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Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5316222/ https://www.ncbi.nlm.nih.gov/pubmed/28212661 http://dx.doi.org/10.1186/s13018-017-0527-x |
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author | Tian, Peng Li, Zhi-jun Xu, Gui-Jun Sun, Xiao-lei Ma, Xin-long |
author_facet | Tian, Peng Li, Zhi-jun Xu, Gui-Jun Sun, Xiao-lei Ma, Xin-long |
author_sort | Tian, Peng |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5316222 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-53162222017-02-24 Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis Tian, Peng Li, Zhi-jun Xu, Gui-Jun Sun, Xiao-lei Ma, Xin-long J Orthop Surg Res Research Article 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. BioMed Central 2017-02-17 /pmc/articles/PMC5316222/ /pubmed/28212661 http://dx.doi.org/10.1186/s13018-017-0527-x Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Tian, Peng Li, Zhi-jun Xu, Gui-Jun Sun, Xiao-lei Ma, Xin-long Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis |
title | Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis |
title_full | Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis |
title_fullStr | Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis |
title_full_unstemmed | Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis |
title_short | Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis |
title_sort | partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5316222/ https://www.ncbi.nlm.nih.gov/pubmed/28212661 http://dx.doi.org/10.1186/s13018-017-0527-x |
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