Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis.
Partial versus early full weight bearing after uncemented total hip arthroplasty: a meta-analysis.
复制标题
非骨水泥全髋关节置换术后部分负重与早期完全负重：荟萃分析
DOI：
10.1186/s13018-017-0527-x
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发表时间：
2017-02-17
影响因子：
2.6
通讯作者：
Ma XL
中科院分区：
文献类型：
--
作者：
Tian P;Li ZJ;Xu GJ;Sun XL;Ma XL
BackgroundThis meta-analysis aimed to investigate the efficacy and safety of partial weight bearing (PWB) versus early full weight bearing (FWB) after uncemented total hip arthroplasty (THA).MethodsWe conducted a search in PubMed, EMBASE, The Cochrane Library, and Web of Science for randomized controlled trials (RCTs) and non-RCTs comparing PWB and early FWB after uncemented THA. Two authors conducted the selection of studies, data extraction, and assessment of risk of bias independently. A pooled meta-analysis was performed using the RevMan 5.3 software.ResultsSix RCTs and three non-RCTs met the inclusion criteria. The meta-analysis indicated that compared with PWB, the FWB group showed greater femoral subsidence at 3-month follow-up (MD = −0.12, 95% CI −0.22 to −0.01,P =0.03). There were no significant differences in the hip Harris score at 1-year and 2-year follow-up (MD = 1.54, 95% CI −0.83 to 3.90,P =0.20; MD = 0.08, 95% CI −1.19 to 1.34,P =0.90, respectively), in femoral subsidence at 2-year follow-up and at two additional years of follow-up (MD = −0.03, 95% CI −0.31 to 0.25,P =0.84; (MD = −0.02, 95% CI −0.37 to 0.33,P =0.91, respectively). There were no significant differences in the incidences of bone ingrowth fixation, spot welds, and radiolucent lines.ConclusionsThis meta-analysis shows that early FWB in patients with uncemented THA could be safe and could not increase the incidence of postoperative complications.
