ArticleInternational orthopaedics2016
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.
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 20 papers, 2 of them syntheses that pooled it.
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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.
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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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Dual mobility total hip arthroplastyPeerJ · 2026Pooled 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
- 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
- Image-based robotic-assisted total hip arthroplasty through direct anterior approach allows a better orientation of the acetabular cup and a better restitution of the centre of rotation than a conventional procedure.International orthopaedics · 2023Article
- Article
- An Online Learning Tool to Obtain, Optimize, and Interpret Radiographs During Total Hip Arthroplasty.Hawai'i journal of health & social welfare · 2022Article
- Limited effects on patient outcomes of conjoint tendon release in anterolateral muscle-sparing total hip arthroplasty.Journal of orthopaedic surgery and research · 2021Article
- Promising medium-term results of anterior approach with an anatomical short stem in primary hip arthroplasty.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Article
- Posterior versus direct anterior approach in revision hip arthroplasty using Kerboull-type plate.SICOT-J · 2020Article
- Article
- What factors affect fluoroscopy use during Bernese periacetabular osteotomy for acetabular dysplasia?Journal of hip preservation surgery · 2019Article
- The anterior-based muscle-sparing approach to the hip: the "other" anterior approach to the hip.International orthopaedics · 2019Observational
- Total hip arthroplasty through an anterior approach: The pros and cons.EFORT open reviews · 2018Article
- Safely transitioning to the direct anterior from posterior approach for total hip arthroplasty.Journal of orthopaedics · 2018Article
- A new mini-navigation tool allows accurate component placement during anterior total hip arthroplasty.Medical devices (Auckland, N.Z.) · 2018Article
- In total hip arthroplasty via the direct anterior approach, a dual-mobility cup prevents dislocation as effectively in hip fracture as in osteoarthritis.International orthopaedics · 2017Article
- Direct anterior approach for total hip arthroplasty with a novel mobile traction table -a prospective cohort study.BMC musculoskeletal disorders · 2017Article
- Article
- Branching pattern of the lateral femoral cutaneous nerve at the proximal thigh: a commentary on a recent published cadaveric study.Annals of translational medicine · 2016Article
- Greater trochanter chip fractures in the direct anterior approach for total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeAn encouraging result with direct anterior approach (DAA) is attractive for both patients and surgeons. However, the risks associated with beginning to use DAA require further analysis of the learning curve and better countermeasures to ensure safety. We ask whether the complication rate in the DAA by the inexperienced surgeon could be decreased with specific countermeasures. Our hypothesis was that the complication rate would be low even in early phase of the learning curve using the DAA with these particular countermeasures. PATIENTS AND
methodsWe investigated a consecutive series of 120 primary THA using the DAA with four specific countermeasures; 1) defined exclusion criteria for DAA; 2) no positioning table; 3) use of fluoroscopy as much as required; and 4) having an experienced assistant for DAA (one who has performed the procedure in more than 100 cases). The operative time, the time of fluoroscopic use during the operation, intra and post-operative complications, re-operation for any reason, and cup and stem alignment were investigated.
resultsAlthough the operation times were similar, the duration of fluoroscopy decreased with surgeons' experience. There were no intra-operative complications and no re-operations for any reason. One anterior dislocation was observed in one patient. The mean cup inclination and anteversion angle was 39.7° ± 7.6° and 30.3° ± 7.6°; 43.3 % of stems were positioned in flexion, 55.8 % in the neutral position on the lateral view.
conclusionWe demonstrated a lower complication rate during our early experience with the DAA using four countermeasures. Using these countermeasures for the first 40 cases may be useful for surgeons who are considering DAA.
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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.