ArticleInternational orthopaedics2015
Comparative retrospective study of the direct anterior and transgluteal approaches for primary total hip arthroplasty.
Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06538519 (Gait Analysis and Clinical Outcomes of Anterior and Lateral Approach Total Hip Arthroplasty. A Prospective Randomized Study.), which is not on this map. Cited by 27 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Gait Analysis and Clinical Outcomes of Anterior and Lateral Approach Total Hip Arthroplasty. A Prospective Randomized Study.
Who cites it
27 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Evaluation of Comparative Efficacy and Safety of Surgical Approaches for Total Hip Arthroplasty: A Systematic Review and Network Meta-analysis.JAMA network open · 2023Pooled it
- Comparative outcomes between collared versus collarless and short versus long stem of direct anterior approach total hip arthroplasty: a systematic review and indirect meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Pooled it
- Comparison of direct anterior, lateral, posterior and posterior-2 approaches in total hip arthroplasty: network meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Pooled it
- Comparison of Direct Anterior and Lateral Approaches in Total Hip Arthroplasty: A Systematic Review and Meta-Analysis (PRISMA).Medicine · 2015Pooled it
- Do Postoperative Results Differ in a Randomized Trial Between a Direct Anterior and a Direct Lateral Approach in THA?Clinical orthopaedics and related research · 2019Trial
- Trial
- A prospective randomized comparison of the minimally invasive direct anterior and the transgluteal approach for primary total hip arthroplasty.BMC musculoskeletal disorders · 2018Trial
- Transitioning to the direct anterior approach in total hip arthroplasty. Is it a true muscle sparing approach when performed by a low volume hip replacement surgeon?International orthopaedics · 2017Trial
- No differences between direct anterior and lateral approach for primary total hip arthroplasty related to muscle damage or functional outcome.International orthopaedics · 2016Trial
- Observational
- Article
- In primary total hip arthroplasty, the direct anterior approach leads to higher levels of creatine kinase and lower levels of C-reactive protein compared to the posterolateral approach: a propensity score matching analysis of short-term follow-up data.Journal of orthopaedic surgery and research · 2023Article
- The compared study about femoral stem malalignment with or without the special curved rasp during DAA total hip arthroplasty.BMC musculoskeletal disorders · 2023Article
- Changes in Invasiveness and Latent Infection Rate Associated with Switching the Approach in Total Hip Replacement.Clinical medicine insights. Arthritis and musculoskeletal disorders · 2021Article
- Revision Arthroplasty Through the Direct Anterior Approach Using an Asymmetric Acetabular Component.Journal of clinical medicine · 2020Article
- Does surgical approach influence mid- to long-term patient-reported outcomes after primary total hip replacement? A comparison of the 3 main surgical approaches.Canadian journal of surgery. Journal canadien de chirurgie · 2020Article
- Function and activity after minimally invasive total hip arthroplasty compared to a healthy population.International orthopaedics · 2018Article
- The Mayo conservative hip: complication analysis and management of the first 41 cases performed at a University level 1 department.BMC musculoskeletal disorders · 2017Article
- Röttinger approach with dual-mobility cup to improve functional recovery in hip osteoarthritis patients: biomechanical and clinical follow-up.International orthopaedics · 2017Article
- Safety in early experience with a direct anterior approach using fluoroscopic guidance with manual leg control for primary total hip arthroplasty: a consecutive one hundred and twenty case series.International orthopaedics · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe presented retrospective study compares clinical outcomes five years after total hip arthroplasty performed through a minimally invasive direct anterior approach and a direct transgluteal lateral approach.
methodsA total of 171 arthroplasties in 167 patients were evaluated utilizing the Harris hip score (HHS), the SF-36, a daily activity questionnaire, and the UCLA activity score.
resultsThe average HHS showed no significant difference equalling 91.4 points in the anterior group and 92.4 in the lateral group (p = 0.952). The SF-36 physical component scores were 50.7 (anterior) and 50.0 (lateral) while the psychometric properties added up to 48.6 (anterior) and 50.3 (lateral) with no significant differences evident (p = 0.782, p = 0.071). Daily activity was found to result in 4,855 (anterior) and 5,016 (lateral) cycles, respectively (p = 0.364). No difference regarding pain sensation was determined (p = 0.859). A significant difference was found for the UCLA score, which was calculated to be 5.9 in the anterior and 6.4 in the lateral approach group (p = 0.008).
conclusionIn summary, our mid-term results show comparable outcomes for both approaches regarding functionality, pain, quality of life and daily activity.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.