| Author/Editor | Roškar, Samo; Trebše, Rihard | |
| Title | Primerjava kliničnega izida vstavitve totalne endoproteze kolka preko anteriornega in lateralnega pristopa | |
| Translated title | Comparison of he clinical outcome after total hip endoprothesis via the direct anterior or lateral approacha systematic review with metaanalysis | |
| Type | članek | |
| Vol. and No. | Letnik 91, št. 5/6 | |
| Publication year | 2022 | |
| Volume | str. 226-236 | |
| ISSN | 1318-0347 - Zdravniški vestnik : glasilo Slovenskega zdravniškega društva : Slovenian medical journal | |
| Language | slv | |
| Abstract | Background: The total hip endoprosthesis is one of the most successful elective surgical procedures in orthopaedic sur - gery. The choice of a surgical approach importantly influences the outcome of the intervention and globally, there is a preference towards the lateral approach. However, the direct anterior approach is gaining popularity, primarily due to less soft tissue trauma than in the lateral approach. Methods: Our meta-analysis only included randomised control trials, which were selected from three English databases: PubMed , Cochrane Library , and Clinical Trials . The search was performed in December 2019. Information on country, sam- ple size, intervention, outcome, and follow-up period has been extracted. The meta-analysis was performed using Review Manager 5.3 . Results: Seven randomized controlled trials totalling 723 patients were included. Comparing direct anterior and lateral approach to the total hip arthroplasty, no difference was found in the functional status graded using the Harris hip score at the end of follow-up, pain reported with visual analogue scale in the early and late postoperative period, blood loss, need for transfusion, length of hospital stay and appearance of the intra- and postoperative complications. Conclusions: Comparison of the direct anterior and the lateral approach shows that there is no significant difference be - tween the two approaches in functional status, pain reported in the early and late postoperative period, blood loss, need for transfusion, length of hospital stays, and occurrence of the intra- and postoperative complications. To date, there is no randomized controlled trial directly comparing clinical outcomes between the two approaches with a well-determined protocol. | |
| Keywords | totalna endoproteza kolka klinični izid metaanaliza total hip arthroplasty clinical outcome metaanalysis |