Meta-Analysis
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jan 18, 2024; 15(1): 73-93
Published online Jan 18, 2024. doi: 10.5312/wjo.v15.i1.73
Which approach of total hip arthroplasty is the best efficacy and least complication?
Lertkong Nitiwarangkul, Natthapong Hongku, Oraluck Pattanaprateep, Sasivimol Rattanasiri, Patarawan Woratanarat, Ammarin Thakkinstian
Lertkong Nitiwarangkul, Oraluck Pattanaprateep, Sasivimol Rattanasiri, Ammarin Thakkinstian, Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand
Lertkong Nitiwarangkul, Orthopaedics Surgery, Police General Hospital, Bangkok 10330, Thailand
Natthapong Hongku, Department of Orthopaedics, Faculty of Medicine Vajira Hospital, Navamindrahiraj University, Bangkok 10300, Thailand
Patarawan Woratanarat, Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand
Author contributions: Thakkinstian A and Woratanarat P contributed to acquisition of conception and design of the study; Hongku N contributed to acquisition of content knowledge approval; Nitiwarangkul L and Hongku N contributed to update searching; Nitiwarangkul L contributed to acquisition of data retrieval, analysis, and interpretation; Rattanasiri S contributed to acquisition of statistical analysis; Nitiwarangkul L and Woratanarat P drafted the article; Pattanaprateep O, Rattanasiri S, Thakkinstian A, and Woratanarat P critically revised the manuscript; and all authors have read and approve the final manuscript.
Conflict-of-interest statement: The authors deny any conflict of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2020 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Patarawan Woratanarat, MD, PhD, Professor, Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Ratchathewi, Bangkok 10400, Thailand. pataraw@yahoo.com
Received: November 18, 2023
Peer-review started: November 18, 2023
First decision: December 7, 2023
Revised: December 20, 2023
Accepted: December 29, 2023
Article in press: December 29, 2023
Published online: January 18, 2024
Processing time: 58 Days and 16.8 Hours
Core Tip

Core Tip: Total hip arthroplasty (THA) is as an effective intervention to relieve pain and improve hip function. Many minimally invasive surgeries have been proposed to preserve soft tissue and promote early recovery. Direct anterior approach and direct superior approach, the most popular and the newest technique, respectively have been explored about pros and cons to compare with previous conventional techniques. The results are still inconclusive. This is the first umbrella review that has included all systematic reviews and meta-analysis comparing the efficacy and complications among approaches of THA for patients in term of post-operative functional score and post-operative complications.