Key result
A systematic review of 5 studies concluded that measuring serum creatine kinase provides an objective assessment of muscle damage and surgical invasiveness following total hip arthroplasty.
Why the study?
The study was conducted to evaluate postoperative serum creatine kinase levels to determine whether the direct anterior approach is less invasive than the posterior approach regarding postoperative rehabilitation.
Does the direct anterior approach compared to the posterior approach reduce postoperative serum creatine kinase levels in patients undergoing total hip arthroplasty?
Systematic Review (n=5)
Does the direct anterior approach compared to the posterior approach reduce postoperative serum creatine kinase levels in patients undergoing total hip arthroplasty?
Measuring serum creatine kinase provides an objective method to determine the relative invasiveness and muscle damage of different surgical approaches in total hip arthroplasty.
Answers are grounded in this paper and cite their sources.
Serum CK may gauge THA approach invasiveness; leaves open whether DAA is less invasive than PA.
Background : Some studies reported that measuring serum creatine kinase (CK) level is an objective method with which to determine the relative invasiveness of surgery. The purpose of this study was to evaluate the change in postoperative serum CK levels as a measure of whether the direct anterior approach (DAA) is less invasive than the posterior approach (PA) regarding postoperative rehabilitation. Objective : This article presents a literature review regarding changes in serum creatine kinase in patients after total hip arthroplasty. Method : Descriptive research with a qualitative approach, systematic literature review study. Researchgate, Google Scholar and ScienceDirect searches reviewed changes in serum creatine kinase in patients after total hip arthroplasty. A total of 5 studies conducted between 2019-2023 were included in this review. Results : A total of 42,890 titles were identified and found 5 studies that met the requirements/criteria which discussed changes in serum creatine kinase in patients after total hip arthroplasty. Conclusions : We analyzed biochemical markers of muscle damage in patients treated with total hip arthroplasty with minimally invasive and standard posterolateral approach to providing objective evidence of the local soft-tissue injury at the time of arthroplasty. The objective measurement of muscle damage marker provides an unbiased way of determining the immediate effects of surgical intervention in patients treated with total hip arthroplasty.
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Bhisma Dewabratha (2023) conducted a systematic review in Total hip arthroplasty (n=5). Direct anterior approach (DAA) / minimally invasive approach vs. Posterior approach (PA) / standard posterolateral approach was evaluated on Changes in postoperative serum creatine kinase (CK) levels. A systematic review of 5 studies concluded that measuring serum creatine kinase provides an objective assessment of muscle damage and surgical invasiveness following total hip arthroplasty.
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