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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2020

Open Access 01-12-2020 | Hip-TEP | Research article

The effect of posterior capsule repair in total hip arthroplasty: a systematic review and meta-analysis

Authors: Xiaobo Sun, Xingyang Zhu, Yuqing Zeng, Haitao Zhang, Jianchun Zeng, Wenjun Feng, Jie Li, Yirong Zeng

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

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Abstract

Background

Prior studies have compared the posterior capsule repair group in primary total hip arthroplasty by posterior approach with the control group without posterior capsule repair suggesting that the posterior capsule repair group had better clinical outcomes. However, it is still a controversy which treatment is more helpful for hip diseases. The purpose of our article is to obtain the postoperative outcomes between the 2 procedures.

Methods

We performed a systematic search by browsing the MEDLINE, EMBASE, Cochrane Library. There is no restriction on the date of publication. Before we submit our manuscript, we have re-searched the literatures again, including the articles which directly compared the postoperative outcomes of the 2 procedures.

Results

A total of 8 comparative studies were included in our meta-analysis. The posterior capsule repair group showed less dislocation rate, higher HHS, and even less postoperative bleeding volume. Meanwhile, there is no significant difference in ROM between 2 groups.

Conclusion

In conclusion, according to current evidences, repairing posterior capsule during primary THA may have better functional outcomes, less dislocation incidence, and less loss of blood.
Appendix
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Literature
1.
Brox WT, et al. The American Academy of Orthopaedic Surgeons evidence-based guideline on management of hip fractures in the elderly. J Bone Joint Surg Am. 2015;97(14):1196–9.PubMedCrossRef
2.
Kim SH, et al. Hip fractures in the United States: 2008 nationwide emergency department sample. Arthritis Care Res (Hoboken). 2012;64(5):751–7.CrossRef
3.
Berry DJ, et al. Twenty-five-year survivorship of two thousand consecutive primary Charnley total hip replacements: factors affecting survivorship of acetabular and femoral components. J Bone Joint Surg Am. 2002;84(2):171–7.PubMedCrossRef
4.
Soderman P, Malchau H, Herberts P. Outcome after total hip arthroplasty: Part I. General health evaluation in relation to definition of failure in the Swedish National Total Hip Arthoplasty register. Acta Orthop Scand. 2000;71(4):354–9.PubMedCrossRef
5.
Marcy GH, Fletcher RS. Modification of the posterolateral approach to the hip for insertion of femoral-head prosthesis. J Bone Joint Surg Am. 1954;36-a(1):142–3.PubMedCrossRef
6.
Ritter MA, et al. A clinical comparison of the anterolateral and posterolateral approaches to the hip. Clin Orthop Relat Res. 2001;385:95–9.CrossRef
7.
Roberts JM, et al. A comparison of the posterolateral and anterolateral approaches to total hip arthroplasty. Clin Orthop Relat Res. 1984;187:205–10.
8.
Vicar AJ, Coleman CR. A comparison of the anterolateral, transtrochanteric, and posterior surgical approaches in primary total hip arthroplasty. Clin Orthop Relat Res. 1984;188:152–9.
9.
McCollum DE, Gray WJ. Dislocation after total hip arthroplasty. Causes and prevention. Clin Orthop Relat Res. 1990;261:159–70.
10.
Kwon MS, et al. Does surgical approach affect total hip arthroplasty dislocation rates? Clin Orthop Relat Res. 2006;447:34–8.PubMedCrossRef
11.
Papadakis SA, et al. Piriform and trochanteric fossae. A drawing mismatch or a terminology error? A review. Surg Radiol Anat. 2005;27(3):223–6.PubMedCrossRef
12.
Hummel MT, et al. Decreased dislocation after revision total hip arthroplasty using larger femoral head size and posterior capsular repair. J Arthroplast. 2009;24(6 Suppl):73–6.CrossRef
13.
Pfirrmann CW, et al. Greater trochanter of the hip: attachment of the abductor mechanism and a complex of three bursae--MR imaging and MR bursography in cadavers and MR imaging in asymptomatic volunteers. Radiology. 2001;221(2):469–77.PubMedCrossRef
14.
Kao JT, Woolson ST. Piriformis tendon repair failure after total hip replacement. Orthop Rev. 1992;21(2):171–4.PubMed
15.
Moher D, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8(5):336–41.CrossRefPubMed
16.
Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol. 2010;25(9):603–5.PubMedCrossRef
17.
18.
Cornfield J. A method of estimating comparative rates from clinical data; applications to cancer of the lung, breast, and cervix. J Natl Cancer Inst. 1951;11(6):1269–75.PubMed
19.
20.
21.
Yamaguchi T, et al. The effect of posterolateral reconstruction on range of motion and muscle strength in total hip arthroplasty. J Arthroplast. 2003;18(3):347–51.CrossRef
22.
