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Sex and Gender-Related Differences in the Outcome of Total Hip Arthroplasty: A Current Concepts Review

Background and Objectives: Sex and gender-related differences may influence the outcome of patients undergoing total hip arthroplasty (THA). The present paper aims to depict the importance of sex and gender-related issues in the perioperative management of patients undergoing THA to improve clinical...

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Autores principales: Solarino, Giuseppe, Bizzoca, Davide, Moretti, Anna Maria, D’Apolito, Rocco, Moretti, Biagio, Zagra, Luigi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9788147/
https://www.ncbi.nlm.nih.gov/pubmed/36556904
http://dx.doi.org/10.3390/medicina58121702
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author Solarino, Giuseppe
Bizzoca, Davide
Moretti, Anna Maria
D’Apolito, Rocco
Moretti, Biagio
Zagra, Luigi
author_facet Solarino, Giuseppe
Bizzoca, Davide
Moretti, Anna Maria
D’Apolito, Rocco
Moretti, Biagio
Zagra, Luigi
author_sort Solarino, Giuseppe
collection PubMed
description Background and Objectives: Sex and gender-related differences may influence the outcome of patients undergoing total hip arthroplasty (THA). The present paper aims to depict the importance of sex and gender-related issues in the perioperative management of patients undergoing THA to improve clinical outcomes and prevent postoperative complications. Materials and Methods: From January 2002 to August 2022, OVID-MEDLINE, EMBASE, SCOPU S, Web of Science, Google Scholar, and PubMed were searched to identify relevant studies for further analysis. The search strategy included the following terms: ((“gender-related differences” [MeSH Terms] OR “sex-related differences” [All Fields]) OR (“gender indicators” [MeSH Terms] OR “sex” [All Fields])) AND (“total hip arthroplasty” [MeSH Terms] OR (total hip replacement [All Fields])). Results: Twenty-eight papers were included in this current concepts review. Sex and gender-related differences were analyzed with regard to the following points: (1) surgical approach, robotic surgery, scar cosmesis, and implant choice; (2) postoperative clinical outcome and complications; (3) sexual activity after THA; and (4) psychological status and daily functional requirements. The data analysis showed that female patients need more specific attention in the preoperative, intraoperative, and postoperative phases to improve clinical and functional outcomes, reduce complications risk, and manage patient satisfaction. Conclusions: THA outcomes may be influenced by sex and gender-related factors which should be carefully assessed and addressed in patients undergoing surgery to improve the postoperative outcomes of patients’ satisfaction and reduce postoperative complications that can differ between the two sexes.
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spelling pubmed-97881472022-12-24 Sex and Gender-Related Differences in the Outcome of Total Hip Arthroplasty: A Current Concepts Review Solarino, Giuseppe Bizzoca, Davide Moretti, Anna Maria D’Apolito, Rocco Moretti, Biagio Zagra, Luigi Medicina (Kaunas) Review Background and Objectives: Sex and gender-related differences may influence the outcome of patients undergoing total hip arthroplasty (THA). The present paper aims to depict the importance of sex and gender-related issues in the perioperative management of patients undergoing THA to improve clinical outcomes and prevent postoperative complications. Materials and Methods: From January 2002 to August 2022, OVID-MEDLINE, EMBASE, SCOPU S, Web of Science, Google Scholar, and PubMed were searched to identify relevant studies for further analysis. The search strategy included the following terms: ((“gender-related differences” [MeSH Terms] OR “sex-related differences” [All Fields]) OR (“gender indicators” [MeSH Terms] OR “sex” [All Fields])) AND (“total hip arthroplasty” [MeSH Terms] OR (total hip replacement [All Fields])). Results: Twenty-eight papers were included in this current concepts review. Sex and gender-related differences were analyzed with regard to the following points: (1) surgical approach, robotic surgery, scar cosmesis, and implant choice; (2) postoperative clinical outcome and complications; (3) sexual activity after THA; and (4) psychological status and daily functional requirements. The data analysis showed that female patients need more specific attention in the preoperative, intraoperative, and postoperative phases to improve clinical and functional outcomes, reduce complications risk, and manage patient satisfaction. Conclusions: THA outcomes may be influenced by sex and gender-related factors which should be carefully assessed and addressed in patients undergoing surgery to improve the postoperative outcomes of patients’ satisfaction and reduce postoperative complications that can differ between the two sexes. MDPI 2022-11-22 /pmc/articles/PMC9788147/ /pubmed/36556904 http://dx.doi.org/10.3390/medicina58121702 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Solarino, Giuseppe
Bizzoca, Davide
Moretti, Anna Maria
D’Apolito, Rocco
Moretti, Biagio
Zagra, Luigi
Sex and Gender-Related Differences in the Outcome of Total Hip Arthroplasty: A Current Concepts Review
title Sex and Gender-Related Differences in the Outcome of Total Hip Arthroplasty: A Current Concepts Review
title_full Sex and Gender-Related Differences in the Outcome of Total Hip Arthroplasty: A Current Concepts Review
title_fullStr Sex and Gender-Related Differences in the Outcome of Total Hip Arthroplasty: A Current Concepts Review
title_full_unstemmed Sex and Gender-Related Differences in the Outcome of Total Hip Arthroplasty: A Current Concepts Review
title_short Sex and Gender-Related Differences in the Outcome of Total Hip Arthroplasty: A Current Concepts Review
title_sort sex and gender-related differences in the outcome of total hip arthroplasty: a current concepts review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9788147/
https://www.ncbi.nlm.nih.gov/pubmed/36556904
http://dx.doi.org/10.3390/medicina58121702
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