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!
cited_by
cites cdi_FETCH-LOGICAL-c228t-eccda489e2780ad077e61fce7b2a62950ec281285a9504e7a2f9418c48e973ac3
container_end_page 2577
container_issue 10
container_start_page 2567
container_title International orthopaedics
container_volume 48
creator 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
description 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  
doi_str_mv 10.1007/s00264-024-06293-3
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3099803691</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3099803691</sourcerecordid><originalsourceid>FETCH-LOGICAL-c228t-eccda489e2780ad077e61fce7b2a62950ec281285a9504e7a2f9418c48e973ac3</originalsourceid><addsrcrecordid>eNp9UblOBDEMjRAIluMHKFBKKAZyzJHQoRWXhEQDdWSyHmbQ7CQkGaT9Bz6asAuUFJYt-70Xx4-QY87OOWPNRWRM1GXBRI5aaFnILTLjpRRFxXW1TWZMlrwQta72yH6Mb4zxplZ8l-xJLXjuyxn5vF96FxKMFqlradd7asHHaYBAA3roA-1HmlyCYT2EkLrg_AAxrejp093VGf3ogaYOqXcxYehdoAPkIhPA--DAdpcUaNt_IF3hWjYFFz3a9N2yrsvv05imxeqQ7LQwRDz6yQfk-eb6aX5XPDze3s-vHgorhEoFWruAUmkUjWKwYE2DNW8tNi8C8h0qhlYoLlQFuS6xAdHqkitbKtSNBCsPyOlGN6_3PmFMZtlHi8MAI7opGsm0VkzWmmeo2EBt3jkGbI0P_RLCynBmvl0wGxdMdsGsXTAyk05-9KeXJS7-KL9nzwC5AcQ8Gl8xmDc3hTH_-T_ZL_jJlMw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3099803691</pqid></control><display><type>article</type><title>Importance of hip capsular repair in total hip arthroplasty (THA) via the posterior lateral approach: a five year retrospective cohort study</title><source>Springer Link</source><creator>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</creator><creatorcontrib>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</creatorcontrib><description>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  &lt; 0.05). Capsular repair also reduced early and late dislocation rates ( P  &lt; 0.05). Significant differences in HHS and VAS scores, inflammatory and coagulation indicators, hospitalization, blood loss, and body composition were noted ( P  &lt; 0.05). Multivariate logistic regression indicated hip joint repair, rheumatoid arthritis, epilepsy, and sarcopenia as dislocation risk factors ( P  &lt; 0.05). Conclusions Capsular repair during posterior-lateral THA improves postoperative hip function and mobility while reducing dislocation rates, blood loss, pain, inflammation, and economic burden. Patients with rheumatoid arthritis, epilepsy, or sarcopenia require individualized planning and enhanced postoperative care to minimize complications.</description><identifier>ISSN: 0341-2695</identifier><identifier>ISSN: 1432-5195</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-024-06293-3</identifier><identifier>PMID: 39212693</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Medicine ; Medicine &amp; Public Health ; Original Paper ; Orthopedics</subject><ispartof>International orthopaedics, 2024-10, Vol.48 (10), p.2567-2577</ispartof><rights>The Author(s) under exclusive licence to SICOT aisbl 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s) under exclusive licence to SICOT aisbl.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c228t-eccda489e2780ad077e61fce7b2a62950ec281285a9504e7a2f9418c48e973ac3</cites><orcidid>0000-0002-2697-1484</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39212693$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Su, Hai</creatorcontrib><creatorcontrib>Yu, Shenxu</creatorcontrib><creatorcontrib>Huang, Hua</creatorcontrib><creatorcontrib>Lin, Shineng</creatorcontrib><creatorcontrib>Zhou, Haojing</creatorcontrib><creatorcontrib>Chen, Lei</creatorcontrib><creatorcontrib>Xiang, Sicheng</creatorcontrib><creatorcontrib>Hu, Xinyu</creatorcontrib><creatorcontrib>Gong, Yichen</creatorcontrib><creatorcontrib>Li, Junyan</creatorcontrib><creatorcontrib>Li, Ju</creatorcontrib><creatorcontrib>Tong, Peijian</creatorcontrib><creatorcontrib>Xu, Taotao</creatorcontrib><title>Importance of hip capsular repair in total hip arthroplasty (THA) via the posterior lateral approach: a five year retrospective cohort study</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>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  &lt; 0.05). Capsular repair also reduced early and late dislocation rates ( P  &lt; 0.05). Significant differences in HHS and VAS scores, inflammatory and coagulation indicators, hospitalization, blood loss, and body composition were noted ( P  &lt; 0.05). Multivariate logistic regression indicated hip joint repair, rheumatoid arthritis, epilepsy, and sarcopenia as dislocation risk factors ( P  &lt; 0.05). Conclusions Capsular repair during posterior-lateral THA improves postoperative hip function and mobility while reducing dislocation rates, blood loss, pain, inflammation, and economic burden. Patients with rheumatoid arthritis, epilepsy, or sarcopenia require individualized planning and enhanced postoperative care to minimize complications.