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Earlier studies have suggested that posterior capsule repair group offers better clinical outcomes in primary THA.
Primary total hip
arthroplasty (THA) is a commonly used routine treatment for hip diseases for
example osteonecrosis of the femoral head, developmental dysplasia of hips,
femoral neck fractures, hip OA, ankylosed hip, etc. As described in this
analysis, the approach of posterior capsule repair in total hip arthroplasty
had a lower complication rate along with better functional outcomes.
Earlier studies have suggested that posterior capsule repair
group offers better clinical outcomes in primary THA. This systematic review
and meta-analysis aimed to assess the
post-operative outcomes between the 2 procedures i.e. in patients with posterior
capsule repair and in those without the posterior capsule repair.
A systematic search was done on EMBASE, MEDLINE, and,
Cochrane Library. Before presenting the manuscript, the literatures were
re-searched again, comprising the articles which directly compared the associated
post-operative outcomes of both the groups.
This meta-analysis comprised of 8 comparative studies. A lesser
dislocation rate, higher Harris hip score (HHS), and even less post-operative
bleeding volume was observed in the posterior capsule repair group as compared
to the unrepaired posterior capsule group.
No significant difference in range of motion (ROM) was observed.
During primary THA, fixing the posterior
capsule during primary THA offers improved functional results, less dislocation
rate, and a reduced amount of blood loss.
BMC Musculoskeletal disorders
The effect of posterior capsule repair in total hip arthroplasty: a systematic review and meta-analysis
Xiaobo Sun et al.
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