Importance of hip capsular repair in total hip arthroplasty (THA) via the posterior lateral approach: a five year retrospective cohort study

Purpose This study aims to assess the impact of repairing the hip joint capsule during posterior-lateral approach total hip arthroplasty (THA) on postoperative hip joint function and late dislocation incidence. Methods A retrospective cohort study included 413 patients, divided into experimental (hi...

Full description

Saved in:
Bibliographic Details
Published in:International orthopaedics 2024-10, Vol.48 (10), p.2567-2577
Main Authors: Su, Hai, Yu, Shenxu, Huang, Hua, Lin, Shineng, Zhou, Haojing, Chen, Lei, Xiang, Sicheng, Hu, Xinyu, Gong, Yichen, Li, Junyan, Li, Ju, Tong, Peijian, Xu, Taotao
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Original Paper
Orthopedics
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose This study aims to assess the impact of repairing the hip joint capsule during posterior-lateral approach total hip arthroplasty (THA) on postoperative hip joint function and late dislocation incidence. Methods A retrospective cohort study included 413 patients, divided into experimental (hip joint capsule repair, n  = 204) and control (hip joint capsule excision, n  = 209) groups. Patients were followed for five years, evaluating postoperative hip range of motion (ROM), dislocation rate, VAS and HHS scores, inflammatory and coagulation markers, hospitalization, blood loss, and body composition. Statistical analysis included the Student’s t-test, Chi-square test, and logistic regression for dislocation risk factors. Results Joint capsule repair improved postoperative hip flexion and extension within six months and at two years postoperatively, internal and external rotation within three months, and abduction and adduction throughout the entire follow-up period ( P  
ISSN:0341-2695
1432-5195
1432-5195
DOI:10.1007/s00264-024-06293-3