ArticleBMC musculoskeletal disorders2019
Complications after direct anterior versus Watson-Jones approach in total hip arthroplasty: results from a matched pair analysis on 1408 patients.
Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled 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
- Impact of surgical approaches on stem position and hidden blood loss in total hip arthroplasty: minimally invasive vs. posterolateral.BMC musculoskeletal disorders · 2024Article
- The Efficacy of Bone Wax in Total Joint Arthroplasty: A Systematic Review and Meta-Analysis.The archives of bone and joint surgery · 2024Review
- Improved surgical exposure and early clinical outcomes using a femoral-release-first technique in direct anterior approach during total hip arthroplasty.Journal of orthopaedic surgery and research · 2023Article
- Epidemiological Characteristics and Trends of Primary Hip Arthroplasty in Five Tertiary Hospitals: A Multicenter Retrospective Study.Orthopaedic surgery · 2023Article
- The ABLE Anterior-Based Muscle-Sparing Approach: A Safe and Effective Option for Total Hip Arthroplasty.Arthroplasty today · 2022Article
- Direct anterior approach hip arthroplasty: How to reduce complications - A 10-years single center experience and literature review.World journal of orthopedics · 2022Article
- Minimally invasive anterolateral approach versus direct anterior approach total hip arthroplasty in the supine position: a prospective study based on early postoperative outcomes.Journal of orthopaedic surgery and research · 2022Article
- Outcomes of Revision Hip Arthroplasty Using the Supine Anterior-Based Muscle Sparing Approach.Arthroplasty today · 2022Article
- Outcomes of the Supine Anterior-based Muscle-sparing Approach for Primary and Revision Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Compared learning curves of the direct anterior and anterolateral approach for minimally invasive hip replacement.Orthopedic reviews · 2022Article
- Prediction model for an early revision for dislocation after primary total hip arthroplasty.PloS one · 2022Article
- Implant survival of 662 dual-mobility cups and 727 constrained liners in primary THA: small femoral head size increases the cumulative incidence of revision.Acta orthopaedica · 2021Article
- Minimizing complications in bikini incision direct anterior approach total hip arthroplasty: A single surgeon series of 865 cases.Journal of experimental orthopaedics · 2021Article
- A retrospective analysis of surgical outcomes following direct anterior hip arthroplasty with or without a surgical extension table.International orthopaedics · 2020Article
- Prospective Short-Term and Return-to-Sports Results of a Novel Uncemented Short-Stem Hip Prosthesis with Metaphyseal Anchorage.Journal of clinical medicine · 2020Article
- Increased risk for dislocation after introduction of the Continuum cup system: lessons learnt from a cohort of 1,381 THRs after 1-year follow-up.Acta orthopaedica · 2020Article
- [A minimally invasive technique for removal of a firmly fixed Küntscher nail in primary hip arthroplasty].Der Unfallchirurg · 2019Article
- Major complications after total hip arthroplasty with the direct anterior approach at a high-volume Ontario tertiary care centre.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe direct anterior approach (DAA) has gained popularity in total hip arthroplasty (THA) over the past decade. A large number of studies have compared the DAA to other approaches with inclusion of a learning curve phase. The aim of this study was to compare the complication rate and bleeding between the DAA and the anterolateral approach after the learning curve phase.
methodsFor this retrospective, single-institutional study, propensity score matching was performed, from an initial cohort of 1408 patients receiving an elective THA. Two matching groups were created, comprising of 396 patients each. After matching, both groups were similar in age, gender, body mass index, anesthesiologist's score and surgeon's experience.
resultsAverage age in the matched groups was 68.7 ± 10.3 years. The total blood loss was similar in both groups, 450 vs 469 mL (p = 0.400), whereas the transfusion rate (14.1 vs 5.8%, p < 0.001) and the overall complication rate (17.6 vs 12.1%, p = 0.018) were lower in the DAA group. The overall fracture rate was comparable, 1.5 vs 1% (p = 0.376), as well as the early infection rate, 0.3 vs 1% (p = 0.162). The dislocation rate was significantly increased in the DAA group, 2.2 vs 0.5% (p = 0.032).
conclusionsThe direct anterior approach has comparable short-term surgical complications with reduced transfusion and general complication rates. LEVEL OF EVIDENCE: Level III retrospective study.
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