

第一作者：张正昭

通信作者：Guo, HZ[1]

机构：[1]Gansu Univ Chinese Med, Gansu Prov Hosp, Clin Med Coll 1, Lanzhou, Peoples R China;[2]Gansu Prov Hosp, Orthoped 4, 204 Donggang West Rd, Lanzhou, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Prov Hosp, Orthoped 4, 204 Donggang West Rd, Lanzhou, Peoples R China.

年份：2023

卷号：18

期号：1

外文期刊名：JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH

收录：;Scopus(收录号：2-s2.0-85173679309);WOS:【SCI-EXPANDED(收录号:WOS:001083762600001)】；

基金：This work was funded by the Provincial Science Foundation China (Project No. 20JR10RA358). The authors report no conflict of interest.

语种：英文

外文关键词：Direct superior approach; Minimally invasive; Hip replacement; Mate analysis; Systematic review

摘要：Objective To systematically evaluate the clinical safety and efficacy of the direct superior approach and the conventional surgical approach. Date sources From PubMed, Embase, the Cochrane Library, and China Knowledge Network up to January 30, 2023. Main results A total of 7 case series involving 4306 patients undergoing total hip arthroplasty were included, including 679 patients with direct superior approach. All outcome measures: Oxford Hip Score [MD = 0.30, 95% CI (- 0.87, 1.47), P = 0.62], Hip Harris Score [MD = - 0.18, 95% CI (- 0.86, 0.49), P = 0.59], intraoperative blood loss [MD = - 54.14, 95% CI (- 102.75,-5.52), P = 0.03], transfusion rate [MD = 0.49, 95% CI (0.29, 0.83), P = 0.008], Limb Length Differences [MD = - 0.21, 95% CI (0.02, 0.39), P = 0.03], Length of Stay [MD = - 0.61, 95% CI (- 0.69, - 0.52), P < 0.00001]. Conclusions The DSA was superior to conventional access in terms of incision length, bleeding, postoperative transfusion rate, and early postoperative HHS. In addition, our study found that because the DSA has less tissue damage, it has the potential advantages of accelerating patient recovery after surgery, shortening hospitalization time, and reducing patient economic pressure, which can significantly improve patient quality of life and satisfaction.