Orthopaedics Unit, Department of Basic Medical Science, Neuroscience and Sensory Organs, School of Medicine, University of Bari "Aldo Moro", AOU Consorziale Policlinico, 70124 Bari, Italy.
Ph.D. Course in Public Health, Clinical Medicine and Oncology, University of Bari "Aldo Moro", Piazza Giulio Cesare 11, 70124 Bari, Italy.
Medicina (Kaunas). 2022 Nov 22;58(12):1702. doi: 10.3390/medicina58121702.
Sex and gender-related differences may influence the outcome of patients undergoing total hip arthroplasty (THA). The present paper aims to depict the importance of sex and gender-related issues in the perioperative management of patients undergoing THA to improve clinical outcomes and prevent postoperative complications. From January 2002 to August 2022, OVID-MEDLINE, EMBASE, SCOPU S, Web of Science, Google Scholar, and PubMed were searched to identify relevant studies for further analysis. The search strategy included the following terms: (("gender-related differences" [MeSH Terms] OR "sex-related differences" [All Fields]) OR ("gender indicators" [MeSH Terms] OR "sex" [All Fields])) AND ("total hip arthroplasty" [MeSH Terms] OR (total hip replacement [All Fields])). Twenty-eight papers were included in this current concepts review. Sex and gender-related differences were analyzed with regard to the following points: (1) surgical approach, robotic surgery, scar cosmesis, and implant choice; (2) postoperative clinical outcome and complications; (3) sexual activity after THA; and (4) psychological status and daily functional requirements. The data analysis showed that female patients need more specific attention in the preoperative, intraoperative, and postoperative phases to improve clinical and functional outcomes, reduce complications risk, and manage patient satisfaction. THA outcomes may be influenced by sex and gender-related factors which should be carefully assessed and addressed in patients undergoing surgery to improve the postoperative outcomes of patients' satisfaction and reduce postoperative complications that can differ between the two sexes.
性别相关差异可能影响接受全髋关节置换术 (THA) 的患者的结局。本文旨在描述性别相关问题在 THA 围手术期管理中的重要性，以改善临床结局并预防术后并发症。
从 2002 年 1 月至 2022 年 8 月，检索 OVID-MEDLINE、EMBASE、SCOPUS、Web of Science、Google Scholar 和 PubMed 以确定进一步分析的相关研究。搜索策略包括以下术语：(("性别相关差异"[MeSH 主题词]或"性相关差异"[所有字段])或("性别指标"[MeSH 主题词]或"性"[所有字段]))和("全髋关节置换术"[MeSH 主题词]或(全髋关节置换术[所有字段]))。
共有 28 篇论文被纳入本次概念综述。从以下几个方面分析了性别相关差异：(1)手术入路、机器人手术、疤痕美容和假体选择；(2)术后临床结局和并发症；(3)THA 后的性生活；(4)心理状态和日常功能需求。数据分析显示，女性患者在术前、术中和术后阶段需要更多的特殊关注，以改善临床和功能结局，降低并发症风险，并管理患者满意度。THA 结局可能受到性别相关因素的影响，在手术患者中应仔细评估和处理这些因素，以改善患者满意度和减少术后并发症，因为这些并发症在两性之间可能存在差异。
