Trial reportActa orthopaedica2016
Muscular strength after total hip arthroplasty. A prospective comparison of 3 surgical approaches.
Trial report in Acta orthopaedica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01506024 (Minimal Invasive Surgery in Total Hip Arthroplasty Patients; Short- and Long Term Results), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.
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.
Minimal Invasive Surgery in Total Hip Arthroplasty Patients; Short- and Long Term Results
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Gait and function after total hip arthroplasty: a systematic review and meta-analysis of the Hardinge versus posterolateral approaches.BMC musculoskeletal disorders · 2026Pooled it
- A systematic review and meta-analysis of the hip capsule innervation and its clinical implications.Scientific reports · 2021Pooled it
- Increased Muscle Strength Limits Postural Sway During Daily Living Activities in Total Hip Arthroplasty Patients.American journal of physical medicine & rehabilitation · 2020Trial
- A randomized controlled trial on maximal strength training in 60 patients undergoing total hip arthroplasty.Acta orthopaedica · 2018Trial
- Effectiveness of Adapted Physical Activity on Quality of Life of Patients with Knee and Hip Replacement: A Randomized Pilot Study.Healthcare (Basel, Switzerland) · 2025Article
- Comparison of Anterior and Posterior Surgical Approaches in Total Hip Arthroplasty: Effect on Self-Reported and Functional Outcomes.Journal of clinical medicine · 2025Article
- Enhancing recovery: surgical techniques and rehabilitation strategies after direct anterior hip arthroplasty.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Review
- Review
- Effect of an exercise intervention targeting hip strengthening in patients undergoing revision total hip replacement-A study protocol for a multicenter randomized controlled trial.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2024Article
- Recovery of muscular tissue and functional results of patients treated with a gluteus maximus flap transfer due to chronic abductor deficiency after total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Rapid Return to Braking After Anterior and Posterior Approach Total Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Stem Design in Total Hip Arthroplasty Influences Ipsilateral Knee Valgus: A Retrospective Comparative Analysis of 2953 Cases.Journal of clinical medicine · 2023Article
- Surgical approach had minor association with femoral stem migration in total hip arthroplasty: radiostereometric analysis of 61 patients after 5-year follow-up.Acta orthopaedica · 2023Article
- Investigating the correlation between hip abductor muscle strength and width in anteroposterior pelvic radiographs in hip revision candidates following previous total hip arthroplasty: a cross-sectional study.Annals of medicine and surgery (2012) · 2023Article
- Blood Flow Restriction Enhances Rehabilitation and Return to Sport: The Paradox of Proximal Performance.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Compensation claims after hip arthroplasty surgery in Norway 2008-2018.Acta orthopaedica · 2021Article
- Persisting inter-limb differences in patients following total hip arthroplasty four to five years after surgery? A preliminary cross-sectional study.BMC musculoskeletal disorders · 2021Article
- Article
- Are physical therapy pain levels affected by surgical approach in total hip arthroplasty? A randomized controlled trial.Orthopedic reviews · 2020Article
- No Threshold Exists for Recommending Revision Surgery in Metal-on-Metal Hip Arthroplasty Patients With Adverse Reactions to Metal Debris: A Retrospective Cohort Study of 346 Revisions.The Journal of arthroplasty · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeMinimizing the decrease in muscular strength after total hip arthroplasty (THA) might allow patients to recover faster. We evaluated muscular strength in patients who were operated on using 3 surgical approaches. PATIENTS AND METHODs: In a prospective cohort study, 60 patients scheduled for primary THA were allocated to the direct lateral, posterior, or anterior approach. Leg press and abduction strength were evaluated 2 weeks or less preoperatively, 2 and 8 days postoperatively, and at 6-week and 3-month follow-up.
resultsDifferences in maximal strength change were greatest after 2 and 8 days. The posterior and anterior approaches produced less decrease in muscular strength than the direct lateral approach. 6 weeks postoperatively, the posterior approach produced greater increase in muscular strength than the direct lateral approach, and resulted in a greater increase in abduction strength than the anterior approach. At 3-month follow-up, no statistically significant differences between the groups were found. The operated legs were 18% weaker in leg press and 15% weaker in abduction than the unoperated legs, and the results were similar between groups.
interpretationThe posterior and anterior approaches appeared to have the least negative effect on abduction and leg press muscular strength in the first postoperative week; the posterior approach had the least negative effect, even up to 6 weeks postoperatively. THA patients have reduced muscle strength in the operated leg (compared to the unoperated leg) 3 months after surgery.
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