COMPARATIVE META-ANALYSIS OF SURGICAL TECHNIQUES FOR TOTAL KNEE ARTHROPLASTY: A FOCUS ON PATIENT OUTCOMES AND COMPLICATIONS
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Keywords
Total Knee Arthroplasty, Surgical Techniques, Patient Outcomes, complications
Abstract
Joint arthroplasty is designed to expand the envelope of function of symptomatic arthritic knees as safely and predictably as possible. The aim of the work was to compare between Surgical Techniques for Total Knee Arthroplasty with Focusing on Patient Outcomes and Complications. This study was systematic review meta-analysis study in which 63 previous studies with total 4859 patients from different accepted data bases were be selected to be included.63 studies included in this study with total 4859 patients with a mean age of 64 ranging from 44 to 84 years, The follow-up duration ranged between 0.125 to 10 years While surgical approaches used in these studies were were direct anterior approach(DAA),direct lateral approach(DLA) ,minimally invasive direct lateral approach(MIS-DAL),minimally invasive anterolateral approach(MIS-ALA) PA=posterior approach(PA) ,minimally invasive posterior approach(MIS-PA) and supercapsular percutaneously in which are overlapped between many studies . Total knee arthroplasty has been long been considered one of the most successful surgical procedures due to the consistent ability to relieve pain and restore function
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1-Ulivi M, Orlandini L, Vitale JA, Meroni V, Prandoni L, Mangiavini L, Rossi N, Peretti GM. Direct superior approach versus posterolateral approach in total hip arthroplasty: a randomized controlled trial on early outcomes on gait, risk of fall, clinical and self-reported measurements. Acta Orthopaedica. 2021 May 4;92(3):274-9. 2-Nakano N, Shoman H, Olavarria F, Matsumoto T, Kuroda R, Khanduja V. Why are patients dissatisfied following a total knee replacement? A systematic review. International orthopaedics. 2020 Oct;44:1971-2007. 3-Weber P, Gollwitzer H. Arthroplasty of the knee: current techniques for implant alignment. Zeitschrift für Orthopädie und Unfallchirurgie. 2022 Apr;160(02):149-59. Varacallo M, Luo TD, Johanson NA. Total knee arthroplasty techniques. 5- Vaishya R, Vijay V, Demesugh DM, Agarwal AK. Surgical approaches for total knee arthroplasty. Journal of clinical orthopaedics and trauma. 2016 Apr;7(2):71. 6- Cristea S, Predescu V, Dragosloveanu Ș, Cuculici Ș, Mărăndici N. Surgical approaches for total knee arthroplasty. Arthroplasty-A Comprehensive Review. 2016 Jan 27;1. 7- Bouché PA, Corsia S, Nizard R, Resche-Rigon M. Comparative efficacy of the different surgical approaches in total knee arthroplasty: a systematic-review and network meta-analysis. The Journal of Arthroplasty. 2021 Mar 1;36(3):1187-94. 8- Witzleb, W.-C., Stephan, L., Krummenauer, F., Neuke, A., & Günther, K. Short-term out-come after posterior versus lateral surgical approach for total hip arthroplasty-A randomized clinical trial. European journal of medical research, (2009). 14(6), 256-263. 9-Xie, J., Zhang, H., Wang, L., Yao, X., Pan, Z., & Jiang, Q. Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial. Journal of Orthopaedic Surgery and Research, (2017);12(1), 1-8. 10- Zeleke TG, Mersha AT, Endalew NS, Ferede YA. Prevalence and factors associated with back pain among patients undergoing spinal anesthesia at the University of Gondar Comprehensive and Specialized Hospital, North West Ethiopia: an institutional based cross-sectional study. Advances in medicine. 2021 Jan 25;2021:1-8. 11- Dorr LD, Maheshwari AV, Long WT, Wan Z, Sirianni LE. Early pain relief and function after posterior minimally invasive and conventional total hip arthroplasty: a prospective, randomized, blinded study. JBJS. 2007 Jun 1;89(6):1153-60. 12- Chantarojanasiri T, Hirooka Y, Kawashima H, Ohno E, Kongkam P, Goto H. The role of endoscopic ultrasound in the diagnosis of gallbladder diseases. Journal of Medical Ultrasonics. 2017 Jan;44:63-70. 13- Ashagrie HE, Ahmed SA, Melesse DY. The incidence and factors associated with failed spinal anesthesia among parturients underwent cesarean section, 2019: a prospective observational study. International Journal of Surgery Open. 2020 Jan 1;24:47-51. 13- Barrett WP, Turner SE, Leopold JP. Prospective randomized study of direct anterior vs postero-lateral approach for total hip arthroplasty. The Journal of arthroplasty. 2013 Oct 1;28(9):1634-8. 14- Zhao F, Xue Y, Wang X, Zhan Y. Efficacy of supercapsular percutaneously-assisted total hip arthroplasty in the elderly with femoral neck fractures: a meta-analysis. Geriatric Orthopaedic Surgery & Rehabilitation. 2022 Jan 17;13:21514593221074176.. 15- Gandhi R, Perruccio AV, Mahomed NN. Surgical management of hip osteoarthritis. CMAJ. 2014 Mar 18;186(5):347-55. 16- Mjaaland KE, Kivle K, Svenningsen S, Nordsletten L. Do postoperative results differ in a randomized trial between a direct anterior and a direct lateral approach in THA?. Clinical orthopaedics and related research. 2019 Jan;477(1):145. 17- Frye BM, Berend KR, Lombardi AV, Morris MJ, Adams JB. Do sex and BMI predict or does stem design prevent muscle damage in anterior supine minimally invasive THA?. Clinical Orthopaedics and Related Research®. 2015 Feb;473:632-8. 18- Yang C, Zhu Q, Han Y, Zhu J, Wang H, Cong R, Zhang D. Minimally-invasive total hip arthroplasty will improve early postoperative outcomes: a prospective, randomized, controlled trial. Irish journal of medical science. 2010 Jun;179:285-90. 19- Cheng TE, Wallis JA, Taylor NF, Holden CT, Marks P, Smith CL, Armstrong MS, Singh PJ. A prospective randomized clinical trial in total hip arthroplasty—comparing early results between the direct anterior approach and the posterior approach. The Journal of arthroplasty. 2017 Mar 1;32(3):883-90. 20- Dienstknecht T, Lüring C, Tingart M, Grifka J, Sendtner E. Total hip arthroplasty through the mini-incision (Micro-hip) approach versus the standard transgluteal (Bauer) approach: a prospective, randomised study. Journal of Orthopaedic Surgery. 2014 Aug;22(2):168-72. 21-Laffosse JM, Accadbled F, Molinier F, Chiron P, Hocine B, Puget J. Anterolateral mini-invasive versus posterior mini-invasive approach for primary total hip replacement. Comparison of exposure and implant positioning. Archives of orthopaedic and trauma surgery. 2008 Apr;128:363-9. 22- Butler JT, Stegelmann SD, Butler JL, Bullock M, M. Miller R. Comparing dislocation rates by approach following elective primary dual mobility total hip arthroplasty: a systematic review. Journal of Orthopaedic Surgery and Research. 2023 Mar 22;18(1):226. 23- Lee GC, Marconi D. Complications following direct anterior hip procedures: costs to both patients and surgeons. The Journal of arthroplasty. 2015 Sep 1;30(9):98-101. 24- Hunt BJ. Preventing hospital associated venous thromboembolism. BMJ. 2019 Jun 21;365.
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