English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Objective  The main objective of our study was to compare the intraoperative and postoperative outcomes of direct anterior approach (DAA) with posterolateral approaches (PLA).    Methods  We searched Cochrane library, Web of Science, and PubMed for literatures comparing DAA with PLA. On the basis of inclusion and exclusion criteria, relevant literatures were selected. Two members independently screened qualified literatures, evaluated the literature quality, and extracted data information.    Results  Eighteen randomized controlled trials (RCTs) and non-RCTs totaling 34,873 patients (DAA = 9636, PLA = 25237) were contained in this systematic review and meta-analysis. The results showed that DAA were reduced in terms of length of hospital stay (weighted mean difference (WMD) = −0.43, 95% confidence interval (CI) −0.78 to −0.09,  P  = 0.01), LLD (WMD = −2.00, 95% CI −2.75 to −1.25,  P  < 0.00001), PE/DVT (WMD = 0.36, 95% CI 0.15 to 0.85,  P  = 0.02), dislocation (WMD = 0.42, 95% CI 0.30 to 0.59,  P  < 0.00001) and visual analog scale (VAS) (WMD = −0.57, 95% CI −0.91 to −0.23,  P  = 0.0009) compared with PLA; however, DAA compared with the PLA was increasing in terms of operative time (WMD = 14.81, 95% CI 7.18 to 22.44,  P  = 0.0001), intraoperative blood loss (WMD = 105.13, 95% CI 25.35 to 184.90,  P  = 0.01), fracture (WMD = 1.46, 95% CI 1.00 to 2.11,  P  = 0.05), and Harris hip score (HHS) (WMD = 1.19, 95% CI 0.77 to 1.61,  P  < 0.00001).    Conclusions  DAA was preferable effectiveness to PLA in early pain relief and functional recovery; however, PLA has a shorter operation time, intraoperative less blood loss and fracture.    Trial registration  Registration ID,  CRD42020151208

Direct anterior versus posterolateral approaches for clinical outcomes after total hip arthroplasty: a systematic review and meta-analysis