</description><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Original Paper</subject><subject>Orthopedics</subject><issn>0341-2695</issn><issn>1432-5195</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9UblOBDEMjRAIluMHKFBKKAZyzJHQoRWXhEQDdWSyHmbQ7CQkGaT9Bz6asAuUFJYt-70Xx4-QY87OOWPNRWRM1GXBRI5aaFnILTLjpRRFxXW1TWZMlrwQta72yH6Mb4zxplZ8l-xJLXjuyxn5vF96FxKMFqlradd7asHHaYBAA3roA-1HmlyCYT2EkLrg_AAxrejp093VGf3ogaYOqXcxYehdoAPkIhPA--DAdpcUaNt_IF3hWjYFFz3a9N2yrsvv05imxeqQ7LQwRDz6yQfk-eb6aX5XPDze3s-vHgorhEoFWruAUmkUjWKwYE2DNW8tNi8C8h0qhlYoLlQFuS6xAdHqkitbKtSNBCsPyOlGN6_3PmFMZtlHi8MAI7opGsm0VkzWmmeo2EBt3jkGbI0P_RLCynBmvl0wGxdMdsGsXTAyk05-9KeXJS7-KL9nzwC5AcQ8Gl8xmDc3hTH_-T_ZL_jJlMw</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Su, Hai</creator><creator>Yu, Shenxu</creator><creator>Huang, Hua</creator><creator>Lin, Shineng</creator><creator>Zhou, Haojing</creator><creator>Chen, Lei</creator><creator>Xiang, Sicheng</creator><creator>Hu, Xinyu</creator><creator>Gong, Yichen</creator><creator>Li, Junyan</creator><creator>Li, Ju</creator><creator>Tong, Peijian</creator><creator>Xu, Taotao</creator><general>Springer Berlin Heidelberg</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2697-1484</orcidid></search><sort><creationdate>20241001</creationdate><title>Importance of hip capsular repair in total hip arthroplasty (THA) via the posterior lateral approach: a five year retrospective cohort study</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c228t-eccda489e2780ad077e61fce7b2a62950ec281285a9504e7a2f9418c48e973ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Original Paper</topic><topic>Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Su, Hai</creatorcontrib><creatorcontrib>Yu, Shenxu</creatorcontrib><creatorcontrib>Huang, Hua</creatorcontrib><creatorcontrib>Lin, Shineng</creatorcontrib><creatorcontrib>Zhou, Haojing</creatorcontrib><creatorcontrib>Chen, Lei</creatorcontrib><creatorcontrib>Xiang, Sicheng</creatorcontrib><creatorcontrib>Hu, Xinyu</creatorcontrib><creatorcontrib>Gong, Yichen</creatorcontrib><creatorcontrib>Li, Junyan</creatorcontrib><creatorcontrib>Li, Ju</creatorcontrib><creatorcontrib>Tong, Peijian</creatorcontrib><creatorcontrib>Xu, Taotao</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Su, Hai</au><au>Yu, Shenxu</au><au>Huang, Hua</au><au>Lin, Shineng</au><au>Zhou, Haojing</au><au>Chen, Lei</au><au>Xiang, Sicheng</au><au>Hu, Xinyu</au><au>Gong, Yichen</au><au>Li, Junyan</au><au>Li, Ju</au><au>Tong, Peijian</au><au>Xu, Taotao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Importance of hip capsular repair in total hip arthroplasty (THA) via the posterior lateral approach: a five year retrospective cohort study</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>48</volume><issue>10</issue><spage>2567</spage><epage>2577</epage><pages>2567-2577</pages><issn>0341-2695</issn><issn>1432-5195</issn><eissn>1432-5195</eissn><abstract>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  &lt; 0.05). Capsular repair also reduced early and late dislocation rates ( P  &lt; 0.05). Significant differences in HHS and VAS scores, inflammatory and coagulation indicators, hospitalization, blood loss, and body composition were noted ( P  &lt; 0.05). Multivariate logistic regression indicated hip joint repair, rheumatoid arthritis, epilepsy, and sarcopenia as dislocation risk factors ( P  &lt; 0.05). Conclusions Capsular repair during posterior-lateral THA improves postoperative hip function and mobility while reducing dislocation rates, blood loss, pain, inflammation, and economic burden. Patients with rheumatoid arthritis, epilepsy, or sarcopenia require individualized planning and enhanced postoperative care to minimize complications.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39212693</pmid><doi>10.1007/s00264-024-06293-3</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2697-1484</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 0341-2695
ispartof International orthopaedics, 2024-10, Vol.48 (10), p.2567-2577
issn 0341-2695
1432-5195
1432-5195
language eng
recordid cdi_proquest_miscellaneous_3099803691
source Springer Link
subjects Medicine
Medicine & Public Health
Original Paper
Orthopedics
title Importance of hip capsular repair in total hip arthroplasty (THA) via the posterior lateral approach: a five year retrospective cohort study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T22%3A42%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Importance%20of%20hip%20capsular%20repair%20in%20total%20hip%20arthroplasty%20(THA)%20via%20the%20posterior%20lateral%20approach:%20a%20five%20year%20retrospective%20cohort%20study&rft.jtitle=International%20orthopaedics&rft.au=Su,%20Hai&rft.date=2024-10-01&rft.volume=48&rft.issue=10&rft.spage=2567&rft.epage=2577&rft.pages=2567-2577&rft.issn=0341-2695&rft.eissn=1432-5195&rft_id=info:doi/10.1007/s00264-024-06293-3&rft_dat=%3Cproquest_cross%3E3099803691%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c228t-eccda489e2780ad077e61fce7b2a62950ec281285a9504e7a2f9418c48e973ac3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3099803691&rft_id=info:pmid/39212693&rfr_iscdi=true