Evidence map›Paper›PMID 28464754›Full record

Trial reportActa orthopaedica2017

Patient-reported outcome after total hip arthroplasty: comparison between lateral and posterior approach.

Signe Rosenlund, Leif Broeng, Anders Holsgaard-Larsen, Carsten Jensen, Søren Overgaard

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Acta orthopaedica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07226973 (A Prospective, Single-Blinded, Partially Randomized Three-Cohort Study Comparing Manual Direct Anterior and Manual Posterior Approaches to a Non-Randomized Robotic Posterior Cohort for Total Hip Arthroplasty Using Gait Analysis), which is not on this map. Cited by 34 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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.

NCT07226973 narecruitingnot on this mapstarted 2025, after this paper: background citation

A Prospective, Single-Blinded, Partially Randomized Three-Cohort Study Comparing Manual Direct Anterior and Manual Posterior Approaches to a Non-Randomized Robotic Posterior Cohort for Total Hip Arthroplasty Using Gait Analysis

TypeinterventionalSponsorOchsner Health SystemRan2025 to 2027Enrolled48ConditionsOsteoarthritis (OA) of the HipArmsTotal hip arthroplasty via direct anterior approach (manual, non-robotic), Total hip arthroplasty via posterior approach (manual, non-robotic), Robotic-assisted total hip arthroplasty via posterior approach
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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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

5 authors.

Signe Rosenlunda Department of Orthopaedic Surgery and Traumatology , Odense University Hospital and Institute of Clinical Research, University of Southern Denmark , Odense.
Leif Broengb Department of Orthopaedic Surgery and Traumatology , Zealand University Hospital , Køge , Denmark.
Anders Holsgaard-Larsena Department of Orthopaedic Surgery and Traumatology , Odense University Hospital and Institute of Clinical Research, University of Southern Denmark , Odense.
Carsten Jensena Department of Orthopaedic Surgery and Traumatology , Odense University Hospital and Institute of Clinical Research, University of Southern Denmark , Odense.
Søren Overgaarda Department of Orthopaedic Surgery and Traumatology , Odense University Hospital and Institute of Clinical Research, University of Southern Denmark , Odense.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - Criticism of the lateral approach (LA) for hip arthroplasty is mainly based on the risk of poor patient-reported outcomes compared to the posterior approach (PA). However, there have been no controlled studies comparing patient-reported outcomes between them. In this randomized controlled trial, we tested the hypothesis that patient-reported outcomes are better in patients who have undergone total hip arthroplasty (THA) with PA than in those who have undergone THA with LA, 12 months postoperatively. Patients and methods - 80 patients with hip osteoarthritis (mean age 61 years) were randomized to THA using PA or the modified direct LA. We recorded outcome measures preoperatively and 3, 6, and 12 months postoperatively using the Hip Disability and Osteoarthritis Outcome Score-Physical Function Short Form (HOOS-PS) as the primary outcome. Secondary outcomes were HOOS-Pain, HOOS-Quality-Of-Life, EQ-5D, UCLA Activity Score, and limping. Results - We found no statistically significant difference in the improvements in HOOS-PS between the treatment groups at 12-month follow-up. All secondary outcomes showed similar results except for limping, where PA patients improved significantly more than LA patients. Interpretation - Contrary to our hypothesis, patients treated with PA did not improve more than patients treated with LA regarding physical function, pain, physical activity, and quality of life 12 months postoperatively. However, limping was more pronounced in the LA patients.

Indexed as

AgedArthroplasty, Replacement, HipDouble-Blind MethodExerciseFemaleFollow-Up StudiesGaitHumansMaleMiddle AgedOsteoarthritis, HipPain MeasurementPatient Reported Outcome MeasuresQuality of LifeRecovery of FunctionSeverity of Illness Index

Identifiers

PMID28464754
PMCPMC5434589

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.