Total hip replacement: a systematic review and meta-analysis on mid-term quality of life

Shan, Leonard; Shan, Bernard L.; Graham, David; Saxena, Akshat

doi:10.1016/j.joca.2013.12.006

Cited by 183 publications

(136 citation statements)

References 69 publications

(149 reference statements)

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“…A recent meta-analysis of the literature demonstrated that hip arthroplasty (HA) improved mid-term health-related quality of life and resulted in good patient satisfaction and substantial functional gains [1]. In 2005, over 200,000 hip arthroplasty procedures were performed and this number is expected to double by 2026 [2,3].…”

Section: Introductionmentioning

confidence: 99%

Metal artifact suppression at the hip: diagnostic performance at 3.0 T versus 1.5 Tesla

et al. 2015

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Purpose This work aimed to compare the diagnostic performance of a metal artifact suppression sequence (MAVRIC-SL) for imaging of hip arthroplasties (HA) at 1.5 and 3 Tesla (T) field strength. Methods Eighteen patients (10 females; aged 27-74) with HA were examined at 3.0 and 1.5 T within 3 weeks. The sequence protocol included 3D-MAVRIC-SL PD (coronal), 3D-MAVRIC-SL STIR (axial), FSE T1, FSE PD and STIR sequences. Anatomical structures and pathological findings were assessed independently by two radiologists. Artifact extent and technical quality (image quality, fat saturation and geometric distortion) were also evaluated. Findings at 1.5 and 3.0 T were compared using a Wilcoxon signed rank test. Results While image quality was better at 1.5 T, visualization of anatomic structures and clinical abnormalities was not significantly different using the two field strengths (p>0.05). Fat suppression and amount of artifacts were significantly better at 1.5 T (p <0.01). Inter-and intra-reader agreement for different anatomic details, image quality and visualization of abnormalities ranged from k=0.62 to k=1.00. Conclusion MAVRIC-SL at 1.5 T had a comparable diagnostic performance when compared MAVRIC-SL at 3.0 T; however, the higher field strength was associated with larger artifacts, limited image quality and worse fat saturation.

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Section: Introductionmentioning

confidence: 99%

Metal artifact suppression at the hip: diagnostic performance at 3.0 T versus 1.5 Tesla

et al. 2015

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“…The THA is one of the most frequently performed and successful surgical procedures in modern medicine and has been called the ''operation of the century'' [33,50]. Nevertheless, management of postoperative pain after THA often remains insufficient, and there is no agreement regarding the preferred postoperative analgesic intervention [17,33,43,50].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, management of postoperative pain after THA often remains insufficient, and there is no agreement regarding the preferred postoperative analgesic intervention [17,33,43,50]. With the emergence of new regional techniques, which have been found to be safe and effective [21,65], comes the need to compare the efficacy of these new techniques.…”

Section: Discussionmentioning

confidence: 99%

Is Local Infiltration Analgesia Superior to Peripheral Nerve Blockade for Pain Management After THA: A Network Meta-analysis

Jiménez-Almonte

Wyles

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Local infiltration analgesia and peripheral nerve blocks are common methods for pain management in patients after THA but direct head-to-head, randomized controlled trials (RCTs) have not been performed. A network meta-analysis allows indirect comparison of individual treatments relative to a common comparator; in this case placebo (or no intervention), epidural analgesia, and intrathecal morphine, yielding an estimate of comparative efficacy. Questions/purposes We asked, when compared with a placebo, (1) does use of local infiltration analgesia reduce patient pain scores and opioid consumption, (2) does use of peripheral nerve blocks reduce patient pain scores and opioid consumption, and (3) is local infiltration analgesia favored over peripheral nerve blocks for postoperative pain management after THA? Methods We searched six databases, from inception through June 30, 2014, to identify RCTs comparing local infiltration analgesia or peripheral nerve block use in patients after THA. A total of 35 RCTs at low risk of bias based on the recommended Cochrane Collaboration risk assessment tool were included in the network meta-analysis (2296 patients). Primary outcomes for this review were patient pain scores at rest and cumulative opioid consumption, both assessed at 24 hours after THA. Because of substantial heterogeneity (variation of outcomes between studies) across included trials, a random effect model for meta-analysis was used to estimate the weighted mean difference (WMD) and 95% CI. The gray literature was searched with the same inclusion criteria as published One of the authors certifies that he (RJS), or a member of his or her immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000-USD 100,000, from Biomet Inc (Warsaw, IN, USA 123Clin Orthop Relat Res (2016) 474:495-516 DOI 10.1007 Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons® trials. Only one unpublished trial (published abstract) fulfilled our criteria and was included in this review. All other studies included in this systematic review were full published articles. Bayesian network meta-analysis included all RCTs that compared local infiltration analgesia or peripheral nerve blocks with placebo (or no intervention), epidural analgesia, and intrathecal morphine. Results Compared with placebo, local infiltration analgesia reduced patient pain scores (WMD, À0.61; 95% CI, À0.97 to À0.24; p = 0.001) and opioid consumption (WMD, À7.16 mg; 95% CI, À11.98 to À2.35; p = 0.004). Peripheral nerve blocks did not result in lower pain scores or reduced opioid consumption compared with placebo (WMD, À0.43; 95% CI, À0.99 to 0.12; p = 0.12 and WMD, À3.14 mg, 95% CI, À11.30 to 5.02; p = 0.45). However, network meta-analysis comparing local infiltration analgesia with peripheral nerve blocks through common comparators showed no differences between postoperative pain scores (WMD, À0.36; 95% CI, À1.06 to 0.31) and opioid consumption (WMD, À4....

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“…Despite generally excellent outcomes, dissatisfaction after primary total hip arthroplasty (THA) and primary total knee arthroplasty (TKA) is not uncommon [1][2][3][4]. While surgeon experience, surgical technique, and implant choice are important factors, patient-specific characteristics may adversely affect patient satisfaction and patient-reported outcomes (PROs) after lower extremity arthroplasty [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24].…”

mentioning

confidence: 99%

Patient-Reported Allergies Are Associated With Poorer Patient Satisfaction and Outcomes After Lower Extremity Arthroplasty: A Retrospective Cohort Study

McLawhorn

Bjerke-Kroll

Blevins

et al. 2015

The Journal of Arthroplasty

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Total hip replacement: a systematic review and meta-analysis on mid-term quality of life

Abstract: THR confers significant mid-term HRQOL benefits across a broad range of health domains. Further studies based on consistent guidelines provided in this review are required.

Cited by 183 publications

References 69 publications

Metal artifact suppression at the hip: diagnostic performance at 3.0 T versus 1.5 Tesla

Metal artifact suppression at the hip: diagnostic performance at 3.0 T versus 1.5 Tesla

Is Local Infiltration Analgesia Superior to Peripheral Nerve Blockade for Pain Management After THA: A Network Meta-analysis

Patient-Reported Allergies Are Associated With Poorer Patient Satisfaction and Outcomes After Lower Extremity Arthroplasty: A Retrospective Cohort Study

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