Back to Search
Start Over
Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis.
- Source :
-
Journal of Orthopaedic Surgery & Research . 2/17/2017, Vol. 12, p1-7. 7p. 2 Diagrams, 3 Charts. - Publication Year :
- 2017
-
Abstract
- Background: This meta-analysis aimed to investigate the efficacy and safety of partial weight bearing (PWB) versus early full weight bearing (FWB) after uncemented total hip arthroplasty (THA). Methods: We conducted a search in PubMed, EMBASE, The Cochrane Library, and Web of Science for randomized controlled trials (RCTs) and non-RCTs comparing PWB and early FWB after uncemented THA. Two authors conducted the selection of studies, data extraction, and assessment of risk of bias independently. A pooled meta-analysis was performed using the RevMan 5.3 software. Results: Six RCTs and three non-RCTs met the inclusion criteria. The meta-analysis indicated that compared with PWB, the FWB group showed greater femoral subsidence at 3-month follow-up (MD = -0.12, 95% CI -0.22 to -0.01, P= 0. 03). There were no significant differences in the hip Harris score at 1-year and 2-year follow-up (MD = 1.54, 95% CI -0. 83 to 3.90, P= 0.20; MD = 0.08, 95% CI -1.19 to 1.34, P= 0.90, respectively), in femoral subsidence at 2-year follow-up and at two additional years of follow-up (MD = -0.03, 95% CI -0.31 to 0.25, P= 0.84; (MD = -0.02, 95% CI -0.37 to 0.33, P= 0.91, respectively). There were no significant differences in the incidences of bone ingrowth fixation, spot welds, and radiolucent lines. Conclusions: This meta-analysis shows that early FWB in patients with uncemented THA could be safe and could not increase the incidence of postoperative complications. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CONFIDENCE intervals
*INFORMATION storage & retrieval systems
*MEDICAL databases
*MEDICAL information storage & retrieval systems
*MEDLINE
*META-analysis
*ONLINE information services
*RESEARCH funding
*SURGICAL complications
*TOTAL hip replacement
*SYSTEMATIC reviews
*DATA analysis software
*WEIGHT-bearing (Orthopedics)
*DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 1749799X
- Volume :
- 12
- Database :
- Academic Search Index
- Journal :
- Journal of Orthopaedic Surgery & Research
- Publication Type :
- Academic Journal
- Accession number :
- 121335110
- Full Text :
- https://doi.org/10.1186/s13018-017-0527-x