Chiu FY, et al. The effect of posterior capsulorrhaphy in primary total hip arthroplasty: a prospective randomized study. J Arthroplast. 2000;15(2):194–9.CrossRef
23.
Goldstein WM, et al. Prevalence of dislocation after total hip arthroplasty through a posterolateral approach with partial capsulotomy and capsulorrhaphy. J Bone Joint Surg Am. 2001;83-A(Suppl 2(Pt 1)):2–7.CrossRef
24.
Tsai SJ, Wang CT, Jiang CC. The effect of posterior capsule repair upon post-operative hip dislocation following primary total hiparthroplasty. BMC Musculoskelet Disord. 2008;9:29.PubMedPubMedCentralCrossRef
25.
White RE Jr, et al. Effect of posterior capsular repair on early dislocation in primary total hip replacement. Clin Orthop Relat Res. 2001;393:163–7.CrossRef
26.
Wu HM, He AY. Effect of retaining articular capsule in total hip arthroplasty through posterior approach on hip stability. J Clin Rehabil Tissue Eng Res. 2008;12(26):5168–72.
27.
Pellicci PM, Bostrom M, Poss R. Posterior approach to total hip replacement using enhanced posterior soft tissue repair. Clin Orthop Relat Res. 1998;355:224–8.CrossRef
28.
Suh KT, Park BG, Choi YJ. A posterior approach to primary total hip arthroplasty with soft tissue repair. Clin Orthop Relat Res. 2004;418:162–7.CrossRef
29.
Tarasevicius S, Robertsson O, Wingstrand H. Posterior soft tissue repair in total hip arthroplasty: a randomized controlled trial. Orthopedics. 2010;33(12):871.PubMedCrossRef
30.
Smith-Petersen MN. The classic: evolution of mould arthroplasty of the hip joint by M. N. Smith-Petersen, J. Bone Joint Surg. 30B:L:59, 1948. Clin Orthop Relat Res. 1978;134:5–11.
31.
Huo MH, et al. What’s new in total hip arthroplasty. J Bone Joint Surg Am. 2010;92(18):2959–72.PubMedCrossRef
32.
Robinson RP, Robinson HJ Jr, Salvati EA. Comparison of the transtrochanteric and posterior approaches for total hip replacement. Clin Orthop Relat Res. 1980;147:143–7.
33.
Masonis JL, Bourne RB. Surgical approach, abductor function, and total hip arthroplasty dislocation. Clin Orthop Relat Res. 2002;405:46–53.CrossRef
34.
Woolson ST, Rahimtoola ZO. Risk factors for dislocation during the first 3 months after primary total hip replacement. J Arthroplast. 1999;14(6):662–8.CrossRef
35.
Bourne RB, Mehin R. The dislocating hip: what to do, what to do. J Arthroplast. 2004;19(4 Suppl 1):111–4.CrossRef
36.
Hamilton WG, McAuley JP. Evaluation of the unstable total hip arthroplasty. Instr Course Lect. 2004;53:87–92.PubMed
37.
Coventry MB, et al. 2,012 total hip arthroplasties. A study of postoperative course and early complications. J Bone Joint Surg Am. 1974;56(2):273–84.PubMedCrossRef
38.
Etienne A, Cupic Z, Charnley J. Postoperative dislocation after Charnley low-friction arthroplasty. Clin Orthop Relat Res. 1978;132:19–23.
39.
Cobb TK, Morrey BF, Ilstrup DM. The elevated-rim acetabular liner in total hip arthroplasty: relationship to postoperative dislocation. J Bone Joint Surg Am. 1996;78(1):80–6.PubMedCrossRef
40.
Sierra RJ, et al. Dislocation of primary THA done through a posterolateral approach in the elderly. Clin Orthop Relat Res. 2005;441:262–7.PubMedCrossRef
41.
Berry DJ, et al. Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am. 2005;87(11):2456–63.PubMed
42.
Burroughs BR, et al. Range of motion and stability in total hip arthroplasty with 28-, 32-, 38-, and 44-mm femoral head sizes. J Arthroplast. 2005;20(1):11–9.CrossRef
43.
Sultan PG, et al. Independent contribution of elevated-rim acetabular liner and femoral head size to the stability of total hip implants. J Arthroplast. 2002;17(3):289–92.CrossRef
44.
Clayton ML, Thirupathi RG. Dislocation following total hip arthroplasty. Management by special brace in selected patients. Clin Orthop Relat Res. 1983;177:154–9.
45.
Dixon MC, et al. A simple capsulorrhaphy in a posterior approach for total hip arthroplasty. J Arthroplast. 2004;19(3):373–6.CrossRef
46.
Hedley AK, Hendren DH, Mead LP. A posterior approach to the hip joint with complete posterior capsular and muscular repair. J Arthroplast. 1990;5(Suppl):S57–66.CrossRef
47.
Pierchon F, et al. Causes of dislocation of total hip arthroplasty. CT study of component alignment. J Bone Joint Surg Br. 1994;76(1):45–8.PubMedCrossRef
48.
Mihalko WM, Whiteside LA. Hip mechanics after posterior structure repair in total hip arthroplasty. Clin Orthop Relat Res. 2004;420:194–8.CrossRef
49.
Stahelin T, et al. Failure of capsular enhanced short external rotator repair after total hip replacement. Clin Orthop Relat Res. 2004;420:199–204.CrossRef
Metadata
Title
The effect of posterior capsule repair in total hip arthroplasty: a systematic review and meta-analysis
Authors
Xiaobo Sun
Xingyang Zhu
Yuqing Zeng
Haitao Zhang
Jianchun Zeng
Wenjun Feng
Jie Li
Yirong Zeng
Publication date
01-12-2020
Publisher
BioMed Central
Keywords
Hip-TEP
Hip-TEP
Published in
BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-020-03244-y

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