Table 3.
Clinical results | No. of trials | No. of participants | MD/RD | 95% CI | P value | Heterogeneity I2 | Model | ||
---|---|---|---|---|---|---|---|---|---|
Flexion | Extension | Total | |||||||
Total blood loss | |||||||||
LH group | 4 | 153 | 153 | 306 | − 185.44a | − 211.59 to − 159.29 | < 0.00001 | 43 | Fixed |
LM group | 3 | 228 | 211 | 439 | − 112.76a | − 208.26 to − 17.15 | 0.02 | 77* | Random |
SH group | 3 | 204 | 210 | 414 | − 245.45a | − 419.93 to − 70.96 | 0.006 | 88* | Random |
Hidden blood loss | |||||||||
LH group | 3 | 123 | 123 | 246 | − 95.77a | − 138.21 to − 53.32 | < 0.00001 | 85* | Random |
LM group | 3 | 228 | 211 | 439 | − 83.70a | − 186.28 to 18.88 | 0.11 | 98* | Random |
SH group | 2 | 80 | 80 | 160 | − 196.35a | − 259.06 to − 133.64 | < 0.00001 | 87* | Random |
Blood transfusion requirement | |||||||||
LH group | 6 | 232 | 229 | 461 | − 0.08b | − 0.14 to − 0.03 | 0.003 | 40 | Fixed |
LM group | 2 | 70 | 70 | 140 | 7.00b | 4.77 to 9.23 | 0.02 | 0 | Fixed |
SH group | 2 | 84 | 84 | 168 | 0.02b | − 0.07 to 0.12 | 0.62 | 0 | Fixed |
ROM (1 week after operation) | |||||||||
LH group | 1 | 30 | 30 | 60 | 13.00 | 9.42 to16.58 | < 0.00001 | NA | – |
LM group | 4 | 258 | 241 | 499 | 4.75a | 3.10 to 6.40 | < 0.00001 | 43 | Fixed |
SH group | 3 | 205 | 208 | 413 | 2.63a | − 2.80 to 8.06 | 0.34 | 93* | Random |
DVT | |||||||||
LH group | 6 | 232 | 229 | 461 | 0.00b | − 0.02 to 0.02 | 1 | 0 | Fixed |
LM group | 4 | 258 | 241 | 499 | 0.00b | − 0.02 to 0.02 | 1 | 0 | Fixed |
SH group | 4 | 175 | 179 | 354 | 0.00b | − 0.03 to 0.03 | 0.98 | 0 | Fixed |
Wound-related infection | |||||||||
LH group | 6 | 232 | 229 | 461 | 0.01b | − 0.03 to 0.05 | 0.67 | 0 | Fixed |
LM group | 3 | 204 | 187 | 391 | 0.00b | − 0.02 to 0.02 | 1 | 0 | Fixed |
SH group | 4 | 224 | 230 | 454 | − 0.00b | − 0.03 to 0.02 | 0.74 | 0 | Fixed |
Data in italics indicate a statistically significant P value
Abbreviations: LH long-term (≥ 24 h) high flexion (> 30°), LM long-term (≥ 24 h) mild flexion (≤ 30°), SH short-term (< 24 h) high flexion (> 30°), CI confidence interval, NA not applicable
*Heterogeneity was statistically significant
aMean difference (MD)
bRisk difference (RD)