Efficacy of naproxen prophylaxis for the prevention of heterotopic ossification after hip surgery: a meta-analysis

Abstract Background This meta-analysis aimed to assess whether the specific nonsteroidal anti-inflammatory drug (NSAID) naproxen has a role in reducing the occurrence of heterotopic ossification after hip surgery. Methods Potential studies were identified in the following electronic databases: PubMe...

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Main Authors: Ran Ma, Guan-Hong Chen, Liu-Jing Zhao, Xi-Cheng Zhai
Format: Article
Language:English
Published: BMC 2018-03-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13018-018-0747-8
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author Ran Ma
Guan-Hong Chen
Liu-Jing Zhao
Xi-Cheng Zhai
author_facet Ran Ma
Guan-Hong Chen
Liu-Jing Zhao
Xi-Cheng Zhai
author_sort Ran Ma
collection DOAJ
description Abstract Background This meta-analysis aimed to assess whether the specific nonsteroidal anti-inflammatory drug (NSAID) naproxen has a role in reducing the occurrence of heterotopic ossification after hip surgery. Methods Potential studies were identified in the following electronic databases: PubMed, EMBASE, Web of Science, Cochrane Library, and Google. We included studies involving hip surgery patients in which the intervention group received naproxen and the control group received placebo. The occurrence of heterotopic ossification and complications were the final outcomes. Stata 13.0 was used for the meta-analysis. Results Four randomized controlled trials (RCTs) involving 269 patients were ultimately included in this meta-analysis. The use of naproxen was associated with a significant reduction in the occurrence of heterotopic ossification at 1.5-, 3-, 6-, and 12-month follow-ups (P < 0.05). There was no significant difference in the occurrence of complications between treatment and control groups (P > 0.05). Conclusion Our analysis indicates that naproxen can decrease the occurrence of heterotopic ossification without increasing complications in hip surgery patients. Due to the limited number of studies included, more high-quality RCTs are needed to identify the optimal dose of naproxen.
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spelling doaj.art-037641c95900413f9dab574f848fa7062022-12-22T02:53:35ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-03-011311810.1186/s13018-018-0747-8Efficacy of naproxen prophylaxis for the prevention of heterotopic ossification after hip surgery: a meta-analysisRan Ma0Guan-Hong Chen1Liu-Jing Zhao2Xi-Cheng Zhai3Department of Orthopedics, Shanxian Central HospitalDepartment of Orthopedics, Shanxian Central HospitalDepartment of Orthopedics, Shanxian Central HospitalDepartment of Orthopedics, Shanxian Central HospitalAbstract Background This meta-analysis aimed to assess whether the specific nonsteroidal anti-inflammatory drug (NSAID) naproxen has a role in reducing the occurrence of heterotopic ossification after hip surgery. Methods Potential studies were identified in the following electronic databases: PubMed, EMBASE, Web of Science, Cochrane Library, and Google. We included studies involving hip surgery patients in which the intervention group received naproxen and the control group received placebo. The occurrence of heterotopic ossification and complications were the final outcomes. Stata 13.0 was used for the meta-analysis. Results Four randomized controlled trials (RCTs) involving 269 patients were ultimately included in this meta-analysis. The use of naproxen was associated with a significant reduction in the occurrence of heterotopic ossification at 1.5-, 3-, 6-, and 12-month follow-ups (P < 0.05). There was no significant difference in the occurrence of complications between treatment and control groups (P > 0.05). Conclusion Our analysis indicates that naproxen can decrease the occurrence of heterotopic ossification without increasing complications in hip surgery patients. Due to the limited number of studies included, more high-quality RCTs are needed to identify the optimal dose of naproxen.http://link.springer.com/article/10.1186/s13018-018-0747-8NaproxenHip surgeryHeterotopic ossificationMeta-analysis
spellingShingle Ran Ma
Guan-Hong Chen
Liu-Jing Zhao
Xi-Cheng Zhai
Efficacy of naproxen prophylaxis for the prevention of heterotopic ossification after hip surgery: a meta-analysis
Journal of Orthopaedic Surgery and Research
Naproxen
Hip surgery
Heterotopic ossification
Meta-analysis
title Efficacy of naproxen prophylaxis for the prevention of heterotopic ossification after hip surgery: a meta-analysis
title_full Efficacy of naproxen prophylaxis for the prevention of heterotopic ossification after hip surgery: a meta-analysis
title_fullStr Efficacy of naproxen prophylaxis for the prevention of heterotopic ossification after hip surgery: a meta-analysis
title_full_unstemmed Efficacy of naproxen prophylaxis for the prevention of heterotopic ossification after hip surgery: a meta-analysis
title_short Efficacy of naproxen prophylaxis for the prevention of heterotopic ossification after hip surgery: a meta-analysis
title_sort efficacy of naproxen prophylaxis for the prevention of heterotopic ossification after hip surgery a meta analysis
topic Naproxen
Hip surgery
Heterotopic ossification
Meta-analysis
url http://link.springer.com/article/10.1186/s13018-018-0747-8
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AT guanhongchen efficacyofnaproxenprophylaxisforthepreventionofheterotopicossificationafterhipsurgeryametaanalysis
AT liujingzhao efficacyofnaproxenprophylaxisforthepreventionofheterotopicossificationafterhipsurgeryametaanalysis
AT xichengzhai efficacyofnaproxenprophylaxisforthepreventionofheterotopicossificationafterhipsurgeryametaanalysis