ReviewCanadian journal of surgery. Journal canadien de chirurgie2015
Surgical approach in primary total hip arthroplasty: anatomy, technique and clinical outcomes.
Review in Canadian journal of surgery. Journal canadien de chirurgie, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02719236 (Direct Anterior Approach Versus Direct Lateral Approach in Cementless Total Hip Arthroplasty), which is not on this map. Cited by 175 papers, 15 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Direct Anterior Approach Versus Direct Lateral Approach in Cementless Total Hip Arthroplasty
Who cites it
175 citing papers in PubMed, 15 syntheses or guidelines pooled it, 392 citations in OpenAlex.
- Complication Analysis of Conversion Hip Arthroplasty after Failed Intertrochanteric Fracture Fixation: A Meta-Analysis.Clinics in orthopedic surgery · 2026Pooled it
- Gait and function after total hip arthroplasty: a systematic review and meta-analysis of the Hardinge versus posterolateral approaches.BMC musculoskeletal disorders · 2026Pooled it
- The efficacy and safety of peripheral nerve blocks for postoperative analgesia following total hip arthroplasty: a network meta-analysis.BMC anesthesiology · 2025Pooled it
- Optimizing blood management in arthroplasty: a meta-analysis of carbazochrome sodium sulfonate and Tranexamic acid combination.Journal of orthopaedic surgery and research · 2025Pooled it
- Effect of nursing interventions on the rehabilitation of patients after knee and hip replacements.Revista da Escola de Enfermagem da U S P · 2025Pooled it
- Comparing the Anterior-Based Muscle-Sparing Approach with the Direct Anterior Approach in Hip Arthroplasty: A Systematic Review and Pairwise Meta-Analysis.Medicina (Kaunas, Lithuania) · 2023Pooled it
- Serum biomarkers for the assessment of muscle damage in various surgical approaches in primary total hip arthroplasty: a systematic review of comparative studies.International orthopaedics · 2022Pooled it
- Radiation exposure in fluoroscopy-guided anterior total hip arthroplasty: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Pooled it
- Balance and proprioception impairment, assessment tools, and rehabilitation training in patients with total hip arthroplasty: a systematic review.BMC musculoskeletal disorders · 2021Pooled it
- Comparisons between Direct Anterior Approach and Lateral Approach for Primary Total Hip Arthroplasty in Postoperative Orthopaedic Complications: A Systematic Review and Meta-Analysis.Orthopaedic surgery · 2021Pooled it
- Transosseous versus transmuscular repair of the posterior soft tissue in primary hip arthroplasty: a meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- Total hip arthroplasty: minimally invasive surgery or not? Meta-analysis of clinical trials.International orthopaedics · 2019Pooled it
- Patient-reported outcome after hip dislocation in primary total hip arthroplasty is virtually unknown: a systematic literature review.Acta orthopaedica · 2018Pooled it
- Squeaking in fourth-generation ceramic-on-ceramic total hip replacement and the relationship with prosthesis brands: meta-analysis and systematic review.Journal of orthopaedic surgery and research · 2018Pooled it
- Comparison of Direct Anterior and Lateral Approaches in Total Hip Arthroplasty: A Systematic Review and Meta-Analysis (PRISMA).Medicine · 2015Pooled it
- The effects of balance training in patients with total hip arthroplasty : A randomized controlled pilot study.Orthopadie (Heidelberg, Germany) · 2024Trial
- Using mesh in capsule anatomical reconstruction to enhance the stability of high-dislocation-risk hip arthroplasty: a randomized controlled trial.Journal of orthopaedic surgery and research · 2023Trial
- Effects of a continuous nursing care model on elderly patients with total hip arthroplasty: a randomized controlled trial.Aging clinical and experimental research · 2022Trial
- Perioperative assessment of muscle inflammation susceptibility in patients with end-stage osteoarthritis.Journal of applied physiology (Bethesda, Md. : 1985) · 2022Trial
- Using the anterior capsule of the hip joint to protect the tensor fascia lata muscle during direct anterior total hip arthroplasty: a randomized prospective trial.BMC musculoskeletal disorders · 2020Trial
115 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Total hip arthroplasty (THA) has revolutionized the treatment of hip arthritis. A number of surgical approaches to the hip joint exist, each with unique advantages and disadvantages. The most commonly used approaches include the direct anterior, direct lateral and posterior approaches. A number of technical intricacies allow safe and efficient femoral and acetabular reconstruction when using each approach. Hip dislocation, abductor insufficiency, fracture and nerve injury are complications of THA, although their relative risk varies by approach. Numerous clinical trials have sought to elicit differences in patient-reported outcomes, complication rates and return to function among the surgical approaches. This review outlines some of the technical pearls of performing a THA through either a direct anterior, direct lateral or posterior approach. A literature review outlines the impact of surgical approach on clinical outcomes and clinically relevant complication rates.
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What OpenQuestion holds
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.