SynthesisJournal of orthopaedic surgery and research2020
Transosseous versus transmuscular repair of the posterior soft tissue in primary hip arthroplasty: a meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Optimizing initial biomechanical strength ("Time Zero") of posterior repair in total hip arthroplasty: a biomechanical comparison of suture materials and knot configurations.Archives of orthopaedic and trauma surgery · 2026Article
- Article
- 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
- 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
- Does total hip arthroplasty result in intercostal nerve injury? A case report and literature review.Open medicine (Warsaw, Poland) · 2023Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDuring the posterior approach, it has been shown that a significant reduction in dislocation rate can be achieved with the repair of the posterior soft tissue. However, no consensus exists about the best way to perform this repair. This review aimed to compare the transosseous with transmuscular repair of the posterior soft tissue in total hip arthroplasty (THA).
methodsWe conducted a meta-analysis to identify studies involving transosseous versus transmuscular repair of the posterior soft tissue in THA in electronic databases, including Web of Science, Embase, PubMed, Cochrane Controlled Trials Register, Cochrane Library, Highwire, CBM, CNKI, VIP, Wanfang database, up to July 2020. Finally, we identified 1417 patients (1481 hips) assessed in seven studies.
resultsCompared with transmuscular repair, transosseous repair resulted in less incidence of dislocation (P = 0.003), less blood loss during operation (P < 0.00001) and lower VAS score within 3 months (P = 0.02). There were no significant differences in terms of trochanteric fracture rate (P = 0.56), Harris hip score at 3 months (P = 0.35) and 6 months (P = 0.89), VAS score within 6 months (P = 0.53), and operation time (P = 0.70) between two groups.
conclusionThe lower dislocation rate, less blood loss, and lower VAS scores after operation supported transosseous repair's superiority to transmuscular repair. Besides, no additional medical cost and operating time were associated with transosseous repair compared with transmuscular repair. Hence, we recommend that transosseous repair be chosen first by orthopedists when performing reconstruction of the posterior soft tissue in THA via a posterolateral approach. Given the relevant possible biases in our meta-analysis, we required more adequately powered and better-designed RCT studies with long-term follow-up to reach a firmer conclusion.
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