ArticleInternational orthopaedics2016
Total hip arthroplasty via the anterior approach: tips and tricks for primary and revision surgery.
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- "Intra-operative assessment of leg length discrepancy with anterior approach total hip replacement: a comparison between standard table, position table with and without intra-operative radiographs".International orthopaedics · 2025Article
- Total hip arthroplasty, through the direct anterior approach, for a femoral neck fracture of ipsilateral transfemoral amputee: a case report.Frontiers in surgery · 2025Article
- Fused hip conversion to total hip arthroplasty with the direct anterior approach: surgical technique on a regular surgical table under fluoroscopic guidance.International orthopaedics · 2024Article
- Does robot-assisted surgery reduce leg length discrepancy in total hip replacement? Robot-assisted posterior approach versus direct anterior approach and manual posterior approach: a propensity score-matching study.Journal of orthopaedic surgery and research · 2023Article
- Clinical evaluation of direct anterior approach total hip arthroplasty for severe developmental dysplasia of the hip.Scientific reports · 2021Article
- Total hip arthroplasty through the direct anterior approach with and without the use of a traction table: a matched-control, retrospective, single-surgeon study.Journal of orthopaedic surgery and research · 2021Article
- Direct Anterior Approach in Crowe Type III-IV Developmental Dysplasia of the Hip: Surgical Technique and 2 years Follow-up from Southwest China.Orthopaedic surgery · 2020Article
- The direct anterior approach for simultaneous bilateral total hip arthroplasty: a short-term efficacy analysis.Arthroplasty (London, England) · 2020Article
- Direct anterior approach total hip arthroplasty for Crowe III and IV dysplasia.Arthroplasty today · 2020Article
- Heterotopic ossification and clinical results after total hip arthroplasty using the anterior minimally invasive and anterolateral approaches.Archives of medical science : AMS · 2020Article
- The anterior approach for conversion hip arthroplasty.Arthroplasty today · 2019Article
- The minimally invasive anterolateral approach versus the traditional anterolateral approach (Watson-Jones) for hip hemiarthroplasty after a femoral neck fracture: an analysis of clinical outcomes.International orthopaedics · 2018Article
- [Comparison of short-term effectiveness of staged bilateral total hip arthroplasty via different approaches].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2017Article
- [Short-term effectiveness analysis of one-stage bilateral total hip arthroplasty by direct anterior approach].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2017Article
- [Comparative study on differences in acetabular position during total hip arthroplasty between by direct anterior approach and by posterolateral approach].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2017Article
- Orthopaedic trauma surgeons and direct anterior total hip arthroplasty: evaluation of learning curve at a level I academic institution.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2017Article
- Three-dimensional planning-guided total hip arthroplasty through a minimally invasive direct anterior approach. Clinical outcomes at five years' follow-up.International orthopaedics · 2017Article
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Authors and funding
4 authors.
Funding
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Abstract
purposeDescribed for the first time in the 1950s, the direct anterior approach to the hip has been gaining in popularity over the last decade following the trend of minimally invasive surgery. This paper provides an overview of the approach and its indications and various uses and focuses on its utility in the revision setting. A detailed overview of the technique including tips and tricks as well as an explanation of common errors are included.
methodGraphic and clinical study of the approach, indications and feasibility.
resultsThe reported benefits of the direct anterior technique include enhanced post-operative recovery and respect for all the innervation and vascularization territories. It has been shown to be safe and effective in revision settings, to decrease the occurrence of heterotopic ossification, to enhance the accuracy of acetabular cup positioning, and to improve post-operative rehabilitation while having comparable outcomes in terms of loosening or component failure. Additionally, thromboembolic events have been shown to be decreased compared to other approaches. The most common reported complications in the revision setting is intra-operative fracture. The decision of a surgeon to transition to this approach, however, comes with a learning curve and potentially detrimental complications if done improperly. DISCUSSION: In addition to its appeal in the primary setting, the approach could possibly be a solution to decrease the morbidity associated with revision surgery through its use of a fresh tissue plane not previously traumatized with the primary approach.
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