Trial reportInternational orthopaedics2018
The incidence of hip dislocation and suture failure according to two different types of posterior soft tissue repair techniques in total hip arthroplasty: a prospective randomized controlled trial.
Trial report in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Gait and function after total hip arthroplasty: a systematic review and meta-analysis of the Hardinge versus posterolateral approaches.BMC musculoskeletal disorders · 2026Pooled it
- The role of the femoral component orientation on dislocations in THA: a systematic review.Archives of orthopaedic and trauma surgery · 2022Pooled it
- A systematic review and meta-analysis of the hip capsule innervation and its clinical implications.Scientific reports · 2021Pooled it
- Transosseous versus transmuscular repair of the posterior soft tissue in primary hip arthroplasty: a meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- Durability of transosseous repair of posterior soft tissues after primary total hip arthroplasty: a prospective randomized controlled trial.Archives of orthopaedic and trauma surgery · 2024Trial
- Using mesh in capsule anatomical reconstruction to enhance the stability of high-dislocation-risk hip arthroplasty: a randomized controlled trial.Journal of orthopaedic surgery and research · 2023Trial
- Bony Path Assisted Suturing and Tendon-to-Tendon Suturing Technique for External Rotator Repair After Hip Arthroplasty: A Randomized-Controlled Trial.Indian journal of orthopaedics · 2026Article
- Use of soft tissue repair as a hip dislocation preventive strategy following a total hip arthroplasty by posterior and posterolateral approach in patients with osteoarthritis: a systematic scoping review.Journal of orthopaedic surgery and research · 2025Article
- Surgical technique: a simple technique for closing the capsule of the hip in posterolateral approach total hip arthroplasty.BMC musculoskeletal disorders · 2025Article
- Article
- Posterior Approach and Inferior Capsulotomy in Bipolar Hemiarthroplasty for Femoral Neck Fractures: Comparison with Superior Capsulotomy.Clinics in orthopedic surgery · 2024Article
- The Use of Barbed Sutures in Total Hip Arthroplasty: A Systematic Review on Clinical-Surgical Outcomes, Costs, and Complications.Healthcare (Basel, Switzerland) · 2024Review
- The incidence of hip dislocation after posterior approach primary total hip arthroplasty: comparison of two different posterior repair techniques.Archives of orthopaedic and trauma surgery · 2023Article
- Article
- A Specific Capsular Repair Technique Lowered Early Dislocations in Primary Total Hip Arthroplasty Through a Posterior Approach.Arthroplasty today · 2020Article
- Overview of Randomized Controlled Trials in Primary Total Hip Arthroplasty (34,020 Patients): What Have We Learnt?Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2020Review
- Modified osteotomy of posterolateral overhanging part of the trochanter via posterior approach for hip arthroplasty: an anatomical study.BMC musculoskeletal disorders · 2020Article
- The incidence of hip dislocation and suture failure according to two different types of posterior soft tissue repair techniques in total hip arthroplasty: a prospective randomized controlled trial: several questions.International orthopaedics · 2018Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough the posterolateral approach for hip arthroplasty is popular and has numerous advantages, it has been known to have a propensity for dislocation. The repair of short external rotator muscles with capsule is important for reducing dislocation. The purpose of this study is to investigate the incidence of suture failure, dislocation, and time to failure for two repair techniques for posterior soft tissue repair during total hip arthroplasty.
methodsIn this study of 167 total hip arthroplasties in 159 patients, we reattached the short external rotator tendon with posterior capsule to the greater trochanter transosseously (tendon-to-bone, 87 hips) or the gluteus medius tendon (tendon-to-tendon, 80 hips). Radiopaque markers were attached to each suture side < 1.2 cm apart. The distance between the markers was radiographically measured at variable time points postoperatively. Failure was defined by a distance between markers of ≥ 2.5 cm or marker invisibility. The mean follow-up period was 28.8 (12-45) months.
resultsSuture failure was observed less frequently in the tendon-to-bone group (18.4%) than in the tendon-to-tendon group (65%; p < 0.001). Failure mostly occurred within two weeks post-operatively: 93.8% for tendon-to-bone repair (p < 0.001) and 90.4% for tendon-to-tendon repair (p = 0.025). The dislocation rate was significantly higher in the tendon-to-tendon group (7. vs 1.1%; p = 0.041). A significant correlation was observed between suture failure and dislocation (p = 0.013).
conclusionsTendon-to-bone repair is superior to tendon-to-tendon repair based on lower suture failure and dislocation rates.
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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.