Table 2.
Wound healing, cosmesis, and functional outcomes of included studies.
| Author, y | Follow-up (mo) | Would healing & scar cosmesis | Functional hip outcome |
|---|---|---|---|
| Leunig et al., 2013 [12] | 6 | NRS: similar between groups | WOMAC: similar scores; |
| Objective evaluation: narrower (P = .002) and shorter (P = .009) scars in bikini group. | OHS: similar scores (longitudinal 19.4 vs bikini 16.9; P = .240); | ||
| UCLA: similar scores (longitudinal 6.4 vs bikini 6.2; P = .516). | |||
| Leunig et al., 2018 [9] | 24-48 | UNC4P: lower mean total score in bikini group (P = .01); | OHS: similar between groups (longitudinal 45.3 ± 5.1 vs bikini 46.1 ± 3.9; P = .41). |
| Scar cosmesis: higher rate of “very satisfied” patients in the bikini group (P < .001). | |||
| Manrique et al., 2019 [17] | 6 | PSAS or the Vancouver scale: similar between groups. | NR |
| Menzies-Wilson et al., 2020 [18] | 6-24 | NR | OHS: lower in bikini group at 6 mo (longitudinal 36.2 ± 5.66 vs bikini 32.9 ± 4.56; P < .001); |
| Overall change in OHS: similar between groups at 6 mo. | |||
| Rüdiger et al., 2020 [19] | 3 | NR | NR |
| Sang et al., 2021 [16] | 6 | NR | NR |
| Wang et al., 2021a [20] | 3 | NR | OHS: |
| 1 mo (longitudinal 32.8 ± 4.1 vs bikini 31.7 ± 4.4), | |||
| 3 mo (longitudinal 43.1 ± 3.4 vs bikini 41.3 ± 4.3); | |||
| UCLA: | |||
| 1 mo (longitudinal 4.6 ± 0.8 vs bikini 4.8 ± 0.9), | |||
| 3 mo (longitudinal 6.2 ± 0.7 vs bikini 6.2 ± 0.5). | |||
| Wang et al., 2021b [21] | 6 | SCAR score: lower in bikini group (longitudinal 9.3 ± 2.0 vs bikini incision 7.4 ± 1.8; P < .001) | OHS: similar between groups (longitudinal vs bikini) |
| Satisfaction: higher in bikini group (longitudinal 38%, 19/50 vs bikini 63.3%, 31/40; P = .013). | 1 mo (32.3 ± 4.2 vs 32.1 ± 4.7; P = .880), 3 mo (42.2 ± 4.1 vs 42.0 ± 4.4; P = .854) |
||
| 6 mo (45.8 ± 1.6 vs 46.2 ± 1.1; P = .222) | |||
| UCLA: similar between groups (longitudinal vs bikini) | |||
| 1 mo (4.6 ± 0.8 vs 4.6 ± 0.6; P = .991) | |||
| 3 mo (6.2 ± 0.6 vs 6.1 ± 0.5; P = .836) | |||
| 6 mo (6.8 ± 0.7 vs 7.0 ± 0.5; P = .283) |
HHS, Harris Hip score; NR, not reported; NRS, Numeric Rating Scale; PSAS, Patient and Observer Scar Assessment Scale; SCAR, Scar cosmesis assessment & rating scale; UNC4P, The University of North Carolina “4P” scar scale.