ArticleJournal of orthopaedic surgery and research2019
Adopting the direct anterior approach: experience and learning curve in a Chinese patient population.
Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 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.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Dual mobility total hip arthroplastyPeerJ · 2026Pooled it
- The learning curve for the direct anterior total hip arthroplasty: a systematic review.International orthopaedics · 2021Pooled it
- The learning curve of a novel seven-axis robot-assisted total hip arthroplasty system: a randomized controlled trial.BMC musculoskeletal disorders · 2024Trial
- Patient-reported results of simultaneous direct anterior approach and posterolateral approach total hip arthroplasties performed in the same patients.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Trial
- Femoral stem migration after direct lateral and direct anterior total hip arthroplasty: a prospective cohort study.Canadian journal of surgery. Journal canadien de chirurgieTrial
- Learning Curve of Robot-Assisted Total Hip Arthroplasty: Cumulative Sum Analysis.Clinics in orthopedic surgery · 2026Article
- Lessons from the learning curve of the direct anterior approach in total hip arthroplasty: a systematic review.Musculoskeletal surgery · 2026Review
- No Difference in All Cause Revision Following Transition From Cemented to Cementless TKA.The Iowa orthopaedic journal · 2026Article
- Total Hip Arthroplasty Using the Conjoined Tendon-Preserving Posterior Approach: The Modified Posterior Approach with a Minimum of 2-Year Follow-Up.Orthopaedic surgery · 2025Article
- Role of the Conjoined Tendon in Hip Stability Post-Total Hip Arthroplasty: Insights From a Direct Anterior Approach Cadaver Study.Arthroplasty today · 2024Article
- Association of surgeon volume with complications following direct anterior approach (DAA) total hip arthroplasty: a population-based study.Acta orthopaedica · 2024Article
- Article
- First 100 total hip arthroplasties performed by a young surgeon using the direct anterior approach: learning curve and complications.Archives of orthopaedic and trauma surgery · 2024Article
- Total Hip Arthroplasty Learning Curves Based on Approach for New Fellowship-trained Surgeons.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- 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
- The Direct Anterior Approach versus the Posterolateral Approach on the Outcome of Total Hip Arthroplasty: A Retrospective Clinical Study.Orthopaedic surgery · 2022Article
- Learning Curve of Total Hip Arthroplasty in Direct Anterior Approach without Requiring Corrective Osteotomy for Hip Dysplasia.Orthopaedic surgery · 2022Article
- Evaluation of Direct Anterior Approach for Revision Total Hip Arthroplasty: A Systematic Review.Hip & pelvis · 2021Review
- Transitioning the total hip arthroplasty technique from posterior approach in lateral position to direct anterior approach in supine position-risk factors for acetabular malpositioning and the learning curve.International orthopaedics · 2020Article
- Dimensional Changes of Lumbar Intervertebral Foramen in Direct Anterior Approach-Specific Hyperextension Supine Position.Orthopaedic surgery · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThere are concerns regarding the complications encountered during the learning curve when switching to a direct anterior approach (DAA) for total hip arthroplasty (THA). The purpose of our study is to report our outcomes and complications after adopting a new approach in a Chinese patient population.
methodsFrom 2016 to 2018, a single surgeon's first 100 cases with unilateral DAA for THA were reviewed. The patients were divided into 2 groups, the first 50 cases were designated as group A and the second 50 cases were designated as group B. The preoperative, intraoperative, and postoperative clinical data were analyzed. The cumulative summation method (CUSUM) was used to determine the learning curve.
resultsThere was a significant decrease in the complication rate from 44% in the first 50 cases to 16% in the second 50. The first 50 cases showed a significant increase in operating time, length of hospitalization, fluoroscopy, and complications. There was no significant difference in implant position, postoperative leg length discrepancy (LLD), Harris score, or creatine kinase. CUSUM analysis showed that complication rates and operating time reached acceptable and steady state after 88 cases and 72 cases respectively.
conclusionsAdopting DAA in a Chinese patient population has its own unique considerations and challenges. Even in the hands of an experienced surgeon, DAA is still a technically demanding procedure.
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