ReviewAnnals of the Royal College of Surgeons of England2012
What is the role of minimally invasive surgery in a fast track hip and knee replacement pathway?
Review in Annals of the Royal College of Surgeons of England, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06239649 (The Effect of RF Genicular Nerve Block Applied in the Preoperative Period on Fast-track Total Knee Arthroplasty), which is not on this map. Cited by 15 papers.
What it found
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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.
The Effect of RF Genicular Nerve Block Applied in the Preoperative Period on Fast-track Total Knee Arthroplasty
Who cites it
15 citing papers in PubMed.
- [Fast-Track-Arthroplasty].Orthopadie (Heidelberg, Germany) · 2024Trial
- Replacement and Revision Hip and Knee Surgery Projections up to the Year 2060: An Analysis Based on Data from the Romanian Arthroplasty Register.Medicina (Kaunas, Lithuania) · 2026Article
- Review
- Are Routine Postoperative Hemoglobin Tests Justified in All Patients Who Undergo Total Hip Arthroplasty Due to a Displaced Femoral Neck Fracture?Journal of clinical medicine · 2024Article
- Cementless total hip arthroplasty with anatomic-shaped implants. Does the minimal invasive anterolateral technique influence the stem position or subsidence in contrast to the standard lateral approach?Archives of orthopaedic and trauma surgery · 2022Article
- [Perioperative management in fast-track arthroplasty].Der Orthopade · 2022Review
- [Fast track in hip and knee arthroplasty].Der Orthopade · 2021Article
- Blood management in fast-track orthopedic surgery: an evidence-based narrative review.Journal of orthopaedic surgery and research · 2019Review
- [Fast track strategies in hip arthroplasty].Der Orthopade · 2019Review
- [Research status of the enhanced recovery after surgery in the geriatric hip fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Article
- Minimally invasive total knee replacement: techniques and results.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Review
- Fast track in hip arthroplasty.EFORT open reviews · 2017Article
- An evidence-based review of enhanced recovery interventions in knee replacement surgery.Annals of the Royal College of Surgeons of England · 2013Review
- Peri-operative interventions producing better functional outcomes and enhanced recovery following total hip and knee arthroplasty: an evidence-based review.BMC medicine · 2013Review
- Standard Transgluteal versus Minimal Invasive Anterior Approach in hip Arthroplasty: A Prospective, Consecutive Cohort Study.Orthopedic reviews · 2013Article
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
introductionMinimally invasive hip and knee replacement surgery (MIS) continues to receive coverage in both the popular press and scientific literature. The cited benefits include a smaller scar, less soft tissue trauma, faster recovery, reduced hospital stay, decreased blood loss and reduced post-operative pain. These outcomes are highly desirable and consistent with the aims of fast track hip and knee pathways. This paper evaluates the literature and discusses whether performing MIS over conventional surgical techniques offers advantages in a fast track hip and knee pathway.
methodsAn English language literature search was performed using the MEDLINE and PubMed databases. Case series, randomised controlled trials and systematic reviews were included in the review.
resultsThe reported improvements in recovery brought about by MIS must be considered multifactorial. In combination with improved clinical pathways, MIS can be associated with quicker recovery and shorter length of hospital stay.
conclusionsThere is insufficient evidence to indicate that surgical technique alone makes a significant difference to recovery or reduces soft tissue trauma. No consensus on whether to use MIS techniques in fast track hip and knee replacement pathways can therefore be drawn. This is especially important given that the complication rates of MIS in the low to medium volume surgeon appear unacceptably high compared with standard approaches. It is also too early to assess the long-term effects of MIS on implant survival.
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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.