Evidence map›Paper›PMID 33386978›Full record

ArticleArchives of orthopaedic and trauma surgery2022

Anterolateral minimally invasive hip approach offered faster rehabilitation with lower complication rates compared to the minimally invasive posterior hip approach-a University clinic case control study of 120 cases.

Marko Ostojić, David Kordić, Goran Moro, Zdenko Ostojić

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Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Marko OstojićDepartment of Orthopaedics and Traumatology, University Hospital Mostar, Bijeli brijeg bb, 88000, Mostar, Bosnia and Herzegovina. marko.ostojic@ymail.com.
David KordićDepartment of Orthopaedics and Traumatology, University Hospital Mostar, Bijeli brijeg bb, 88000, Mostar, Bosnia and Herzegovina.
Goran MoroDepartment of Orthopaedics and Traumatology, University Hospital Mostar, Bijeli brijeg bb, 88000, Mostar, Bosnia and Herzegovina.
Zdenko OstojićDepartment of Orthopaedics and Traumatology, University Hospital Mostar, Bijeli brijeg bb, 88000, Mostar, Bosnia and Herzegovina.
University Clinical Hospital Mostar · BA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe surgical approach used in total hip arthroplasty (THA) has been identified as a factor affecting the outcome. In our University Hospital, the posterior surgical approach is the gold standard. The Rottinger approach is an anterolateral approach which is truly minimally invasive, as it does not vertically cut any muscle fibers. The objective of this study was to determine the difference in surgical outcomes between the posterior hip approach and the Rottinger approach which was newly adopted at our Hospital.

methodsIn a retrospective study, a total of 120 patients underwent THA; 60 patients using the Rottinger approach by the young consultant surgeon and another 60 patients using the standard posterior approach by the senior orthopaedic surgeon. Patients have been controlled for age, gender, and ASA grades. All preoperative demographic data showed no significant difference between the control and study groups. The following parameters were analyzed: incision length, duration of the surgery, intraoperative blood loss, WOMAC index, Harris Hip Score, range of motion at 3 and 12 months after surgery, time of quitting the crutches, and willingness for the contralateral hip arthroplasty.

resultsWOMAC index, surgical time, and incision lengths have been without significant difference in both approaches. Intraoperative blood loss was significantly lower in the Rottinger group (CI:  - 10.903,  - 0.064). Harris Hip score was significantly higher (CI: 4.564, 12.973) in the Rottinger group at 3 months, but similar (CI:  - 3.484, 2.134) at 12 months follow-up. At 3 months, active flexion and extension were significantly higher in the Rottinger group (CI: 0.595, 8.239; 2.487, 4.480, respectively), and active abduction and passive adduction (CI:  - 5.662,  - 0.338;  - 6.290,  - 1.410, respectively) in the posterior approach group. Patients in the Rottinger approach group on average quit crutches 3 weeks earlier and had no postoperative dislocations compared to 2 dislocations in the control group.

conclusionThe Rottinger approach offered faster rehabilitation with less need for crutches and with lower complication rates.

Indexed as

Arthroplasty, Replacement, HipBlood Loss, SurgicalCase-Control StudiesHumansMinimally Invasive Surgical ProceduresRetrospective StudiesTreatment OutcomeHip arthroplastyHip arthroplasty approachMinimally invasive surgeryPosterior approachRottinger approach

Identifiers

PMID33386978
OpenAlexW3118015693

What OpenQuestion holds

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Registered trials

None linked

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.