SynthesisClinical orthopaedics and related research2009
Factors influencing early rehabilitation after THA: a systematic review.
Synthesis in Clinical orthopaedics and related research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Randomised Controlled Trial of the Impact on Function of an Unrestricted Rehabilitation Pathway of no Precautions Following Total Hip Replacement
Randomized Controlled Trial of Home-based Physical Therapy Versus Outpatient Clinic-based Physical Therapy Following Primary Anterior Total Hip Arthroplasty
Effect of Paracetamol and Ibuprofen When Intravenously Given Combination or Alone in Reducing Morphine Requirements After Total Knee Arthroplasty
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effect of pain-relief nursing on activities of daily living in patients following hip arthroplasty: a systematic review and meta-analysis.Frontiers in medicine · 2025Pooled it
- Is limited incision better than standard total hip arthroplasty? A meta-analysis.Clinical orthopaedics and related research · 2013Pooled it
- [Minimally invasive total hip arthroplasty - trend or state of the art?: A meta-analysis].Der Orthopade · 2011Pooled it
- Reduced patient restrictions following total hip arthroplasty: study protocol for a randomized controlled trial.Trials · 2015Trial
- Similar range of motion and function after resurfacing large-head or standard total hip arthroplasty.Acta orthopaedica · 2013Trial
- Pericapsular nerve group block combined with lateral femoral cutaneous nerve blockThe Korean journal of pain · 2026Article
- Direct visualization-guided PENG block (Pericapsular nerve Group): optimizing postoperative analgesia in total hip arthroplasty.Journal of orthopaedic surgery and research · 2026Article
- Early functional recovery outcomes and return to work after primary total hip arthroplasty: a novel patient reported outcomes questionnaire.Journal of orthopaedic surgery and research · 2024Article
- Comparison of outcomes after total hip arthroplasty between patients with osteonecrosis of the femoral head in Association Research Circulation Osseous stage III and stage IV: a five-year follow-up study.Journal of orthopaedic surgery and research · 2024Article
- Review
- Article
- Comparative Study Between the Mini-Open (≤2.5 Cm) Approach and Conventional Open Lateral Approach in the Surgical Treatment of Radial Head Fractures.Journal of pain research · 2022Article
- Impact of early mobilization on length of stay after primary total knee arthroplasty.Annals of translational medicine · 2019Article
- Peri-articular injection of an analgesic mixture in primary total hip arthroplasty: an effective strategy for pain control during the first post-operative day.International orthopaedics · 2018Article
- Impact of variation in physical activity after total joint replacement.Journal of pain research · 2018Article
- Preoperative education in hip and knee arthroplasty patients in Bloemfontein.The South African journal of physiotherapy · 2018Article
- Comparison of Lumbar Epidurals and Lumbar Plexus Nerve Blocks for Analgesia Following Primary Total Hip Arthroplasty: A Retrospective Analysis.The Journal of arthroplasty · 2017Article
- Low vitamin D status does not adversely affect short-term functional outcome after total hip arthroplasty.The Journal of arthroplasty · 2013Article
- [Clinical results of minimally invasive total hip arthroplasty].Der Orthopade · 2012Review
- What is the role of minimally invasive surgery in a fast track hip and knee replacement pathway?Annals of the Royal College of Surgeons of England · 2012Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledA wide variation exists in rehabilitation after total hip arthroplasty (THA) in part due to a paucity of evidence-based literature. We asked whether a minimally invasive surgical approach, a multimodal approach to pain control with revised anesthesia protocols, hip restrictions, or preoperative physiotherapy achieved a faster rehabilitation and improved immediate short-term outcome. We conducted a systematic review of 16 level I and II studies after a strategy-based search of English literature on OVID Medline, PubMed, CINAHL, Cochrane, and EMBASE databases. We defined the endpoint of assessment as independent ambulation and ability to perform activities of daily living. Literature supports the use of a multimodal pain control to improve patient compliance in accelerated rehabilitation. Multimodal pain control with revised anesthesia protocols and accelerated rehabilitation speeds recovery after minimally invasive THA compared to the standard approach THA, but a smaller incision length or minimally invasive approach does not demonstrably improve the short-term outcome. Available studies justify no hip restrictions following an anterolateral approach but none have examined the question for a posterior approach. Preoperative physiotherapy may facilitate faster postoperative functional recovery but multicenter and well-designed prospective randomized studies with outcome measures are necessary to confirm its efficacy. LEVEL OF EVIDENCE: Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.