ArticleBMC musculoskeletal disorders2020
A Surgeon's handedness in direct anterior approach-hip replacement.
Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Surgeon handedness affects the acetabular cup positioning during primary total hip arthroplasty regardless of the surgical approach. a systematic review and metanalysis.BMC musculoskeletal disorders · 2024Pooled it
- Robot-assisted elimination of side disparity in acetabular cup placement by right-handed surgeons during total hip arthroplasty: a comparative study of manual and robotic techniques.Journal of robotic surgery · 2026Article
- Does surgeon handedness affect the outcomes after primary total knee arthroplasty? A retrospective cohort study.World journal of orthopedics · 2026Article
- A modified direct anterior approach for primary total hip arthroplasty: surgical technique.Journal of orthopaedic surgery and research · 2025Article
- Handedness and Laterality in Plastic Surgery and Outcome-A Retrospective, Two-Center, Evaluator-Blinded Study.Aesthetic plastic surgery · 2025Article
- The effects of surgeon handedness on the efficacy and safety of proximal femoral nail antirotation fixation for intertrochanteric femur fractures in elderly patients: A single Center's experience.Frontiers in bioengineering and biotechnology · 2025Article
- Article
- Relationship Between Laterality of Orthodontic Miniscrew Failure and Clinical Variables.Journal of clinical medicine · 2024Article
- Does the placement of acetabular cups differ between right and left sides for a right-handed surgeon operating through a direct lateral approach? A comparative study.Arthroplasty (London, England) · 2024Article
- Effect of Laterality in Microsurgery: Comparative Study of an Expert and a Novice.Journal of clinical medicine · 2024Article
- Hand dominance and experience improve bimanual performance on arthroscopic simulator task.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe impact of handedness on clinical outcomes was easily overlooked in hip replacement. This study aimed to find whether the component positioning and hip function were affected by the handedness in total hip arthroplasty (THA) through direct anterior approach (DAA).
methodsTotal 102 patients who underwent bilateral DAA-THAs simultaneously between May 2016 and November 2018 in our institute were reviewed. All surgeries were operated by one right-handed surgeon. Their demographic, cup positioning, stem alignment, femoral stem fit, Harris hip score (HHS), intraoperative and postoperative complications were used to evaluate the role of handedness in DAA.
resultsThe inclination of left cups was significantly larger than that of right cups (42.61 ± 7.32 vs 39.42 ± 7.19, p = 0.000). The stem fit of left femur was significantly larger than that of right femur (84.34 ± 4.83 vs 82.81 ± 6.07, p = 0.043). No significant differences in safe zone ratio, HHS and complications between bilateral hips were found.
conclusionsA surgeon's handedness had significant impact on cup's inclination and femoral stem fit in DAA-THA. However, there were no significant differences of cup malpositioning, stem alignment, hip function scores and complications between bilateral DAA-THAs.
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